340B Analyst
Elkridge, MD 
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Posted 8 days ago
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Job Description

General Summary of Position
This position conducts monitoring, analysis, investigations and special projects on behalf of the MedStar Specialty Pharmacy program, in order to ensure compliance with 340B regulations. Primary responsibility includes positive validation of specialty pharmacy claims for 340B eligibility. Under the oversight from the MedStar Corporate 340B Manager, and in collaboration with the Director of Specialty Pharmacy Services, the analyst assists with development of monitoring protocols and efficient and effective internal controls for the 340B operations of the Pharmacy, and performs audits that meet the government agencies' requirements to self-audit (OPA and HRSA). These functions are to be performed in accordance with all applicable laws and regulations of MedStar Health's philosophy, policies, procedures and standards. This position relies on strong analytical skills, ability to multi-task, problem solve and communicate effectively across various disciplines, levels and segments of the organization.


Primary Duties and Responsibilities

  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
  • Ensures compliance with 340B program requirements as well as optimization of the 340B program in the Specialty Pharmacy setting, on behalf of MedStar covered entities. In collaboration with hospital and system 340B resources, performs transactional self-audits and reports results to System 340B Manager. Represents the Specialty Pharmacy and covered entities in 340B related audits and inquiries.
  • Obtains, analyzes, and reports data to identify and evaluate the system of control in the 340B Drug Program. Reports on financial performance to system Director of Specialty Pharmacy and Finance. Monitors GPO spend. Documents analytical findings in accordance with department standards. Identifies opportunities for improvement, analyzes the effect of the weaknesses, researches causes, and formulates recommendations. Identifies opportunities for 340b optimization.
  • Reads regulations/ journals/articles related to compliance and analysis of the Specialty Pharmacy program and financial performance. Participates in conferences and/or webinars pertinent to the 340B Drug Program. Attends education/training events (internal and external).
  • Monitors virtual accumulations for negative accumulations and buy back opportunities, to ensure compliance and optimization on the purchasing side. Works with Pharmacy Techs / Buyer to resolve discrepancies and realize opportunities.
  • Communicates in writing in the form of memos, reports, and emails. Written communication should be clear, concise, using explicit and unambiguous terminology, and convey a professional tone and rational logic at all times. Strong presentation skills: analyst must be able to present their findings and answer questions in a group setting. Tactful and respectful communication is essential and non-verbal communication should be professional and demonstrate respect and tolerance. Provides communication of analytical findings to department or corporate leadership as directed by management.
  • Assists the System 340B Manager in the implementation and management of split-billing software in the Specialty Pharmacy setting.
  • Demonstrates the ability to manage multiple projects often with the same deadlines.
  • Advanced ability in team participation. The analyst is a strong team member and works collaboratively with other team members to make appropriate contributions. Participates on the 340B Steering Committee.
  • Advances MedStar's profile and reputation in the area of 340B. Represents MedStar at relevant external meetings and on relevant external committees, taskforces, and organizations.
  • Assists the Director of Specialty Pharmacy and other members of the Pharmacy team as assigned.
  • Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
  • Participates in multi-disciplinary quality and service improvement teams.
  • Performs other duties as assigned.


    • Minimum Qualifications
    Education

    • Bachelor's degree required

    Experience

    • 3-4 years Experience working in hospital or retail pharmacy environments and 2 of those in 340B. required

    Licenses and Certifications

    • CPhT preferred

    Knowledge, Skills, and Abilities

    • Experienced with data analysis and reporting.
    • Knowledge of pharmacy billing and reimbursement, especially including experience with the 340B Drug Discount Program.
    • Understanding of evolving State and Federal regulations; familiarity with the requirements of prominent specialty pharmacy accrediting organizations.
    • Ability to effectively utilize key software programs and applications, such as pharmacy dispensing and clinical therapy management systems, as necessary for operations.
    • Knowledge of general accounting principles.
    • Proficiency with Microsoft applications, data and evidence analysis, financial statement analysis, oral and written communication skills.


    Why MedStar Health?
    At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

    • Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
    • Strategic focus on equity, inclusion, & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
    • Comprehensive total rewards package - including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
    • More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

    About MedStar Health
    MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

    MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.

     

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    Job Summary
    Company
    MedStar Health
    Start Date
    As soon as possible
    Employment Term and Type
    Regular, Full Time
    Required Education
    Bachelor's Degree
    Required Experience
    3 to 4 years
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