340B Finance & Compliance Analyst

Job Details

Job Description

The 340B Finance Compliance Analyst:

is responsible for oversight of the 340B Program. This individual will review all areas and responsibilities related to Jefferson's 340B.

• Responsibilities include, but are not limited to, monitoring, auditing, managing, maintaining and implementing pharmacy 340B programs; assisting with data for financial analysis; ensuring claims meet eligibility criteria in all settings of the 340B program; manage and oversee provider eligibility; working in conjunction with pharmacy buyers; pharmacy staff and other stakeholders; assisting and/or providing training to stakeholders as needed; assist in the development of policies and procedures and workflows; maintain split-billing software and ensure 340B compliance on an ongoing basis.

• Routinely monitors and interprets utilization records including drug administrations and purchasing accounts, including direct accounts, to ensure source system software is reconciled properly and accurately.

• Performs audits on a schedule basis for mixed-use, contract pharmacy, crosswalk and accumulations, among others; may involve presenting and resolving reconciliation issues as they arise.

• Perform internal and external compliance risk assessments to validate processes.

• Monitor and audit claims to ensure compliance and to prevent potential duplicate discount rebates.

• Ensures Jefferson’s compliance with the Health Resources and Services Administration (HRSA) and Office of Pharmacy Affairs (OPA) regulations and guidelines.

• Analyzes volumes and trends as compared to benchmarks, best practices and strategic goals.

• Review 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.

• Participates in accomplishing 340B Program goals and objectives, evaluates effectiveness and implements changes to achieve desired outcomes.

• Keeps up with 340B pricing trends and new legislation.

• Analyzes and interprets 340B purchasing trends and the economic impact to the organization. Assist in rectifying findings as needed, in collaboration with supervisor and stakeholders.
• Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.
• Solid understanding of 340B auditing standards, techniques, and procedures preferred.
• Experience with 340B Third Party Administrator (TPA) software preferred.
• Knowledge of the issues, trends, and challenges presented by participation in the 340B program.
• Analytical mindset and ability to present data in a comprehensive manner.
• Education:Associate degree in business, pharmacy, health care, data/IT or related field and/or equivalent relevant experience.ORExperience:Minimum of two (2) years broad pharmacy financial operations or financial analytics experience.Minimum Certifications, Registration or License Requirements:340B University training required (can be completed upon hire); Apexus Certification preferred.Additional InformationExperience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.Solid understanding of 340B auditing standards, techniques, and procedures preferred.Experience with 340B Third Party Administrator (TPA) software preferred.Knowledge of the issues, trends, and challenges presented by participation in the 340B program.Analytical mindset and ability to present data in a comprehensive manner.Manager - Please list any other requirements or preferences (like Word, Excel, etc.)

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Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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