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Analyst

Analyst

Beacon Health SystemGranger, IN, United States
3 days ago
Job type
  • Full-time
Job description

Reports to the 340B Program Manager or designee. The 340B Program Analyst serves as a key resource and subject matter expert for all aspects of the organization's 340B Drug Program. This role is responsible for conducting detailed analyses, monitoring compliance, and supporting the operational, financial, and regulatory components of the 340B program. The Program Analyst evaluates processes, identifies areas for improvement, and recommends strategies to optimize 340B program performance while ensuring full compliance with federal, state, and organizational policies.

MISSION, VALUES and SERVICE GOALS

  • MISSION : We deliver outstanding care, inspire health, and connect with heart.
  • VALUES : Trust. Respect. Integrity. Compassion.
  • SERVICE GOALS : Personally connect. Keep everyone informed. Be on their team.

340B Program Compliance

  • Ensures the 340B program maintains continuous compliance with all federal regulations, including HRSA and OPA guidelines.
  • Monitors ongoing changes in 340B regulations and policies; assists with updates to organizational policies and practices to reflect changes.
  • Develops and fosters internal and external relationships essential to program success (accounting, compliance, IT, legal, wholesalers, manufacturers, PBMs, TPAs).

    • Auditing, Monitoring, and Reporting

  • Conducts regularly scheduled and ad-hoc audits of 340B operations, including contract pharmacy and internal pharmacy self-audits.
  • Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
  • 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. Coordinates and performs internal and external audits, including self-audits, external vendor reviews, and HRSA audits, with appropriate follow-up and action plans.
  • Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
  • 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.
  • Analyzes and documents utilization, savings, exceptions, and compliance issues.
  • Develops and maintains comprehensive reporting tools to monitor 340B utilization, compliance, savings, and potential risks.
  • Provides scheduled and ad hoc reports to pharmacy leadership, administration, and 340B Oversight Councils.
  • Tracks, trends, and analyzes purchasing and dispensing patterns, ensuring corrective actions as needed.

    • Program Enhancement and Optimization

  • Identifies, evaluates, and implements opportunities for cost savings, efficiency improvements, and program growth.
  • Provides strategic input on the development of contract pharmacy relationships and outpatient 340B-eligible services.
  • Leads optimization of split-billing / third-party administrator systems to ensure accurate purchasing and replenishment.
  • Collaborates with manufacturers, wholesalers, and vendors to ensure proper program utilization and contract opportunities.
  • Supports leadership in business plan development and action planning related to 340B services.
  • Participates in committees, workgroups, and projects to improve organizational pharmacy services and 340B integration.

    • Contract Oversight

  • Reviews and offers recommendations on all 340B-related contracts, including contract pharmacies and TPAs, while ensuring compliance and alignment with program requirements. Coordinates and monitors contract pharmacy compliance, billing services, and audit processes.
  • Evaluates current and future contract pharmacy opportunities, ensuring favorable fee structures, compliant data sharing, and proper contract terms.

    • Purchasing, Inventory, and Supply Chain Management

  • Oversees 340B purchasing processes to ensure compliant and cost-effective procurement.
  • Monitors replenishment processes for 340B-eligible medications.
  • Tracks and reconciles 340B and non-340B inventory, resolving discrepancies and ensuring accurate records.
  • Monitors for product shortages, pricing changes, and formulary adjustments, working with pharmacy and medical staff as needed.
  • Maintains databases to reflect current formulary and contract specifications.
  • Analyzes purchasing data to identify cost-saving opportunities and ensures proper utilization of 340B savings.
  • 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 / Third-Party Administrator (TPA) Oversight

  • Ensures effective use and optimization of split-billing / TPA software for mixed-use and outpatient areas.
  • Educates buyers and staff on correct account usage (WAC, GPO, 340B, non-340B) for inventory replenishment.
  • Coordinates inventory processes and supports system maintenance.

    • ORGANIZATIONAL RESPONSIBILITIES

    Associate complies with the following organizational requirements :

  • Attends and participates in department meetings and is accountable for all information shared.
  • Completes mandatory education, annual competencies and department specific education within established timeframes.
  • Completes annual employee health requirements within established timeframes.
  • Maintains license / certification, registration in good standing throughout fiscal year.
  • Direct patient care providers are required to maintain current BCLS (CPR), and other certifications as required by position / department.
  • Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
  • Adheres to regulatory agency requirements, survey process and compliance.
  • Complies with established organization and department policies.
  • Available to work overtime in addition to working additional or other shifts and schedules when required.

    • Commitment to Beacon's six-point Operating System, referred to as The Beacon Way :

  • Leverage innovation everywhere.
  • Cultivate human talent.
  • Embrace performance improvement.
  • Build greatness through accountability.
  • Use information to improve and advance.
  • Communicate clearly and continuously.

    • Education and Experience :

  • The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of an Associates Degree. Certification which relates to the associates field of specialty is preferred. Preference will be given to candidates with training and experience with those software and hardware products regularly used by Beacon Health System. Minimum 3 years of experience in pharmacy, healthcare finance, supply chain, or related field. Strong background in data analysis, contract management, and / or pharmacy purchasing and inventory. Familiarity with HRSA / OPA, state / federal 340B regulations, and DSCSA guidelines preferred. 340B University Training Required, additional Apexus Certifications (Apexus Advanced 340B Operations Certificate) preferred.

    • Knowledge & Skills :

  • Demonstrates advanced knowledge of the Pharmacy Department's day-to-day operations, policies and procedures. Also acquires a solid understanding of how the 340B program is used and implemented within the hospital and any offsite locations operating under the hospital license.
  • Requires the technical computer skills and knowledge necessary to effectively use and support various software and hardware. Also demonstrates a working knowledge of database applications and the skills needed to assist with testing plans and data.
  • Requires an understanding of virtual inventory and split-billing software utilization and operation.
  • Demonstrates an understanding of the formulary management process within the hospital and any offsite locations operating under the hospital license.
  • Demonstrates knowledge of pharmacy inventory systems and purchasing procedures, familiarity with computerized inventory systems, and the ability to effectively utilize split-billing software in conjunction with automated inventory management systems.
  • Demonstrates a successful record of being a team player and completing project-related work assignments (especially project implementation).
  • Requires advanced analytical and problem-solving skills and the ability to identify problems and deliver solutions in a timely and efficient manner.
  • Demonstrates the interpersonal and communication skills (both verbal and written) necessary to communicate effectively with the team members at all levels as well as vendor representatives.
  • Requires the ability to develop and present effective education and training.
  • Requires organization skills and the ability to work independently as assigned, prioritize workload and handle a variety of multiple and overlapping functions within set deadlines.
  • Demonstrates the leadership skills necessary to elicit cooperation and support from other team members and outside departments.
  • Must be able to collect and analyze data, as well as develop, test, and implement system changes.
  • Demonstrates knowledge of and a commitment to Beacon Health System's mission and values and the organization's goal of providing exceptional patient experiences by following the Performance Essentials.

    • Working Conditions :

  • Works in an office and / or clinical environment with possible exposure to biohazards and chemicals.
  • May need to vary days and hours scheduled, including working evenings and / or weekends as determined by department need.
  • Must be able to be effective in a fast-paced, quality focused, multi-priority environment that frequently deals with stressful situations and important deadlines and schedules.

    • Physical Demands :

    Requires the physical ability and stamina (i.e., sit, stand and / or walk for prolonged periods of time, etc.) to perform the essential functions of the position.

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