340B Audit and Compliance Analyst – Mixed-Use Pharmacy

This is a fully remote position, open to applicants in United States.

📋 Description

• Support the coordination of the 340B Drug Pricing Program for eligible entities across the WVU Medicine Health System.

• Assess operating and regulatory compliance procedures and controls.

• Conduct continuous internal audits, data analysis, and operational evaluations.

• Establish systems and processes to mitigate program liabilities and prevent duplicate discounts and diversion.

• Examine utilization records and 340B purchasing accounts.

• Track monthly and annual 340B participation reports.

• Execute monthly compliance audits of contract pharmacies, hospital-owned retail pharmacies, specialty pharmacies, and hospital mixed-use pharmacy.

• Audit the eligibility of patients, providers, and locations.

• Oversee purchasing records, utilization, savings, problem areas, and discrepancies.

• Manage 340B Program software product mapping, charge codes, and ratios.

• Maintain, test, and validate 340B Split Billing Software and its integration with pharmacy software.

• Supervise purchases for contract compliance, 340B compliance, and accurate pricing.

• Assist covered entities with reporting, data requests, and inquiries.

• Upload purchase data to the 340B Split Billing Software on a monthly basis.

• Conduct mapping verification audits.

• Provide buyers with information and support for 340B ordering.

• Review product accumulations and ineligible claim data.

• Complete reporting for single-dose vials and waste input.

• Update charge-code billing units from Epic in split-billing software.

• Generate ad hoc reports for program optimization and compliance.

• Carry out targeted audits, negative audits, referral process development, suspect pending claim reviews, accumulator reviews, and compliance audits.

⛳️ Requirements

• High School Diploma or equivalent.

• Three (3) years of experience in healthcare, finance, or pharmacy.

• Capacity to handle and maintain confidential information.

• Ability to work independently or collaboratively as part of a team.

• Flexibility to adapt to varying workloads and assignments.

• Analytical and problem-solving capabilities.

• Strong verbal and written communication skills.

• Interpersonal skills essential for effective communication with all management levels.

• Ability to interpret and analyze data.

• Familiarity with basic computer applications.

• Proficiency in MS Office applications including Word, PowerPoint, Excel, and Outlook.

• Must be capable of sitting for extended periods.

• Ability to engage in prolonged computer and telephone use.

• Must be able to navigate throughout department work areas.

🏝️ Benefits

• Full-time position.

• 40 scheduled weekly hours.