Program Auditor

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Department : Pharmacy

The 340B Program Auditor is responsible for conducting comprehensive audits of 340B prescription claims, verifying patient eligibility, prescriber-location relationships, and ensuring site compliance to maintain the hospital's eligibility and prevent diversion in the 340B Drug Pricing Program. This role supports both in-house and contract pharmacy auditing, provides documentation for HRSA audit readiness, and ensures adherence to federal program requirements.

Daily and Weekly Auditing Operations :

• Review accumulations and dispensing events from third party administrator (TPA) and contract pharmacy management systems
• Validate prescriber-patient-location relationships for each claim to ensure compliance
• Identify and document exceptions or potential diversion risks
• Perform monthly compliance audits of contract pharmacies, hospital-owned retail pharmacies, specialty pharmacies, and hospital mixed-use pharmacy operations
• Monitor and audit state Medicaid claims to ensure compliance and prevent duplicate discounts

Patient and Provider Eligibility Verification :

System Maintenance and Data Management :

Compliance Documentation and Reporting :

Contract and Purchase Monitoring :

Education : High school diploma or equivalent required. Bachelor's degree in Information Technology, Business Management, or Hospital Administration preferred.

Licensure / Certifications : Apexus 340B University Certificate required within 90 days of hire. Apexus Advanced Operations Certificate preferred. California Pharmacy Technician license required. Nationally Certified by the Pharmacy Technician Certification Board preferred.

Experience : One (1) year of healthcare auditing, pharmacy technician, or compliance experience required. 340B Drug Pricing Program experience preferred. Experience in data analysis, audit process, reporting and hospital or retail pharmacy experience preferred.

Salary Range : The hourly rate for this position is $38.42 - $48.03 The range displayed on this job posting reflects the target for new hire salaries for this position.

Job Specifications :

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!