Pharmacy Business & Analytics Specialist, 340B Program

Location: New York



Allied Health -- Pharmacy New York •
:

• Full-Time/RegularNYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.

NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

For more information, go toNYU Langone Health, and interact with us on Linked In, Glassdoor, Indeed, Facebook, X, You Tubeand Instagram .

Position Summary:

We have an exciting opportunity to join our team as a Pharmacy Business & Analytics Specialist, 340B Program. In this role, the successful candidate As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue. Of paramount focus will be responsibly monitoring for diversion and 340B, GPO, and WAC pricing integrity.

Manages formulary matrix performance reporting and responds to alerts to perform drug mapping, execute on penny buys, and maintain processes for revenue-integrity analytics. Other key areas of focus include conversion factor maintenance, file extractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPO Prohibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventory maintenance and monitoring.

Additionally, this position will assist with the monitoring and management of contract pharmacy operations, writing PBA/340B policies and procedures, education and training, and Office of Pharmacy Affairs Information System (OPAIS) ongoing maintenance.

Job Responsibilities:

Maintain pharmacy acquisition, WAC and 340B costs and assists in charge configuration reviews with revenue cycle and Willow teams. This will require routine consult with the pharmacy purchasing staff and the pharmacy drug wholesaler to ensure accurate pricing and purchase unit configuration in all related electronic billing systems. Investigates and resolves 340B, GPO, and WAC pricing discrepancies with drug wholesalers and further pursues resolution with other resources as necessary.

Ensure compliance with all regulatory standards for 340B Program. Monitors for potential drug supply chain issues, wastage and shrinkage, revenue integrity, billing, and mismatches between clinical and financial charge databases. Utilizes the TPA to identify and optimize revenue opportunities by executing orders for Penny Buys (340B). Performs billing quality assurance (QA) before and after price uploads, as well as when new medications are approved by the Pharmacy and Therapeutics Committee (P&T).

Assists and supports pharmacy drug file maintenance. Supports related pharmacy applications (Electronic Health Record, automation technology, etc.) including, but not limited to, system upgrade and maintenance, which may require working during off hours. Prepares system generated report to support pharmacy operations and is available for system troubleshooting…