Enterprise 340B Audit & Compliance Analyst

This is a fully remote position, open to applicants in Virginia, +1 more state.

📋 Description

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

• Evaluate operating procedures and regulatory compliance protocols.

• Conduct ongoing internal audits, perform data analysis, and carry out operational assessments.

• Establish systems and processes to minimize program liabilities and identify potential risks.

• Assess utilization records and manage 340B purchasing accounts.

• Oversee monthly and annual 340B participation reports.

• Execute monthly compliance audits for pharmacies, patient eligibility, provider eligibility, and location eligibility.

• Supervise purchasing records, ensure contract compliance, and monitor 340B compliance and pricing.

• Maintain the 340B Program and Split Billing Software, encompassing product mapping, charge codes, testing, validation, and purchase-data uploads.

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

• Provide purchasers with essential information and support to enhance 340B benefits.

• Review product accumulations, ineligible claims, single-dose vial waste, and charge-code billing units.

• Generate ad hoc reports and conduct targeted, negative, accumulator, and compliance audits.

• Communicate findings and documentation with pharmacy leadership, Finance, and Administration.

⛳️ Requirements

• High School Diploma or Equivalent.

• A minimum of three (3) years of experience in healthcare, finance, or pharmacy.

• Capacity to manage and safeguard confidential information.

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

• Flexibility to adapt to varying workloads and assignments.

• Strong analytical and problem-solving capabilities.

• Proficient verbal and written communication skills, along with interpersonal skills.

• Competence in interpreting and analyzing data.

• Familiarity with basic computer programs and proficiency in MS Office applications, including Word, PowerPoint, Excel, and Outlook.

• Preferred: Associate’s or Bachelor’s degree in Information Technology, Business Management, or Hospital Administration.

• Preferred: Nationally Certified Pharmacy Technician.

• Preferred: Apexus Advanced 340B Operations Certificate.

• Preferred: Experience with the 340B Drug Pricing Program.

• Preferred: Background in data analysis, audit processes, and reporting.

• Preferred: Experience in hospital or retail pharmacy settings.

🏝️ Benefits

• Comprehensive health insurance package.

• Retirement savings plan with employer contributions.

• Opportunities for professional development and advancement.

• Generous paid time off and holiday leave.

• Employee wellness programs.