Remote 340B Program Analyst - Compliance & Audit Expert

GapRx 340B Consultants, LLC.; United States; Remote; USD 75.000 - 110.000; Vollzeit

Zusammenfassung

GapRx 340B Consultants, LLC is seeking a detail-oriented 340B Program Analyst to support ongoing compliance, optimization, and analysis for its clients, with a fully remote setup. You will review eligibility, conduct monthly audits, maintain TPA data, and develop reports and dashboards to track 340B metrics.

Travel up to 25% for meetings may be required. The role requires strong Excel and data analysis skills, familiarity with EMR/EHR systems, and the ability to translate policy updates into

Qualifikationen

• Detail-oriented with excellent analytical, organizational, and communication skills.
• Strong understanding of 340B program requirements, covered entity responsibilities, and audit protocols.
• Familiarity with EMR/EHR systems and claims processing.
• Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.

Aufgaben

• Routinely reviews client’s clinic/pharmacy claims to determine 340B eligibility and identifying missed opportunities
• Perform and finalize monthly 340B claims audits for assigned client accounts, verifying eligibility, preventing duplicate discounts, and ensuring compliance with HRSA and manufacturer policies.
• Assist in ensuring that all reported findings are supported by proper documentation that will allow clients to remain in compliance with relevant 340B regulations
• Investigate and resolve discrepancies or anomalies in claims data; document findings and communicate results to internal stakeholders and clients.
• Analyze purchasing, dispensing, and claims data to identify trends, exceptions, and revenue optimization opportunities.
• Assist with split-billing and third-party administrator (TPA) data management.
• Support audit readiness, including self-audits and preparation for HRSA or manufacturer audits.
• Maintain knowledge of 340B regulations and translate policy updates into actionable internal guidance.
• Develop reports and dashboards to track key 340B metrics and performance indicators.
• Develop and implement process enhancement strategies to improve audit accuracy, reduce risk, and streamline workflows.
• Collaborate with pharmacy staff, finance, IT, and external vendors to support efficient and compliant program operations.
• Stay up to date on 340B legislation, policy changes, and industry trends to ensure best practices.
• Prepare audit reports and presentations for both internal leadership and client-facing communication.
• Develops, modifies and ensures that 340B policies and procedures are in accordance with current state, federal and system program requirements.
• Annually reviews and updates 340B policies and procedure manual of entities
• Works in collaboration with the Lead 340B Program Coordinator to create training and competency materials for all staff and leaders who work with the 340B program.
• Responsible for ensuring that the annual HRSA recertification is accurately completed within the allotted time frame.
• Responsible for ensuring that the HRSA 340B database is accurate for all entities.
• Responsible for ensuring registration of any new site and pharmacies within the allotted time frame.
• Monitors inventory accumulators at pharmacies and addresses any inventory discrepancies with the pharmacy or vendors
• Tracks and resolves any pricing discrepancies from wholesaler purchases at all pharmacies
• Manages referral prescription capture program for customers of the company
• Supports implementation of new Third-Party Administrators (TPAs) and new Contract Pharmacies
• Become proficient in accessing, editing, updating the TPA portals
• Reconcile utilization records and 340B purchasing accounts to ensure that TPA software is working properly and accurately.
• Maintains manufacturer level 340B eligibility file for clients
• Develop financial reports for all pharmacy settings
• Other related duties as assigned.

Kenntnisse

Detail-oriented

Analytical thinking

Excel

Power BI

SQL

Communication skills

Ausbildung

Bachelor's degree in Healthcare / Public Health / related field

Tools

Power BI

SQL

Tableau

Jobbeschreibung

GapRx 340B Consultants, LLC is seeking a detail-oriented 340B Program Analyst to support ongoing compliance, optimization, and analysis for its clients, with a fully remote setup. You will review eligibility, conduct monthly audits, maintain TPA data, and develop reports and dashboards to track 340B metrics.

Travel up to 25% for meetings may be required. The role requires strong Excel and data analysis skills, familiarity with EMR/EHR systems, and the ability to translate policy updates into