Duties and Responsibilities:
1. Monitor and assess 340B guidance and/or policy changes that affect the 340B program, including HRSA/OPA rules and Medicaid changes.
2. Cross train and act as backup to performing 340B monthly program audits.
3. Assist with implementation of action plans to correct 340B compliance deficiencies, if indicated.
4. Develop and present monthly financial reporting, summaries, and analyses on 340B participation documenting utilization, savings, problem areas, and exceptions, and/or discrepancies, to include preparing journal entries and monitoring utilization records and 340B purchasing accounts to ensure software and tools are tracking properly and accurately.
5. Track, trend, and report 340B pharmaceutical sales and purchases, and track referral data to ensure provider/physician and patient eligibility.
6. Assess, strategize, and administer opportunities for cost savings and system improvements.
7. Audit for the accuracy of the HRSA 340B OPAIS database registration accounts and all organization entities are completed. Ensure new sites are registered within quarterly restrictions.
8. Ensure the annual HRSA recertification is completed within the allowable time frame.
9. Analyze and negotiate any new or expiring 340B contracts including amendments for contract language, fee structure, and data setup with the Procurement Specialist for CEO or CFO approval. Responsible for managing relationships, billing services, compliance and registration for all participating contract pharmacies, software vendors and TPAs. Maintain all 340B contracts.
10. Quarterly review and update 340B program policies and procedures and implement according to organizational, state, and federal requirements, training, and guidelines for continued compliance.
11. Implement and monitor Rebate Model and processes if started by HHS.
12. Participate as needed in annual 340B mock compliance audit.
13. Participate in all external audits, external requests, and requirements.
14. Provide ongoing staff training and education, to include updated areas of compliance and benefits to patients.
15. Co-leads monthly 340B Compliance Committee meeting.
16. Maintain open lines of communication with all staff and management involved with the 340B program. Communicate, both written and verbally as appropriate, regarding changes and continuous quality improvement activities, including goals and objectives of the 340B program.
17. Perform other duties as assigned.
Knowledge, Skills, and Abilities:
- Knowledge of compliance and regulations related to the 340B drug pricing program.
- Knowledge of procedures and operations of a 340B drug discount program in a clinic setting.
- Experience/skill with Excel and analyzing and reporting data to identify issues, trends, or exceptions.
- High attention to detail and accuracy.
- Ability to plan, organize and coordinate work assignments.
- Ability to communicate effectively.
Software Access:
Microsoft Office
eClinicalWorks
Minimum Qualifications:
Education:
Bachelor’s degree in Pharmacy, Healthcare Administration, Accounting, or related field required.
Experience Preferred:
Minimum 3–5 years of experience in pharmacy operations, healthcare compliance, or 340B program management.
Trainings and Certifications Preferred:
Certified Pharmacy Technician (CPhT)
340B University (within 3 months of hire date)
Duties and Responsibilities:
1. Monitor and assess 340B guidance and/or policy changes that affect the 340B program, including HRSA/OPA rules and Medicaid changes.
2. Cross train and act as backup to performing 340B monthly program audits.
3. Assist with implementation of action plans to correct 340B compliance deficiencies, if indicated.
4. Develop and present monthly financial reporting, summaries, and analyses on 340B participation documenting utilization, savings, problem areas, and exceptions, and/or discrepancies, to include preparing journal entries and monitoring utilization records and 340B purchasing accounts to ensure software and tools are tracking properly and accurately.
5. Track, trend, and report 340B pharmaceutical sales and purchases, and track referral data to ensure provider/physician and patient eligibility.
6. Assess, strategize, and administer opportunities for cost savings and system improvements.
7. Audit for the accuracy of the HRSA 340B OPAIS database registration accounts and all organization entities are completed. Ensure new sites are registered within quarterly restrictions.
8. Ensure the annual HRSA recertification is completed within the allowable time frame.
9. Analyze and negotiate any new or expiring 340B contracts including amendments for contract language, fee structure, and data setup with the Procurement Specialist for CEO or CFO approval. Responsible for managing relationships, billing services, compliance and registration for all participating contract pharmacies, software vendors and TPAs. Maintain all 340B contracts.
10. Quarterly review and update 340B program policies and procedures and implement according to organizational, state, and federal requirements, training, and guidelines for continued compliance.
11. Implement and monitor Rebate Model and processes if started by HHS.
12. Participate as needed in annual 340B mock compliance audit.
13. Participate in all external audits, external requests, and requirements.
14. Provide ongoing staff training and education, to include updated areas of compliance and benefits to patients.
15. Co-leads monthly 340B Compliance Committee meeting.
16. Maintain open lines of communication with all staff and management involved with the 340B program. Communicate, both written and verbally as appropriate, regarding changes and continuous quality improvement activities, including goals and objectives of the 340B program.
17. Perform other duties as assigned.
Knowledge, Skills, and Abilities:
- Knowledge of compliance and regulations related to the 340B drug pricing program.
- Knowledge of procedures and operations of a 340B drug discount program in a clinic setting.
- Experience/skill with Excel and analyzing and reporting data to identify issues, trends, or exceptions.
- High attention to detail and accuracy.
- Ability to plan, organize and coordinate work assignments.
- Ability to communicate effectively.
Software Access:
Microsoft Office
eClinicalWorks
Minimum Qualifications:
Education:
Bachelor’s degree in Pharmacy, Healthcare Administration, Accounting, or related field required.
Experience Preferred:
Minimum 3–5 years of experience in pharmacy operations, healthcare compliance, or 340B program management.
Trainings and Certifications Preferred:
Certified Pharmacy Technician (CPhT)
340B University (within 3 months of hire date)
The 340B Financial Analyst is responsible for ensuring compliance with all federal, state, and organizational requirements of the 340B Program. This position ensures the integrity and optimization of the 340B program through data analysis, auditing, policy development, and education. This position reports to the CFO while working closely with finance, compliance, and clinical teams to maintain program eligibility and optimize savings.
