Pharmacy 340B Analyst - Virginia Garcia Memorial Health Center : Job Details

At Virginia Garcia Memorial Health Center, we welcome diversity; we encourage, uplift, and are honored to serve people who have been historically underrepresented and underserved. Our mission is to provide high-quality, culturally appropriate healthcare to low-income residents of Washington and Yamhill Counties, with a special emphasis on seasonal and migrant farm workers and others with barriers to receiving healthcare. We strive to provide an inclusive environment that welcomes and values the diversity of the people we employ and serve.

If you are unsure whether you meet all of the required qualifications for this role but are interested and passionate about this potential position, we encourage you to apply.

Starting Hourly Rate of Pay: $26.56 - $36.52/hr +DOE

Schedule: Monday - Friday 8:00am - 5:00pm

Job Summary: As a Federally Qualified Health Center (FQHC), Virginia Garcia leverages the 340B drug discount program to provide eligible patients with comprehensive pharmaceutical services. Reporting to the Pharmacy 340B Program Manager, the Pharmacy 340B Analyst is responsible for supporting and maintaining 340B drug-pricing program through regulatory compliance, staff training, and reporting.

Essential Duties and Responsibilities:

Policy and Procedure Development:

* Maintain up-to-date policies and procedures on 340B purchasing processes.

* Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.

* Review 340B Program policies and procedures on an ongoing basis and offer contributions and updates to ensure 340B compliance.

Education:

* Develop proper 340B quality assurance training for employees as appropriate. o Assign staff to 340B University OnDemand training based on staff role and responsibility.

* Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures.

* Expand professional development through related classes and seminars, current publications, and regional/national association membership participation.

Self-Audits:

* Assist with all 340B Program audits.

* Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.

* Perform monthly audits of contract pharmacies.

* Perform monthly self-audits of 340B pharmacy operations.

* Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.

* Monitor and audit state Medicaid claims to ensure compliance and prevent potential duplicate discount rebates.

* 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.

* Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status.

* Ensure that facilities maintain adherence to 340B Program regulations and guidelines.

* Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance.

* Provide data, information, and reports as needed for other business units within the organization.

Program Enhancement/Optimization:

* Develop a thorough understanding of the 340B Program and improve the overall efficiency, value, and internal support of the 340B Program.

* Assess opportunities for system improvements to yield higher compliance.

* Continue to build knowledge of the health care and pharmacy services industry; use that knowledge to identify ways, and make recommendations, to improve the 340B Program.

* Evaluate and implement cost savings opportunities.

* Assist all customers to clarify requirements and propose sourcing options; evaluate and recommend the best sourcing solution.

Reporting:

* Develop reports that can be used to educate staff and assist management in tracking the overall financial impact on the organization. Build 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 annual audit metrics.

* Construct appropriate financial metrics to assess areas of improvement.

* Develop and update 340B Program reporting packages detailing volume, financial value, and other reporting metrics as needed.

* Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 codes. Summarize and report results to the appropriate individuals.

* Monitor, report, and analyze contract pharmacy 340B activities; provide financial reports to hospitals or other covered entities 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.

Purchasing/Inventory Duties:

* Oversee all aspects of the inventory purchasing process for applicable pharmacies.

* Procure supplies, equipment, services, and merchandise; request price quotes; facilitate purchasing proposals and contract negotiations.

* Process requisitions and issue purchase orders; expedite deliveries; resolve receiving and invoicing issues or problems.

* Manage existing contracts and supplier relations.

* Manage drug selection, procurement, and inventory control.

o Manage purchasing, receiving, and inventory control processes.

o Continually monitor product par levels to effectively balance product availability and cost-efficient inventory control.

o Ensure appropriate safeguards and system integrity.

o Perform annual inventory and monthly cycle counts.

* Monitor ordering processes, integrating the most current pricing from wholesalers.

* Analyze invoices, shipping, and inventory processes.

* Comply with all track-and-trace legal requirements of the Drug Supply Chain Security Act for purchasing and distribution of drug products.

Split-Billing or Third-Party Administrator Duties

* Develop a thorough understanding of the split-billing/third party administrator systems and the functions to be performed.

* Educate others involved in the purchasing process to ensure proper operation and compliance.

* Provide each buyer with information needed to place orders using the appropriate accounts (e.g., WAC, GPO, and 340B and non-340B) to replenish inventory in the mixed-use inventory setting.

* Coordinate purchasing for dual or multiple split inventories within pharmacies. Maintain and test tracking software.

Additional responsibilities:

* Perform other duties as assigned.

* Position requires travel between VG clinic locations, employee must have reliable mode of transportation with valid driver's license and personal car insurance.

HIPAA Requirements:

The Pharmacy 340B Program Analyst has access to PHI to create and maintain an accurate and up-to-date health record. Applying the minimum necessary standard of HIPAA, the designated record sets to which this employee will have access include all sections of the dental and medical record, patient demographic information in the practice management system, incoming records, reports, results, consultations, etc. The [position title] should read the content of these records only to the extent needed to accomplish the assigned task (e.g. filing or disclosure).

Knowledge, Skills and Abilities Required:

* Effective written and verbal communication skills.

* Ability to understand and apply regulatory compliance guidelines.

* Computer skills (e.g., spreadsheets, pivot tables, data entry, Microsoft Office suite).

* Perform data analysis, critically evaluate data, and provide recommendations.

* Strong commitment to working with staff from a wide range of ethnic, economic, cultural, and social backgrounds.

* Skilled in collaborating with decision-makers.

* Self-motivated and able to work independently to achieve positive results within a team environment.

* Bilingual English/Spanish preferred.

Education and Experience Required:

* Bachelor's degree in IT, Business field or related experience in healthcare and pharmacy in related field required.

* Minimum 1 year of experience in healthcare finance, pharmacy operations, data analysis or equivalent area340(b) experience preferred.

* Experience demonstrated knowledge in healthcare, pharmacy, pharmacy purchasing, inventory and billing systems or healthcare inventory management.

State and Federal Pharmacy Requirements

The employee in this position will be required to submit to background check; and may be required and must be willing to undergo drug screening at request of supervisor.

Behavioral Competencies:

Accountability: Role model VG's mission, vision, and shared values

Customer-Focus: Listen to the voice of the customer and strive to delight them by exceeding their expectations

Teamwork: If someone needs help, help them

Initiative: Be innovative, apply fresh ideas, and continuously improve how you do your work

Confidentiality: Maintain strict confidentiality and respect the privacy of others

Ethical: Demonstrate integrity, honesty, and stewardship in all encounters at work

Respect: Demonstrate consideration and appreciation for co-workers and patients

Communication: Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others

Physical Requirements:

Percentage of time spent:

* Standing/Walking: up to 50%

* Sitting: up to 50%

* Lifting/Carrying: up to 5% - frequently 5-20 lbs; infrequent 20-40 lbs

Stooping, Bending, Reaching: occasional

Working Environment/Physical Hazards:

* Work in well-lighted, ventilated environment

* Will be exposed to drug vapor or particles (powdered antibiotics that are reconstituted for example)

* May be exposed to potentially hazardous chemicals occasionally

Position requires travel between VG clinic locations, employee must have reliable mode of transportation with valid driver's license and personal car insurance.

Equipment Used:

Office equipment

* Computer: Pharmacy software, EPIC, databases, and word processing

Telephone, Fax, Copier, Scanner

Immunization: Staff members must meet immunization requirements as stated in VGMHC's immunization policy and state and federal guidelines.

Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC's Mission.

VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes affirmative action in placement, promotion, transfer, rate of pay, and termination.