340B Auditor
- Mercy Health
- Ohio, USA
Job Description
Summary of Primary Function/General Purpose of Position
The 340B Auditor is responsible for the auditing and monitoring of the 340B Drug Discount Program for compliance with federal requirements/guidelines. This position will service locations as assigned by the 340B Program Manager and be responsible for completing and documenting audits as outlined in the 340B policies and procedures. Functions will include execution and documentation of daily, weekly, monthly and quarterly audits to verify adherence with the 340B Program regulations and/or guidelines. 340B Auditor will collaborate with other 340B staff to preform specialized audits/projects as required. In conjunction with performing internal audits, auditor will be responsible for assisting with external audits as assigned by 340B Program Manager. Additionally, the 340B Auditor will be responsible for preparing and uploading required data to 340B software systems while ensuring that all data is imported to 340B software systems as expected.
Essential Job Functions
- Monitors 340B compliance for all aspects of the 340B Program and implements all applicable aspects of HRSA’s Office of Pharmacy Affairs guidance, as well as organizational policies and procedures.
- Responsible for the day-to-day compliance review of clinic-administered medications in eligible locations, mixed-use/340B only areas managed by split-billing software, areas managed by manual methods, outpatient prescriptions fulfilled by an owned pharmacy, and/or outpatient prescriptions fulfilled by a contract 340B pharmacy.
- Conducts daily, weekly, monthly and quarterly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies. Documents results as required per policy and procedure. Audits assess compliance with HRSA’s polices including but not limited to 340B eligibility, diversion, and GPO prohibition.
- Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits
- Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use as well as 340B only areas and clinics by reviewing patient medical records, insurance plans, and hospital status.
- Assists with 340B external audits as assigned
- Uploads data and monitors data upload process for software systems and tools daily. Downloads raw data and prepares data for upload into software systems as needed.
- Assists with creating, refining, and executing 340B audits as assigned
- Reports all findings and matters through appropriate channels as outlined in policy and procedure which include the 340B Program Manager and 340B Analyst for the respective covered entity.
- Assists 340B Program Manager and 340B Analyst with special projects as assigned
Employment Qualifications:
Education Qualification
Required Minimum Education: High School Diploma / GED
Preferred Education : 2 Year Degree in Business, Information Technology/Analytics, Pharmacy, or related field
Licensing/ Certification
Licensure/Certification Preferred : 340B University (Live / On Demand); National Pharmacy Technician License
Minimum Qualifications
Minimum Years of Experience: Minimum of 1-2 years’ experience with pharmacy 340B required or; 1-2 years – progressive hospital or healthcare system pharmacy or healthcare auditing or healthcare business experience preferred.
Other Knowledge, Skills and Abilities Required :
Healthcare system knowledge base/skills
Proficiency in Microsoft Office software, specifically Excel, Word, and Outlook
Ability to quickly learn technical systems such as EMR systems, retail pharmacy systems, and/or 340B software systems
Ability to work in a complex team environment and to collaborate with peers to complete required work
Strong interest in pharmacy practice advancement
Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.
Other Knowledge, Skills and Abilities Preferred :
Knowledge of hospital and/or retail pharmacy workflows and/or operations
Previous drug purchasing and/or wholesaler experience
Previous work and/or training in 340B
Previous auditing experience
Experience with working with EPIC EMR system(s)
Knowledge of hospital billing practices and regulations
Experience in Microsoft Access
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
Who we are
We believe your best is yet to come. At Mercy Health, we celebrate the human side of health care, uniting individuals from all walks of life in giving good help to those in need. We'll ask a lot of you, but we'll give a lot back, as well. Whether you’re called to bedside care, patient support, community service or operations and administration, there’s a place for you here. Because if there's one thing we know for certain, it's that good works start with great people. We’ll support and empower you to bring your best – in service of our patients and our Mission.
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
Learn more about us at careers.mercy.com.
What we offer
· Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
· Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
· Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
· Tuition assistance, professional development and continuing education support
Discover how Mercy Health is the place for you.
Benefits may vary based on employment status.