340B Contract Pharmacy Auditor / Program Specialist

Sunset Health

  • Yuma, AZ
  • 30+ days ago

    Highlights

    Verifies with the billing department that payment from 340b contract pharmacy program has been received in a timely manner, and verifies billing is correct. Assists pharmacy leadership with compliance programs to ensure adherence to HRSA, 340B, and State and Federal Pharmacy rules and regulations.

    Numbers & Facts

    LocationYuma, AZ

    Description

    ESSENTIAL JOB DUTIES

    Assists in developing tracking mechanisms for Sunset Health Pharmacy compliance programs

    Assists pharmacy leadership with specialized computer hardware and software maintenance updates

    Maintains Sunset Health Pharmacy 340B compliance programs

    Tracks and verifies drug wholesaler invoices for accuracy of product and 340b pricing.

    Places orders for product obtained through the 340B contract pharmacy program.

    Assists pharmacy leadership with compliance programs to ensure adherence to HRSA, 340B, and State and Federal Pharmacy rules and regulations.

    Schedules and runs meetings with 34oB TPA managers and addresses any contract pharmacy

    Verifies all captured prescriptions by TPA's are eligible through 340B HRSA guidelines and Sunset Health's policies and procedures

    Verifies any prescription that is from an outside provider is eligible for 340B and captured by the TPA's

    Verifies with the billing department that payment from 340b contract pharmacy program has been received in a timely manner, and verifies billing is correct

    Addresses any incorrect billing issues

    Responsible for the training and supervision of 340B contract pharmacy auditor/referral tracker.

    Other duties as assigned.

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