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 Bon Secours 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 Bon secours 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
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Questions:
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Are you a *current* employee of Bon Secours Mercy Health, Roper St. Francis Healthcare or a Bon Secours Mercy Health facility? Current Agency Employees that are working on site at Bon Secours Mercy Health or Roper St. Francis Healthcare are not considered current employees and should answer no to this question.
- Yes. Current employees must log into Workday and submit a transfer application via Browse Jobs.
- No
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Are you a current employee of any Bon Secours Mercy Health partner affiliates (Ensemble)?
- Yes
- No
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Are you legally authorized to work in the United States?
- Yes
- No
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Will you now or in the future require the organization to commence (“sponsor”) an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)?
- Yes
- No
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Are you able to perform the essential, job-related functions of the position for which you are applying with or without reasonable accommodation?
- Yes
- No
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Do you currently hold a relevant valid professional license, certification, or registration, or (if required for the position to which you are applying) do you expect to meet this qualification prior to starting in this position? If the position to which you are applying does not require a professional license, certification, or registration, please select No.
- Yes
- No
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Have you been excluded, or are you currently under investigation for healthcare fraud, abuse, or misconduct; or restricted from participating in any Federal or State healthcare program, including Medicare and/or Medicaid?
- Yes
- No