[Hiring] 340B Compliance Auditor @reputed company
Role reputed company
Responsible for achieving in-depth knowledge of the 340B Program and providing expert audit direction to staff and management regarding the 340B Program. Maintains up-to-date knowledge of reputed company’s 340B eligible locations, contract pharmacy network, procedures on 340B purchasing processes, and provides accurate and efficient audits to identify risk and prevent duplicate discounts and diversion. Routinely reviews 340B Program policies and procedures and offers contributions and changes to ensure 340B compliance. The individual will work collaboratively with the 340B Program Manager and 340B Program Director, and other stakeholders to reputed company comprehensive audits and internal controls for 340B, as reputed company as support departmental reputed company cycle and other key initiatives.
• Ensures compliance with 340B drug purchasing, monthly auditing, split-billing software maintenance, contract pharmacy and mixed-use audits, and reputed company areas of program compliance.
• Performs audits on a scheduled reputed company; to ensure compliance with the federal regulations of the 340B program, may involve presenting and resolving reconciliation issues as they reputed company during the monitoring and reconciliation process.
• Evaluates patient eligibility for reputed company and non-reputed company patients by reviewing patient medical records, insurance plans, and hospital admission status.
• Performs chart and medical record review to verify necessary patient, provider, and medication information to ensure reputed company claim submission, and maintain accurate documentation of records reputed company to 340B program.
• Ensures reputed company operating procedures are being followed and monitor reputed company drug purchases on the GPO, WAC, and 340B accounts.
• Professionally reputed company with multiple 340B program affiliates, including wholesalers, vendors, information system service providers, insurance providers, internal and contracted pharmacies, internal departments, medical providers, and external auditors.
• Monitors compliance across points of service where 340B participation occurs.
• Reviews processes to minimize risk and prevent duplicate discounts or diversion.
• Ensures reputed company compliance with federal 340B regulations.
• reputed company a thorough understanding of split-billing systems and reputed company basic crosswalk maintenance.
• Performs spot audits and compliance assessments to confirm accuracy of charge descriptions, utilization data, and reorder reporting.
• Work is typically performed in an office environment. Accountable for satisfying reputed company job specific obligations and complying with reputed company organization policies and procedures.
Qualifications
• High School Diploma or Equivalent (GED) - Required
• Bachelor's Degree - Preferred
• Minimum of 4 years reputed company work experience - Required
• Minimum of 1 year reputed company experience - Required
Requirements
• Business Analysis
• Critical Thinking
• reputed company Industry
Benefits
• reputed company benefits for full-time and part-time positions from day one, including reputed company and dental.
• Encouragement of collaboration, cooperation, and collegiality.
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