Top 7 Medical program auditor/ analyst Jobs in Columbus

340B Auditor
Bon Secours Mercy Health —Columbus, OH
- $23.20 - $35.97 an hour
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
- Health savings account
- Disability insurance
Senior Financial Accounting Analyst/Auditor
State of Ohio - Insurance —Columbus, OH
- $64.25 an hour
- Online Application
- Background check
- CPA
- Data analysis skills
- Paid holidays
- Health insurance
Public Safety Intelligence Analyst
State of Ohio - Public Safety —Columbus, OH
- $33.32 an hour
- Weekends as needed
- Background check
- Writing skills
- Research
- Free parking
- Paid holidays
10d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
9d
Senior Financial Analyst
State of Ohio - Job & Family Services —Columbus, OH
- $31.47 an hour
- Online Application
- Background check
- Mid-level
- Office
- Paid holidays
- Health insurance
Senior Security Engineer
Medical Mutual of Ohio —Dublin, OH
- Hybrid work
- 7 years
- Office
- Bachelor's degree
- Health savings account
- Disability insurance
Cybersecurity Policy Analyst
AGE Solutions —Columbus, OH
- From $90,000 a year
- Classroom
- 7 years
- Continuous improvement
- Paid training
- Paid parental leave
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340B Auditor
Bon Secours Mercy Health —Columbus, OH
Preferred Education : 2 Year Degree in Business, Information Technology/Analytics, Pharmacy, or related field. Assists with 340B external audits as assigned.
$23.20 - $35.97 an hour
Senior Financial Accounting Analyst/Auditor
State of Ohio - Insurance —Columbus, OH
Department of insurance exp. &/or consulting exp. for a department of insurance related to financial solvency regulation; must provide own transportation; valid…
$64.25 an hour

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340B Auditor

Bon Secours Mercy Health -
Columbus, OH

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Job Details

$23.20 - $35.97 an hour

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Employee discount
403(b)
Life insurance
Referral program
Prescription drug insurance

Qualifications

Microsoft Excel
Microsoft Outlook
High school diploma or GED
Clinical information systems
Technical Proficiency

Full Job Description

Summary of Primary Function/General Purpose of Position

The 340B Auditor is responsible for the auditing and monitoring of the 340B Drug Discount Program for compliance with federal requirements/guidelines. This position will service locations as assigned by the 340B Program Manager and be responsible for completing and documenting audits as outlined in the 340B policies and procedures. Functions will include execution and documentation of daily, weekly, monthly and quarterly audits to verify adherence with the 340B Program regulations and/or guidelines. 340B Auditor will collaborate with other 340B staff to preform specialized audits/projects as required. In conjunction with performing internal audits, auditor will be responsible for assisting with external audits as assigned by 340B Program Manager. Additionally, the 340B Auditor will be responsible for preparing and uploading required data to 340B software systems while ensuring that all data is imported to 340B software systems as expected.

Essential Job Functions

Monitors 340B compliance for all aspects of the 340B Program and implements all applicable aspects of HRSA’s Office of Pharmacy Affairs guidance, as well as organizational policies and procedures.

Responsible for the day-to-day compliance review of clinic-administered medications in eligible locations, mixed-use/340B only areas managed by split-billing software, areas managed by manual methods, outpatient prescriptions fulfilled by an owned pharmacy, and/or outpatient prescriptions fulfilled by a contract 340B pharmacy.

Conducts daily, weekly, monthly and quarterly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies. Documents results as required per policy and procedure. Audits assess compliance with HRSA’s polices including but not limited to 340B eligibility, diversion, and GPO prohibition.

Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits

Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use as well as 340B only areas and clinics by reviewing patient medical records, insurance plans, and hospital status.

Assists with 340B external audits as assigned

Uploads data and monitors data upload process for software systems and tools daily. Downloads raw data and prepares data for upload into software systems as needed.

Assists with creating, refining, and executing 340B audits as assigned

Reports all findings and matters through appropriate channels as outlined in policy and procedure which include the 340B Program Manager and 340B Analyst for the respective covered entity.

Assists 340B Program Manager and 340B Analyst with special projects as assigned

Employment Qualifications:

Education Qualification

Required Minimum Education: High School Diploma / GED

Preferred Education : 2 Year Degree in Business, Information Technology/Analytics, Pharmacy, or related field

Licensing/ Certification

Licensure/Certification Preferred : 340B University (Live / On Demand); National Pharmacy Technician License

Minimum Qualifications

Minimum Years of Experience: Minimum of 1-2 years’ experience with pharmacy 340B required or; 1-2 years – progressive hospital or healthcare system pharmacy or healthcare auditing or healthcare business experience preferred.

Other Knowledge, Skills and Abilities Required :

Healthcare system knowledge base/skills

Proficiency in Microsoft Office software, specifically Excel, Word, and Outlook

Ability to quickly learn technical systems such as EMR systems, retail pharmacy systems, and/or 340B software systems

Ability to work in a complex team environment and to collaborate with peers to complete required work

Strong interest in pharmacy practice advancement

Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.

Other Knowledge, Skills and Abilities Preferred :

Knowledge of hospital and/or retail pharmacy workflows and/or operations

Previous drug purchasing and/or wholesaler experience

Previous work and/or training in 340B

Previous auditing experience

Experience with working with EPIC EMR system(s)

Knowledge of hospital billing practices and regulations

Experience in Microsoft Access

Range

Minimum: $23.20
Maximum: $35.97

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]

Apply Now

Refine Your Search

medical program auditor/ analyst jobs in columbus

340B Auditor

Senior Financial Accounting Analyst/Auditor

Public Safety Intelligence Analyst

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

Senior Financial Analyst

Senior Security Engineer

Cybersecurity Policy Analyst

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