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340B Program Compliance Analyst - Pharmacy 340B Programs

Job ID: 37465
Location: Morrisville, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
This position provides general support to the senior analyst by conducting routine audits and performing system maintenance of the third party administrator or split billing software to ensure compliance.


Responsibilities:
Perform audits on a scheduled basis evaluating patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status.; may involve presenting and resolving reconciliation issues.
Ensure compliance with 340B program requirements for qualified patients, drugs, and locations
Monitor and audit state Medicaid claims to ensure compliance to prevent duplicate discounts
Monitor drug purchasing activity and perform general maintenance of third party splitting software
Perform checks on file transfer jobs to splitting software and support Business Analytics Specialist to triage transfer job failures.
Support senior analyst in developing data extracts from multiple data systems for annual program audits and HRSA audits
Monitor and triage incoming communications from external vendors, other entities, and regulatory bodies
Using 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


Other Information

Other information:
Education Requirements:
● BS degree or equivalent
Licensure/Certification Requirements:
Professional Experience Requirements:
● Preferred experience in an analyst role with auditing and/or pharmacy supply chain.
● AA with 3 years of pharmacy experience
Knowledge/Skills/and Abilities Requirements:


Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Pharmacy 340B Programs 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes


This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
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Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

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