Description:
340B Pharmacy Analyst
Nature of the Position:
Under the supervision of the Director of Pharmacy, the 340B Pharmacy Analyst assists in maintaining compliance with operational oversight, compliance monitoring, and optimization of the 340B Drug Pricing Program for our Federally Qualified Health Center (FQHC). This position ensures program integrity across entity owned and contract pharmacy operations while supporting the organization’s mission to improve patient access to affordable medications. The analyst serves as the primary lead for 340B compliance activities, contract pharmacy management, audit preparedness, and cross-department collaboration. This role works closely with pharmacy leadership, pharmacies, wholesalers, and third-party administrators (TPAs) to maintain full compliance with HRSA regulations and organizational policies.
340 Pharmacy Analyst duties include but are not limited to:
- Monitor compliance of daily operations of the FQHC’s 340B program across all eligible sites and pharmacy locations.
- Maintain compliance with all applicable HRSA, OPA, and Medicaid billing requirements.
- Monitor patient eligibility and ensure prescriptions meet 340B qualification standards.
- Maintain accurate records related to covered entity eligibility, child sites, Medicaid carve-in/carve-out status, and provider eligibility.
- Assist with annual HRSA recertification and ongoing maintenance of the HRSA OPAIS database.
- Oversee TPA software operations and ensure accurate accumulations and replenishments.
- Perform routine reconciliation of:
o Accumulator data
o Virtual inventory
o Wholesaler purchases
o Dispensing records
o Contract pharmacy claims
- Investigate and resolve inventory discrepancies, negative accumulations, and replenishment variances.
- Monitor compliance with FQHC GPO prohibition requirements.
- Serve as liaison for contract pharmacy relationships.
- Monitor contract pharmacy performance, utilization trends, and compliance metrics.
- Review prescription capture reports, claims exceptions, and TPA reconciliation data.
- Assist with implementation, onboarding, and maintenance of contract pharmacy agreements.
- Conduct routine internal auditing and monitoring activities to identify:
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Diversion risks
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Duplicate discount risks
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Ineligible provider usage
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Ineligible patient utilization
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Inventory inaccuracies
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Maintain audit-ready documentation and supporting records.
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Prepare for and support HRSA audits, manufacturer audits, and independent compliance reviews.
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Develop and implement corrective action plans when necessary.
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Assist with maintenance and updates for 340B policies and procedures.
- Generate 340B operational reports for monthly and quarterly metrics.
- Assist pharmacy leadership with identifying opportunities to improve program efficiency and patient access.
- Analyze utilization and reimbursement trends impacting 340B performance.
- Educate pharmacy staff, providers, billing personnel, and clinic staff regarding 340B requirements and workflow expectations.
- Serve as a member of the 340B Oversight Committee
- Remain current on changes to 340B regulations, manufacturer restrictions, and industry developments.
Requirements:
Education, Experience, and Licensing Requirements:
- Minimum 2 years of pharmacy experience required.
- Associate degree required.
- Experience with FQHC model or community health center preferred.
- Knowledge of 340B is strongly preferred.
- PTCB Certification preferred but not required.
- Apexus Advanced 340B Operations Certification preferred but not required.
Skills Necessary:
- Strong understanding of, or the ability to be trained in:
o HRSA 340B regulations
o FQHC eligibility requirements
o Medicaid carve-in/carve-out processes
o Contract pharmacy operations
o Diversion and duplicate discount prevention
- Proficiency with Microsoft Windows and Microsoft Office programs including Microsoft Excel, Word, and PowerPoint.
- Strong analytical and auditing skills.
- Ability to manage large data sets and reconcile discrepancies.
- Excellent communication and organizational skills.
- Ability to maintain confidentiality and manage sensitive information.
- Ability to maintain strong work ethic without direct supervision
Training Requirements:
- Fraud, Waste, Abuse Training
- HIPAA Compliance
- OSHA Compliance
- New Employee Orientation
- Annual Training Reviews
- Core Competencies
- Apexus 340B University
- Other trainings as needed to meet the needs of the organization
Physical Requirements:
- Ability to sit for extended periods while reviewing reports and data
- Occasional lifting, carrying, pushing, and/or pulling; some stooping, kneeling,
crouching, and/or crawling; and significant fine finger dexterity
- Ability to occasionally travel between clinic or pharmacy locations.
