Orlando Health
Pharmacy Business (340B Pricing and Auditing) Analyst, in Orlando, Florida | Orlando Health
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Job Description
- Req#: 238047
Position SummaryCoordinates internal 340B audits on an ongoing basis and assists during Health Resources & Services Administration and manufacturer audits. Collaborates with teams to manage 340B Program compliance, report findings, and supervise procurement/dispensing to achieve unit and organizational goals.
ResponsibilitiesEssential Functions
• Provides vigilant oversight of the 340B program through internal audit functions.
• Oversees borrowing and return of medications between departments and ensuring end of month transfers are handled correctly.
• Responsible for preparing expense/purchasing reports with an analysis when requested.
• Demonstrates knowledge and functionality of wholesaler and split billing software systems.
• Responsible for oversight of pharmacy direct orders, backorders and purchasing strategies related to drug shortages.
• Maintains NDC mapping and invoicing for all accounts in split billing software.
• Assists pharmacy departments during annual inventories.
• Executes business process walkthroughs, inquiries, claims, and documentation reviews to assess whether procedures and internal
controls exist to comply with the 340B program requirements.
• Collaborate with contract pharmacies to perform audits and assure they are used in a compliant and consistent manner with the 340B Program.
• Reviews the split billing software system and performs transaction reviews to ensure that 340B eligible dispensations are accurately reflected in the system.
• Assists the inpatient and outpatient pharmacy managers and buyers with ongoing 340B program compliance and education.
• Prepares detailed reports on audit findings on a routine basis and conveys information regarding audit results effectively to the 340B Steering Committee.
• Develops corrective action plans for adverse audit findings and executes them accordingly.
• Proactively monitor pending rule changes and legislation that may impact the organization; collaborates with leadership to adapt to changes in the 340B Program.
• Monitor and analyze purchasing contracts and vendor program offerings to identify opportunities to reduce the cost of pharmaceuticals.
• Establish and maintain ongoing education for pharmacy departments to align and standardize processes.
• Plan, implement and evaluate technology and information support systems to continuously improve the efficiency and effectiveness of pharmaceutical care and billing processes.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
QualificationsEducation/Training
• Bachelor’s degree required. Associate’s degree and two (2) years of directly related work experience may substitute for the
Bachelor’s degree (in addition to the requirements listed in the Experience section). High School Diploma or equivalent and four
(4) years of directly related work experience may also substitute for the Bachelor’s degree (in addition to the requirements
listed in the Experience section).
• Offsetting experience must be in the field of 340B, purchasing or supply management.Licensure/Certification
None.
Experience
Two (2) years related experience in 340B, purchasing or supply management. Demonstrated expertise in pharmacy informatics and
technology development and ability to work with teams to achieve specific results is preferred.Candidates must have direct experience with the 340B Drug Pricing Program and a strong understanding of pharmacy operations and compliance.
Ideal candidates will have hands-on experience with pharmacy technology and a proven track record in managing 340B program audits and ensuring compliance.
Experience with EPIC EMR
Education/Training
• Bachelor’s degree required. Associate’s degree and two (2) years of directly related work experience may substitute for the
Bachelor’s degree (in addition to the requirements listed in the Experience section). High School Diploma or equivalent and four
(4) years of directly related work experience may also substitute for the Bachelor’s degree (in addition to the requirements
listed in the Experience section).
• Offsetting experience must be in the field of 340B, purchasing or supply management.Licensure/Certification
None.
Experience
Two (2) years related experience in 340B, purchasing or supply management. Demonstrated expertise in pharmacy informatics and
technology development and ability to work with teams to achieve specific results is preferred.Candidates must have direct experience with the 340B Drug Pricing Program and a strong understanding of pharmacy operations and compliance.
Ideal candidates will have hands-on experience with pharmacy technology and a proven track record in managing 340B program audits and ensuring compliance.
Experience with EPIC EMR
Essential Functions
• Provides vigilant oversight of the 340B program through internal audit functions.
• Oversees borrowing and return of medications between departments and ensuring end of month transfers are handled correctly.
• Responsible for preparing expense/purchasing reports with an analysis when requested.
• Demonstrates knowledge and functionality of wholesaler and split billing software systems.
• Responsible for oversight of pharmacy direct orders, backorders and purchasing strategies related to drug shortages.
• Maintains NDC mapping and invoicing for all accounts in split billing software.
• Assists pharmacy departments during annual inventories.
• Executes business process walkthroughs, inquiries, claims, and documentation reviews to assess whether procedures and internal
controls exist to comply with the 340B program requirements.
• Collaborate with contract pharmacies to perform audits and assure they are used in a compliant and consistent manner with the 340B Program.
• Reviews the split billing software system and performs transaction reviews to ensure that 340B eligible dispensations are accurately reflected in the system.
• Assists the inpatient and outpatient pharmacy managers and buyers with ongoing 340B program compliance and education.
• Prepares detailed reports on audit findings on a routine basis and conveys information regarding audit results effectively to the 340B Steering Committee.
• Develops corrective action plans for adverse audit findings and executes them accordingly.
• Proactively monitor pending rule changes and legislation that may impact the organization; collaborates with leadership to adapt to changes in the 340B Program.
• Monitor and analyze purchasing contracts and vendor program offerings to identify opportunities to reduce the cost of pharmaceuticals.
• Establish and maintain ongoing education for pharmacy departments to align and standardize processes.
• Plan, implement and evaluate technology and information support systems to continuously improve the efficiency and effectiveness of pharmaceutical care and billing processes.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.About the company
Orlando Health is a not-for-profit healthcare organization headquartered in Orlando, Florida.
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