The MISSION of SpendMend’s Pharmacy team is to focus on 340B compliance, so that hospitals and clinics can focus on their patients and to help covered entities improve their 340B program by sharing our experiences and expertise.
This position requires knowledge of 340B Program compliance, and the use and management of 340B software systems, and spreadsheet work in general.
The Auditor will: Be expected to conduct oneself in a professional manner representing SpendMend Pharmacy directives utilizing best practice standards as set forth by Apexus and HRSA. Auditor will trouble shoot issues that may arise and report any potential problems to SpendMend Pharmacy’s leadership. Auditor is expected to work independently within the first 3 months.
340B Drug Program Audits:
Perform onsite and remote audits both independently and with support
Conduct audit as a HRSA like audit
Complete a Medicare Cost Report to Location crosswalk for the client
Perform a gap analysis of policy and procedures following a policy checklist
Review and finalize audit agendas and data request lists
Develop an individualized audit guide prior to the pre-audit call
Participate in pre-audit call
Present all audit prep work, notes, and sample results in audit guide
Audit patient records to determine if prescription written is from an eligible clinic or hospital location, by a covered entity provider, and the prescription is related to the care received at the covered entity and documented in the EHR
Monitor ordering/purchasing processes, and analyze invoices, shipping, and inventory processes related to 340B drugs
Professional audit summary writing is expected immediately following an audit
Complete audit summary report draft within one week of audit
An Independently written audit summary report is required to be delivered within 3 weeks of audit
For system clients, prepare a summary of audit results in an audit problem list/tracker with final report
Provide education to pharmacy staff and/or other 340B compliance staff while on audit
Lead entrance and closing conferences
Provide client an education slide deck
Provide support during client HRSA audit, when requested
Participate in corrective action planning with clients post audit
Implement a notice of disagreement post HRSA audit finding
SpendMend Pharmacy Compliance Participation, Monitoring, And Development:
Participate in development of company
Participate in weekly team meetings
Maintain an up-to-date calendar
Understand OPAIS and resources available on the HRSA website
Review the 340B Health general discussion group weekly
Review the NACHC Manual and any updates
Maintain knowledge of changing rules and regulations
Participate in policy and procedure development
Participate in webinar development and delivery
Participate in tool development
Expand professional development through related classes and seminars, current publications, and regional/national association membership participation
Monitor state Medicaid duplicate discount prevention processes
Evaluation And Process Improvement:
Annual performance reviews will be conducted along with goal setting
Provide recommendations on process improvements
340B Compliance Training Requirements:
Begin 340B Advanced Certificate Program within first 3 months of hire and complete within 9 months of hire
Attendance at one 340B Coalition meeting annually
Participate in quarterly staff education
Desired Education And Experience Requirements:
Bachelor’s Degree, or commensurate experience and/or training
5 years’ experience in 340B related operations
Knowledge of the healthcare environment, electronic health records, and 340B program in general
Experience presenting to management staff and C-suite leadership
Previous experience as a compliance analyst, specialist, auditor, supply chain, or pharmacy/finance management team member.
Proficiency with at least one split billing vendor/platform
Possess in-depth understanding of contract pharmacy operations
Reside near a major US International Airport
340B split billing internal audit experience
Pharmaceutical purchasing/inventory experience
Knowledge of state and federal laws and regulations related to 340B and associated billing practices
Interpersonal Skills:
Excellent verbal and written communication skills
Customer focused with strong personable, social, and communication skills
Able to identify and resolve issues
Flexible and able to collaborate within a group and with clients
Proficient in Microsoft office, includes MS Word, Excel, and PowerPoint
Self-directed and ability to work independently
Accuracy, timeliness, and attention to detail
Job Location:
Remote office
Travel expected at least twice monthly and possibly three times per month when there are five weeks in the month.
The Mission of SpendMend Pharmacy is to focus on 340B compliance and optimization, so that hospitals and clinics can focus on their patients and to help covered entities improve their 340B program by sharing our experiences and expertise.
