Pharmacy 340B Program Audit Analyst - Full-Time, Days

Job Description

Be a part of a world-class academic healthcare system, UChicago Medicine, as a Pharmacy 340B Program Audit Analyst. In this role, you will be responsible for conducting audits and supporting (third party) audits of the pharmacy 340(b) program for all qualified entities within the organization, including retail and contract pharmacy relationships. This is a remote/hybrid position.

The Pharmacy 340B Program Audit Analyst will be responsible for auditing to ensure qualifications for the program are met and maintained; auditing to ensure that related records are complete and accurate; and audits to ensure all primary objectives as defined by leadership are consistently achieved. Three primary objectives or goals include:

• Compliance Audits - Assuring all use of 340(b) throughout the institution (including retail and contract pharmacies) is fully compliant with all federal regulations and related interpretations for the program.
• Maximum Participation Audits - Assuring the institution is achieving maximum utilization of 340(b) pricing through full participation in all qualified areas with all applicable products, including inpatient contracts, to ensure greatest cost savings returns throughout the institution
• Efficiency of 340(b) Processes Audits - Assuring that all policies, procedures, and related approaches to 340(b) include the most efficient use of resources.

Essential Job Functions

• This person will be a member of an audit team responsible for being an institutional “compliance expert or authority” on 340(b) regarding everything from qualifications to the details, policies, and procedures of the virtual inventory processes required for mixed areas.
• Strong emphasis on retail and contract pharmacy transactional and operational compliance (audits) and recommendations.
• This person will attend 340(b) conferences, routinely monitor Apexus, 340B Health, OPA and other industry-related publications and websites as well as the professional media, literature, and peers to assure the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for ensuring audit activities are comprehensive and align with compliance objectives.
• Routinely audit and monitor all points of service (ex. Retail, Specialty, Emergency Department, Contract, where 340(b) participation occurs to insure policies and procedures are followed, entities qualify and all patients qualify as “covered patients”. Includes inventory replenishment audits, audits of entity details on HRSA OPAIS database, etc.
• Routinely audits utilization records and 340(b) purchasing accounts to insure software or tools are working properly and accurately, performing audits or compliance assessments internally as needed; also supports external compliance assessments where appropriate with outside firms to validate internal processes.
• Assists in developing and routinely monitoring monthly and annual audit reports on 340(b) participation which clearly documents audit findings, problem areas and exceptions or discrepancies, to be passed to pharmacy leadership and administration for final resolution.
• Provide insight into consistent policies and procedures for 340(b) that assure productivity and efficiency so that long-term management of the program does not hamper operations and/or create unnecessary costs.
• Support proper implementation that assures full compliance without additional steps, paperwork, or manpower, including the proper use of software or related tools to manage a virtual inventory.

Required Qualifications

• Bachelor’s degree in finance, Business or Accounting with exposure or limited experience with 340B program experience including 340B Prime Vendor Certification
• Minimum three years’ experience in business analysis in a healthcare environment.
• Teamwork and strong collaboration skills.
• Proven success in the following job competencies:Auditing, analysis, and reportingCommunication and presentation skillsCustomer focus and relationship buildingAnalytical, problem solving and decision-making skills.

Preferred Qualifications

• IL Tech License
• Epic experience

Position Details

• Job Type/FTE: Full-time (1.0)
• Shift: Day Shift
• Work Location: onsite/hybrid schedule
• Unit/Department: 340B Pharmacy
• CBA Code: Non-Union