Job Description
Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
This
position provides general support to the 340B Certified Compliance Analyst by
conducting routine audits and performing system maintenance of the third party
administrator or split billing software to ensure 340B Program compliance.
Responsibilities:
Perform routine and ad-hoc 340B Program compliance audits.
Critically evaluate findings from audits to determine appropriate next steps. If problems or gaps are identified through audits, develop and execute action plans to resolve identified problems or gaps with support from the 340B Certified Compliance Analyst, organizational leadership, and/or stakeholders.
Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
Monitor and audit state Medicaid claims to ensure compliance to prevent duplicate discounts.
Monitor drug purchasing activity and perform general maintenance of third party splitting software and optimization of purchasing.
Coordinate annual program audits for assigned entity in collaboration with organizational leadership.
Support preparation for and execution of annual program audits and HRSA audits.
Monitor and triage incoming communications from external vendors, other entities, and regulatory bodies
Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers.
Demonstrate understanding of and ability to articulate 340B Program requirements and best practices.
Assist with training of new analysts.
Other Information
Other information:
Education Requirements:
● BS degree or equivalent
Licensure/Certification Requirements:
Professional Experience Requirements:
● Preferred experience in an analyst role with auditing and/or pharmacy supply chain.
● AA with 3 years of pharmacy experience
Knowledge/Skills/and Abilities Requirements:
● Critical thinking ability
Analytical skills
Presentation skills
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Pharmacy 340B Programs
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $24.73 - $35.56 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Description
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
This
position provides general support to the 340B Certified Compliance Analyst by
conducting routine audits and performing system maintenance of the third party
administrator or split billing software to ensure 340B Program compliance.
Responsibilities:
Perform routine and ad-hoc 340B Program compliance audits.
Critically evaluate findings from audits to determine appropriate next steps. If problems or gaps are identified through audits, develop and execute action plans to resolve identified problems or gaps with support from the 340B Certified Compliance Analyst, organizational leadership, and/or stakeholders.
Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
Monitor and audit state Medicaid claims to ensure compliance to prevent duplicate discounts.
Monitor drug purchasing activity and perform general maintenance of third party splitting software and optimization of purchasing.
Coordinate annual program audits for assigned entity in collaboration with organizational leadership.
Support preparation for and execution of annual program audits and HRSA audits.
Monitor and triage incoming communications from external vendors, other entities, and regulatory bodies
Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers.
Demonstrate understanding of and ability to articulate 340B Program requirements and best practices.
Assist with training of new analysts.
Other Information
Other information:
Education Requirements:
● BS degree or equivalent
Licensure/Certification Requirements:
Professional Experience Requirements:
● Preferred experience in an analyst role with auditing and/or pharmacy supply chain.
● AA with 3 years of pharmacy experience
Knowledge/Skills/and Abilities Requirements:
● Critical thinking ability
Analytical skills
Presentation skills
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Pharmacy 340B Programs
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $24.73 - $35.56 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
About UNC Health
Our mission is to improve the health and well-being of North Carolinians and others whom we serve. We accomplish this by providing leadership and excellence in the interrelated areas of patient care, education and research.
UNC Health and its 33,000 employees, continue to serve as North Carolina’s Health Care System, caring for patients from all 100 counties and beyond our borders. We continue to leverage the world class research conducted in the UNC School of Medicine, translating that innovation to life-saving and life-changing therapies, procedures, and techniques for the patients who rely on us.
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