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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in the 340B Program, including compliance with federal regulations, conducting audits, and maintaining split-billing software. Proficient in evaluating patient eligibility and monitoring drug purchases to ensure accurate and efficient operations.
Highest-signal resume keywords
340B Drug Purchasing KnowledgeMonthly Auditing ExperienceSplit-Billing Software MaintenanceContract Pharmacy AuditsCritical Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
340B Program ComplianceAudit DirectionRisk IdentificationMedical Record ReviewPatient Eligibility EvaluationGPO MonitoringWAC MonitoringUtilization Data AssessmentReconciliation Issue ResolutionCharge Description Compliance
Soft Skills
Business AnalysisCollaborationProblem Solving
Tools & Technologies
Split-Billing SoftwareMicrosoft Excel
Industry Keywords
Healthcare Industry340B RegulationsContract Pharmacy NetworkInternal ControlsRevenue Cycle
About the role
Key responsibilities & impact- Achieve in-depth knowledge of the 340B Program and provide expert audit direction to staff and management
- Maintain current knowledge of 340B-eligible locations, contract pharmacy network, and 340B purchasing procedures
- Conduct accurate and efficient audits to identify risk and prevent duplicate discounts and diversion
- Review and contribute to 340B policies and procedures to ensure compliance
- Collaborate with the 340B Program Manager, 340B Program Director, and other stakeholders
- Lead comprehensive 340B audits and internal controls
- Support departmental revenue cycle and other key initiatives
- Ensure compliance with 340B drug purchasing and perform monthly audits
- Maintain split-billing software and perform basic crosswalk maintenance
- Conduct contract pharmacy, mixed-use, spot, and compliance audits
- Present and resolve reconciliation issues during monitoring and reconciliation
- Evaluate patient eligibility and review medical records
- Monitor drug purchases on GPO, WAC, and 340B accounts
- Interact with wholesalers, vendors, information system service providers, insurance providers, pharmacies, internal departments, medical providers, and external auditors
- Monitor compliance across 340B points of service
- Review processes to minimize risk and prevent duplicate discounts or diversion
- Perform compliance assessments of charge descriptions, utilization data, and reorder reporting
Requirements
What you’ll need- High School Diploma or Equivalent (GED) (Required)
- Minimum of 2 years related work experience (Required)
- Knowledge of 340B drug purchasing and federal 340B regulations
- Experience with monthly auditing, split-billing software maintenance, contract pharmacy and mixed-use audits
- Ability to evaluate patient eligibility through medical records, insurance plans, and hospital admission status
- Ability to perform chart and medical record review
- Ability to verify patient, provider, and medication information for claim submission
- Ability to monitor GPO, WAC, and 340B drug purchases
- Business Analysis
- Critical Thinking
- Healthcare Industry
- Microsoft Excel
Benefits
Comp & perks- Healthcare benefits for full time and part time positions from day one
- Vision coverage
- Dental coverage
- Domestic partner benefits
- Collaborative, cooperative and collegial work atmosphere