340B Auditor - Pharmacy - Biltmore Campus

## 340B Auditor
- Pharmacy
- Biltmore Campus Apply locations:
Asheville, NCtime type:
Full time posted on:
Posted Todayjob requisition :
R3549
*
* JOB SUMMARY:

** MAHEC is seeking to fill a full time and benefitted 340B Program Auditor who is responsible for auditing MAHEC’s 340B Pharmacy Program. This position is responsible for ensuring compliance with state and federal requirements of a 340B program. This role will train in person and remote/hybrid work environment may be available after the initial training period. The ideal candidate will be regionally located.
** SPECIFIC RESPONSIBILITIES:
*** All required audits / reports for the 340B Pharmacy Program are completed monthly per HRSA guidelines.
* Review 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.
* Develop a thorough understanding of the split-billing / third party administrator systems and the functions to be performed.
* Audit prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 codes. Summarize and report results to the Compliance Officer and the Director of the 340B Program.
* Audit the purchasing process to ensure proper operation and compliance.
* Audit invoices, shipping, and inventory processes.
* Perform monthly audits of contract pharmacies.
* Perform monthly audits of 340B pharmacy operations.
* Audit for compliance with 340B Program requirements for qualified patients, drugs, and locations.
* Audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
* Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers.
* Audit data regarding patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status.
* Audit to ensure that MAHEC Pharmacies maintain adherence to 340B Program regulations and guidelines.
* Compile reports, as appropriate, to monitor and improve 340B Program compliance.
* Maintain copies of reports for compliance and auditing purposes.
* This role description is a general description of the essential job functions.  It is not intended to describe all the duties the 340B Program Auditor may perform.
*** KEY

COMPETENCIES:

**
* ** Communication Skills
** Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient’s family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families.
* ** Decision Making
** Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time.
* ** Health Care Knowledge
** Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate.  This also includes keeping up with your licensure and yearly training requirements within your area expertise along with…