MedStar Health
General Summary of Position
This position conducts monitoring, analysis, investigations and special projects on behalf of the MedStar Pharmacy program, in order to ensure compliance with 340B regulations. Primary responsibility includes positive validation of specialty pharmacy claims for 340B eligibility. 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
Contribute to the achievement of established department goals and objectives and adhere to department policies, procedures, quality standards, and safety standards. Comply with governmental and accreditation regulations.
Ensure compliance with 340B program requirements and optimization of the 340B program in the Pharmacy setting, on behalf of MedStar covered entities. In collaboration with hospital and system 340B resources, perform transactional self-audits and report results to the System 340B Manager. Represent the Pharmacy and covered entities in 340B related audits and inquiries.
Obtain, analyze, and report data to identify and evaluate the system of control in the 340B Drug Program. Report on financial performance to the System Director of Pharmacy and Finance. Monitor GPO spend. Document analytical findings in accordance with department standards. Identify opportunities for improvement, analyze the effect of the weaknesses, research causes, and formulate recommendations. Identify opportunities for 340B optimization.
Read regulations/journals/articles related to compliance and analysis of the Pharmacy program and financial performance. Participate in conferences and/or webinars pertinent to the 340B Drug Program. Attend education/training events (internal and external).
Monitor virtual accumulations for negative accumulations and buy back opportunities, to ensure compliance and optimization on the purchasing side. Work with Pharmacy Technicians/Buyers to resolve discrepancies and realize opportunities.
Communicate in writing in the form of memos, reports, and emails. Written communication should be clear, concise, using explicit and unambiguous terminology, and convey a professional tone and rational logic at all times. Demonstrate strong presentation skills: the analyst must be able to present findings and answer questions in group settings. Maintain tactful and respectful communication, and ensure professional non-verbal communication. Provide communication of analytical findings to department or corporate leadership as directed by management.
Assist the System 340B Manager in the implementation and management of split-billing software in the Pharmacy setting.
Demonstrate the ability to manage multiple projects often with the same deadlines.
Show advanced ability in team participation. The analyst works collaboratively with other team members to contribute effectively. Participate on the 340B Steering Committee.
Advance MedStar's profile and reputation in the area of 340B. Represent MedStar at relevant external meetings and on relevant external committees, task forces, and organizations.
Assist the Director of Pharmacy and other members of the Pharmacy team as assigned.
Participate in meetings and on committees and represent the department and hospital in community outreach efforts.
Participate in multi-disciplinary quality and service improvement teams.
Perform other duties as assigned.
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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This position conducts monitoring, analysis, investigations and special projects on behalf of the MedStar Pharmacy program, in order to ensure compliance with 340B regulations. Primary responsibility includes positive validation of specialty pharmacy claims for 340B eligibility. 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
Contribute to the achievement of established department goals and objectives and adhere to department policies, procedures, quality standards, and safety standards. Comply with governmental and accreditation regulations.
Ensure compliance with 340B program requirements and optimization of the 340B program in the Pharmacy setting, on behalf of MedStar covered entities. In collaboration with hospital and system 340B resources, perform transactional self-audits and report results to the System 340B Manager. Represent the Pharmacy and covered entities in 340B related audits and inquiries.
Obtain, analyze, and report data to identify and evaluate the system of control in the 340B Drug Program. Report on financial performance to the System Director of Pharmacy and Finance. Monitor GPO spend. Document analytical findings in accordance with department standards. Identify opportunities for improvement, analyze the effect of the weaknesses, research causes, and formulate recommendations. Identify opportunities for 340B optimization.
Read regulations/journals/articles related to compliance and analysis of the Pharmacy program and financial performance. Participate in conferences and/or webinars pertinent to the 340B Drug Program. Attend education/training events (internal and external).
Monitor virtual accumulations for negative accumulations and buy back opportunities, to ensure compliance and optimization on the purchasing side. Work with Pharmacy Technicians/Buyers to resolve discrepancies and realize opportunities.
Communicate in writing in the form of memos, reports, and emails. Written communication should be clear, concise, using explicit and unambiguous terminology, and convey a professional tone and rational logic at all times. Demonstrate strong presentation skills: the analyst must be able to present findings and answer questions in group settings. Maintain tactful and respectful communication, and ensure professional non-verbal communication. Provide communication of analytical findings to department or corporate leadership as directed by management.
Assist the System 340B Manager in the implementation and management of split-billing software in the Pharmacy setting.
Demonstrate the ability to manage multiple projects often with the same deadlines.
Show advanced ability in team participation. The analyst works collaboratively with other team members to contribute effectively. Participate on the 340B Steering Committee.
Advance MedStar's profile and reputation in the area of 340B. Represent MedStar at relevant external meetings and on relevant external committees, task forces, and organizations.
Assist the Director of Pharmacy and other members of the Pharmacy team as assigned.
Participate in meetings and on committees and represent the department and hospital in community outreach efforts.
Participate in multi-disciplinary quality and service improvement teams.
Perform other duties as assigned.
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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