340B Analyst

Summary

LCMC Health is a healthcare organization. The 340B Analyst manages compliance, program integrity, financial optimization, software systems, reporting, audits, and operational coordination for the 340B Drug Discount Program.

Responsibilities

• Coordinates the 340B Drug Pricing Program and maintains the program’s standards
• Ensures HRSA requirements for program qualifications are met
• Works to continuously improve 340B program performance through program surveillance and identification program optimizations
• Serves as first step in scoping and escalating discovered operational or compliance issues in collaboration with internal audits and the 340B Auditors
• Communicates and escalates compliance issues or gaps in 340B program operations
• Ensures compliant purchasing of 340B medications and provides real-time guidance to pharmacy buyers and staff on purchasing, inventory management, and other practices which maximize 340B compliance and savings
• Assists covered entity leadership to provide ongoing training, education and communication required for the 340B program at the entity
• Develops internal (LCMC Health and covered entity healthcare personnel, administrations, leadership, etc.) and external (Office of Pharmacy Affairs/Health Resources and Services Administration, Apexus, wholesalers, drug manufacturers, non-LCMC Health healthcare professionals, etc.) customer service relationships for effective program management
• Creates/maintains monthly reports of 340B program metrics and financial savings
• Analyzes monthly reports, completes monthly variance reporting, and identifies cost savings and system improvements to maximize compliance
• Serves as primary internal liaison to ensure appropriate utilization of the 340B program and compliance with all program requirements
• Escalates any identified compliance issues to covered entity stakeholders and the 340B Manager
• Develops action plans to mitigate and/or remove any potential or identified compliance concerns and works to implement approved programmatic changes
• Participates in sub-committees of the 340B Executive Oversight Committee to develop and update policies and procedures for the 340B program
• Assists in development and delivery of education to covered entity pharmacy team and works to ensure pharmacy operations are in alignment with the 340B policies and procedures
• Works with affiliated departments (finance, information technology, medical staffing office, etc.) to ensure 340B program integrity
• Provides ongoing compliance coaching to 340B staff and participants
• Participates in system 340B committees and with covered entity leadership to develop a comprehensive internal audit plan
• Conducts regular 340B internal audits and data analysis to identify risk and prevent a compliance breach
• Documents audit completion/results and communicate results and escalate issues to identified parties
• Monitors 340B regulations and legislation, attend ongoing trainings/conferences to help ensure continued compliance with current regulations
• Works collaboratively with other pharmacy 340B team members and become a subject matter expert in one or more of the following fields: Contract Pharmacy, Policy and Procedure, Data & Reporting, Compliance (Audits), and/or 340B Split Billing Software
• Serve as the split billing software expert in order to troubleshoot software issues and continually improve software functionality
• Works with appropriate teams to ensure that the 340B software is coordinated and integrated with the clinical information system software. This shall include the electronic interface between the EMR and the virtual accumulator and any interface between LCMC Health and contract pharmacy providers and/or administrators
• Ensures integrity of split billing software and reviews applicable software reports to identify areas of improvement
• Ensures covered entity is successfully utilizing the split billing software to place orders in a compliant manner which demonstrates cost savings for the ministry
• Triages live-site issues within the split billing software, electronic medical record, or charge master as it relates to 340B
• Collaborates with Epic charge team and charge master managers on a corrective action plan and participate in the implementation of any necessary changes
• Coordinates covered entity issue resolution process with split billing software vendor
• Ensures appropriate split billing software configurations are in place and continually update software to ensure alignment with LCMC Health Policies

Skills

• Minimum Required: 1 years' experience with pharmacy 340B
• Associates Degree in Healthcare Administration/Business, Finance, Information Technology/Analytics, Pharmacy, or a related field
• Required: 340B University Certificate (Live/On Demand)
• Preferred: 2 years' experience in business, analytics, or auditing
• Preferred: 340B Advanced Operations Certificate
• Preferred: Pharmacy Technician Louisiana State Board of Pharmacy

Qualifications

Must Haves

• Minimum Required: 1 years' experience with pharmacy 340B
• Associates Degree in Healthcare Administration/Business, Finance, Information Technology/Analytics, Pharmacy, or a related field
• Required: 340B University Certificate (Live/On Demand)

Nice to Haves

• Preferred: 2 years' experience in business, analytics, or auditing
• Preferred: 340B Advanced Operations Certificate
• Preferred: Pharmacy Technician Louisiana State Board of Pharmacy