340B Auditor - Pharmacy - Biltmore Campus

JOB SUMMARY:   MAHEC is   seeking   to fill a full time and   benefitted   340B Program Auditor who   is responsible for   auditing MAHEC’s 340B Pharmacy Program. This position   is responsible for   ensuring compliance with state and federal requirements of a 340B program. This role will train in   person   and remote/hybrid work environment may be available after the   initial   training period. The ideal candidate will be regionally   located .   SPECIFIC RESPONSIBILITIES:   All required audits   / reports for the 340B Pharmacy Program are completed monthly per HRSA guidelines.    R e v i e w   340B Program   p o li c i es and p r o ce d u r es   o n an   o n g o i n g   b a s i s   a n d   o f f e r   co n tr i b u t i o n s   a n d ch a n g es   t o   e n s u r e   3 4 0B   comp li a n ce.   Develop a thorough understanding of the split-billing   /   third party administrator systems and the functions to be performed.   Audit prescription data, patient da ta, hospital data, payer data, site of care, and, if   required , ICD-10 codes. Summarize and report results to the Compliance Officer and the Director of the 340B Program.   Audit the purchasing process to ensure proper operation and compliance.    Audit invoices, shipping, and inventory processes.   P e r f o r m   m o n t h l y a u d i t s   o f   co n tr a c t p h a r m ac i es.   P e r f o r m   m o n t h l y audits   o f   3 4 0B p h a r m acy   o p era t i o n s.   Audit for   c o m p li a n ce   w i t h 340B Program   r e q u i r e m e nts   f or   q u al i f i ed   p a t i e n t s,   dr u g s,   a n d l o c a t i o n s.   A ud i t   s t ate   M e d i ca i d cl ai m s   t o   e n su r e co m p li a n ce   t o   p r e v e n t p o t e n t i al d u p li cate   d i sco u nt   r e b ate s .   U s i ng   E x cel or a   c o m p a r a bl e da t a   m a n a g e m e n t   p r o g r a m ,   f il t er   o u t   n o n - e li g i b l e   t r a n sa c t i o n s ,   i nc l u di n g , b u t   n o t   li m i t ed   t o ,   d r u g s   us e d   t o   t r e a t p a ti e n t s   d u r i ng   i n p ati e n t   c a r e,   M e di c a i d pa t i e n t s ,   d r u g s   p r o v i d e d   fr ee   by   m a n u f a c t u r er s ,   t h ose   pro v i d e d at n o n - e li g i b l e l o cati o ns,   o r   p r es c r i p t i o n s   w r i tt en   by   n o n- e li g i b l e pro v i d e r s.   Audit data   regarding   pa t i e n t   e li g i b ili t y   f o r   q u al i f i ed   a n d   n o n - q u a li f i ed   p a t i e n t s   i n   m i x e d - use   a r e a s   a n d   c li n i cs   by   r e v i e w i ng   p a t i e n t   m e di c a l   r ec o r d s ,   i ns u r a n ce   p l a n s ,   a n d , if applicable,   h o sp i t al   s t a t us.   Audit to e nsure   t h a t   MAHEC Pharmacies   m a i nta i n   adh e r e n ce   t o 340B Program   r e g u l ati o ns   a n d   g u i d eli n e s .   Compile reports, as appropriate, to monitor and improve 340B Program…