Mission: To provide compassionate care to all, healing and learning together.
PURPOSE OF POSITION:
The Accountant/340B Grants Coordinator reports to the Chief Financial Officer (CFO) and is responsible for the management of MCHC grants, financial accounting, and analytics. Grants management encompasses managing, reconciling, and financial reporting on all grants. Financial accounting includes period end close, financial reporting including data and variance analysis, payroll processing, providing tax and audit support, and project work. To provide detailed auditing and monitoring of the 340b program and grant management to ensure compliance.
RESPONSIBILITIES & EXPECTATIONS
Accountant:
· Assist with tax and audit functions
· Process payroll on a bi-weekly basis
· Perform financial close responsibilities pertaining to our 340B pharmacy
· Generate financial variance analysis at period end
· Responsible for analysis of financial data trends and indicators for organization decision making
· Participate in team projects related to strategic goals for the organization
· Assist with annual UDS report, year-end audit, Form 990 tax return, and Medicare cost report functions
· Ad hoc reporting and data analysis as required
Grants Coordinator General Duties:
Perform duties and functions relating to MCHC grants management which would include:
· Determine grant funding needs.
· Track grant applications and submissions.
· Prepare and monitor the grant budget.
· Manage grants timeline and deliverables through accounting software.
· Submit reports as necessary to the grant agency.
· Meet with the clinical manager and CFO monthly to review current spending of the grants and determine if organization is on track to fulfill grant obligations for the designated period.
340B Program Coordinator General Duties:
· Serve as the MCHC’s compliance expert on 340B Program details, policies, and procedures.
· Act as the liaison with necessary affiliated departments to ensure 340B Program integrity.
· Lead the organization’s 340B oversight committee, which includes members from senior leadership, pharmacy, compliance, legal, and finance.
· Provide expertise with the 340B Program to staff and participants regarding ongoing compliance.
· Develop and maintain internal relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers [PBMs], and third-party administrator [TPA] vendors) as needed.
· Actively engage with senior leadership and participates in decision-making processes related to the implementation of new 340B processes.
1. Policy and Procedure Development
· Maintain up-to-date policies and procedures on 340B purchasing processes which are consistent with local, state, and federal requirements and guidelines.
· Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.
2. Education
· Develop proper 340B quality assurance training for employees as appropriate.
o Assign staff to 340B University OnDemand training based on their role/responsibility.
3. Rules/Guidance Surveillance
· Monitor and assess 340B guidance and/or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Attends regular 340B trainings and shares lessons and hot topics with staff.
· Routinely monitor industry publications and websites as well as the professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation.
· Provide expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams.
4. Registration/Recertification
· Ensure that the annual HRSA recertification is completed within the allowable time frame.
· Ensure that the HRSA 340B OPAIS is accurate for all organization entities.
· Ensure registration of any new associated sites are within the allowable time frame.
5. Self-Audits
· Be involved in all 340B Program audits.
· Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
· Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
· Utilize 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.
· Ensure compliance with 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.
· Evaluate covered entity compliance at the contract pharmacy, covered entity, and wholesaler levels.
6. External Audits
· Serve as the point person and coordinator for all audits. Coordinates all requests and responses.
· Maintain a current state of “audit readiness.”
· Provide oversight for all audits performed by independent external auditors.
· Coordinate external compliance assessments with outside firms, when appropriate, to validate internal processes.
· Develop audit responses in collaboration with management team.
7. Reporting
· Develop reports that can be used to educate staff and assist management in tracking the overall financial impact to the organization. Build other reports, as appropriate, to monitor and improve 340B Program compliance and performance.
· Maintain copies of reports for compliance and audit purposes.
· Collaborate with the Pharmacy, Compliance, and 340B Oversight Council to develop monthly, quarterly, and yearly audit metrics.
· Construct appropriate financial metrics to assess areas of improvement.
· Work with Finance Department to monitor, report, and analyze contract pharmacy 340B activities; provide financial reports relative to financial impact and liabilities; make recommendations that would improve efficiency.
· Perform covered entity-specific gross financial analysis and make recommendations to improve program performance. Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.
· Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns to ensure compliance with the program. Coordinate monthly financial reporting and analysis, including, but not limited to, metric reporting, scorecards, and variance analysis and reporting.
· Ensure that reporting meets organizational, regional, national, state, and federal requirements/guidelines.
· Maintain records related to job function and contributes to reports.
· Communicate any questions, issues, or discrepancies with the appropriate authority.
· Ensure appropriate documentation and audit trail across areas of responsibility.
8. Purchasing/Inventory Oversight
· Monitor purchasing records for each 340B participant; documents and reports variances in utilization, savings, problem areas, and exceptions or discrepancies.
· Manage and track 340B drug inventory, including proper replenishment.
· Track trends and report 340B pharmaceutical sales and purchases data to ensure provider/physician and patient eligibility.
· Ensure compliance with regulations related to 340B purchasing.
· Routinely monitor utilization records and 340B purchasing accounts to ensure that software or tools are working properly.
9. Split-Billing or Third-Party Administrator Duties
· Maintain 340B TPA software integrity and review reports to identify areas for improvement.
Payroll Duties:
Process payroll on a bi-weekly basis including but not limited to:
· Preparing payroll journal entry, preparing monthly PTO accrual and any assistance or training needed in Paycor for new hires.
· Complete 401K file transfer
JOB REQUIREMENTS/QUALIFICATIONS
Qualifications:
· Associate’s or Bachelor’s degree in accounting or finance required
· CPA certification preferred
· Prior experience with healthcare revenue cycle, grants management, and payroll processing
· Excellent analytical skills with the ability to perform independent in-depth analysis
· Experience with 340B program desirable
· Excellent oral and written communication and presentation skills
· Excellent organizational skills and attention to detail
· Ability to provide the highest level of customer service
· Ability to multi-task and prioritize
· Ability to think strategically
· High level of maturity to manage confidential information
· Functions independently, have flexibility to work with all levels of personnel; clinical, professional, and clerical
· Respectful of people and their cultural, religious, and ethnic differences
· Familiarity and experience with varied computer systems: EMR, Practice Management System, Vendor Software, Microsoft Office
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, or veteran status.
Job Type: Full-time
Pay: $50,000.00 - $65,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Physical Setting:
Application Question(s):
- If referred to this position by a current My Community Health Center employee, please list their name.
Education:
Experience:
- Accounting: 1 year (Preferred)
- Finance: 1 year (Preferred)
- Financial reporting: 1 year (Preferred)
- Accounts payable: 1 year (Preferred)
Ability to Relocate:
- Canton, OH 44710: Relocate before starting work (Required)
Work Location: In person
