
Description
General Summary of Position
This position conducts monitoring, analysis, investigations and special projects on behalf of the MedStar Specialty Pharmacy program, in order to ensure compliance with 340B regulations. Primary responsibility includes positive validation of specialty pharmacy claims for 340B eligibility. Under the oversight from the MedStar Corporate 340B Manager, and in collaboration with the Director of Specialty Pharmacy Services, the analyst assists with development of monitoring protocols and efficient and effective internal controls for the 340B operations of the Pharmacy, and performs audits that meet the government agencies' requirements to self-audit (OPA and HRSA). These functions are to be performed in accordance with all applicable laws and regulations of MedStar Health's philosophy, policies, procedures and standards. This position relies on strong analytical skills, ability to multi-task, problem solve and communicate effectively across various disciplines, levels and segments of the organization.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree required
Experience
- 3-4 years experience working in hospital or retail pharmacy environments and 2 of those in 340B required.
Licenses and Certifications
- CPhT preferred
Knowledge, Skills, and Abilities
- Experienced with data analysis and reporting.
- Knowledge of pharmacy billing and reimbursement, especially including experience with the 340B Drug Discount Program.
- Understanding of evolving State and Federal regulations; familiarity with the requirements of prominent specialty pharmacy accrediting organizations.
- Ability to effectively utilize key software programs and applications, such as pharmacy dispensing and clinical therapy management systems, as necessary for operations.
- Knowledge of general accounting principles.
- Proficiency with Microsoft applications, data and evidence analysis, financial statement analysis, oral and written communication skills.
This position has a hiring range of $58,656 - $98,384
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