340B Analyst

340B Analyst – Overview

Reports to the 340B Program Manager or designee. The Program Analyst is a key resource and subject matter expert for all aspects of Beacon Health System’s 340B Drug Program. This role conducts detailed analyses, monitors compliance, and supports the operational, financial, and regulatory components of the 340B program.

Mission, Values and Service Goals

• Mission:
  We deliver outstanding care, inspire health, and connect with heart.
• Values:
  Trust. Respect. Integrity. Compassion.
• Service Goals:
  Personally connect. Keep everyone informed. Be on their team.

340B Program Compliance

• Ensures continuous compliance with all federal regulations, including HRSA and OPA guidelines.
• Monitors changes in 340B regulations and assists with updates to organizational policies and practices.
• Develops and fosters internal and external relationships essential to program success (accounting, compliance, IT, legal, wholesalers, manufacturers, PBMs, TPAs).

Auditing, Monitoring, and Reporting

• Conducts regularly scheduled and ad‑hoc audits of 340B operations, including contract pharmacy and internal pharmacy self‑audits.
• Ensures compliance with 340B program requirements for qualified patients, drugs, and locations.
• Evaluates patient eligibility in mixed‑use areas and clinics by reviewing patient medical records, insurance plans, and hospital status.
• Coordinates and performs internal and external audits, including self‑audits, vendor reviews, and HRSA audits, with follow‑up action plans.
• Monitors and audits state Medicaid claims to ensure compliance and prevent duplicate discount rebates.
• Analyzes and documents utilization, savings, exceptions, and compliance issues.
• Develops and maintains reporting tools to monitor 340B utilization, compliance, savings, and potential risks.
• Provides scheduled and ad‑hoc reports to pharmacy leadership, administration, and 340B Oversight Councils.
• Tracks, trends, and analyzes purchasing and dispensing patterns, ensuring corrective actions as needed.

Program Enhancement and Optimization

• Identifies, evaluates, and implements opportunities for cost savings, efficiency improvements, and program growth.
• Provides strategic input on development of contract pharmacy relationships and outpatient 340B‑eligible services.
• Leads optimization of split‑billing/third‑party administrator systems to ensure accurate purchasing and replenishment.
• Collaborates with manufacturers, wholesalers, and vendors to ensure proper program utilization and contract opportunities.
• Supports leadership in business plan development and action planning related to 340B services.
• Participates in committees, work groups, and projects to improve organizational pharmacy services and 340B integration.

Contract Oversight

• Reviews and offers recommendations on all 340B‑related contracts, including contract pharmacies and TPAs, ensuring compliance and alignment with program requirements.
• Coordinates and monitors contract pharmacy compliance, billing services, and audit processes.
• Evaluates current and future contract pharmacy opportunities, ensuring favorable fee structures, compliant data sharing, and proper contract terms.

Purchasing, Inventory, and Supply Chain Management

• Oversees 340B purchasing processes to ensure compliant and cost‑effective procurement.
• Monitors replenishment processes for 340B‑eligible medications.
• Tracks and reconciles 340B and non‑340B inventory, resolving discrepancies and ensuring accurate records.
• Monitors for product shortages, pricing changes, and formulary adjustments, working with pharmacy and medical staff as needed.
• Maintains databases to reflect current formulary and contract specifications.
• Analyzes purchasing data to identify cost‑saving opportunities and ensures proper utilization of 340B savings.
• Analyzes invoices, shipping, and inventory processes.
• Complies with all track‑and‑trace legal requirements of the DSCSA for purchasing and distribution of drug products.

Split‑Billing/Third‑Party Administrator Oversight

• Ensures effective use and optimization of split‑billing/TPA software for mixed‑use and outpatient areas.
• Educates buyers and staff on correct account usage (WAC, GPO, 340B, non‑340B) for inventory…