Program Integrity Analyst

job
  • Nuvance Health
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Job Summary
Location
Danbury ,CT
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
25 Dec 2024
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Job Description

DescriptionnnSummarynnThe Pharmacy 340B program integrity analyst is responsible for maintenance, compliance, and operations of the 340B program atnnassigned facility. Scope of supervision includes outpatient medications administered in eligible locations, mixed use locationsnnmanaged by a third-party split billing software, outpatient prescriptions fulfilled by a propriety pharmacy and outpatientnnprescriptions fulfilled by a contracted 340B pharmacy. This position serves as the primary internal liaison to key stakeholders (i.e.,nnfinance, revenue cycle representatives, pharmacy leadership) to help maintain compliance and optimal utilization of our 340Bnnenrollment. The Pharmacy 340B program integrity analyst will evaluate the required documentation for all aspects of the programnnas well as maximize benefit the program offers to the institution. The Pharmacy 340B program integrity analyst will be accountablennfor advising staff accountable for purchasing, receiving and inventory management.nnResponsibilitiesnn? Manage/guide staff that are purchasing medications at respective eligible facilitiesnn? Manage inventory of eligible purchases at covered entitiesnn? Manage the 340B pharmacy benefit program to qualified outpatients and program cliniciansnn? Manage relationships, billing services, and compliance with contracted 340B pharmaciesnn? Manage education, training, awareness, and customer service for all 340B covered entities to staff and affected stakeholdersnn? Ensure that the 340B pharmacy program is consistently compliant with OPA 340B statutes and guidancenn? Track, monitor, and report 340B pharmaceutical sales and purchases data to ensure provider/physician and patient eligibilitynn(self-audit and continuous surveillance). Works with corporate compliance for independent audits in preparation for HRSA audit.nn? Develops, implements, and maintains 340B policy and procedure requirements, auditing and ensures full compliance and bestnnpractices across the organizationnn?Manages third party administrator software and interfaces with Nuvance Health – this includes continuous comprehensivennmaintenance required on a cadenced schedule and appropriate integration with distributor portalnn?Any other duties deemed fit for position by managementnnOther InformationnnThe Pharmacy 340B program integrity analyst will be accountable for advising staff accountable for purchasing, receiving andnninventory management.nn• Associates Degree or 5 years job related experience in Pharmacy purchasing/contractingnn• National Pharmacy Technician Certification (PTCB) requirednn• 340B Certification preferred (ACE to be completed at 1 year of hire)nnOn the job training will be provided for 340B compliance, guidelines, and policies.nnWe are an equal opportunity employernnQualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.nnWe will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.

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