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340B Pharmacy Program Analyst

We Are Hiring

340B Pharmacy Program Analyst-AW Contract Pharmacy - Full-Time Days - WF - Shared Services - Brown Deer, WI

Work Schedule: 8AM-5PM Monday - Friday

Why Join Ascension?

Ascension Wisconsin operates 24 hospital campuses and more than 100 related healthcare facilities from Racine to Eagle River. Ascension Wisconsin employs more than 1,300 primary and specialty care clinicians. Ascension Wisconsin is a faith-based healthcare organization that has been serving the state since 1848. In FY2018, Ascension Wisconsin provided more than $292 million in community benefit, including care of persons living in poverty.

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all, especially to those most in need. In FY2018, Ascension provided nearly $2 billion in care of persons living in poverty and other community benefit programs.

What You Will Do

The 340B Pharmacy Program Analyst is responsible for providing ongoing program development and coordination support for the Ascension Wisconsin – South Region 340B Outpatient purchasing and Retail/Contract Pharmacy Programs. The 340B Analyst’s key areas of responsibility will include but not be limited to: oversight of 340B drug purchasing, inventory processes, monthly reporting, split billing software maintenance, audits, contract pharmacy programs and all areas of regulatory compliance. The Analyst may be asked to assist in additional areas of the pharmacy when needed. This position also assumes responsibility for processing all pharmacy invoices to wholesalers and administrators for payment and for gaining all receivables from contracted pharmacies and pharmacy administrators.

Responsibilities:

Policy and Procedure Development:

• Maintain up-to-date policies and procedures on 340B purchasing processes.

• Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.

• Review 340B program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.

 Education:

• Develop proper 340B quality assurance training for employees as appropriate.

• Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures.

• Expand professional development through related classes and seminars, current publications, and regional/national association membership participation.

 Self-Audits:

• Be involved in any and all 340B audits.

• Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.

• Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers.

• Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status.

• Ensure that facilities maintain adherence to 340B program regulations and guidelines.

• Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.

• Perform monthly audits of contract pharmacies.

• Perform monthly self-audits of 340B pharmacy operations.

• Ensure compliance with 340B program requirements for qualified patients, drugs, and locations.

 Program Enhancement/Optimization:

• Through financial analysis, strive to recognize the value opportunity of the 340B program.

• Assess opportunities for cost savings and system improvements to yield higher compliance.

• Develop a thorough understanding of the 340B program. Strive to consistently improve the overall efficiency, value, and internal support of the 340B program.

• Continue to build knowledge of the health care and pharmacy services industry, and use that knowledge to identify ways and make recommendations to improve the 340B program.

• Evaluate and implement cost savings opportunities.

• Assist all customers to clarify requirements, propose sourcing options; evaluate and recommend the best sourcing solution.

 Reporting:

• Develop reports that can be used to educate staff and assist management in tracking the overall financial impact to the organization. Build other reports, as appropriate, to monitor and improve 340B program compliance and performance.

• Maintain copies of reports for compliance and audit purposes.

• Collaborate with the Pharmacy, Compliance, and 340B Oversight Council to develop monthly, quarterly, and yearly audit metrics.

• Construct appropriate financial metrics to assess areas of improvement.

• Develop and update 340B program reporting packages detailing volume, financial value, and other reporting metrics as needed.

• Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-9 codes. Summarize and report results to the appropriate individuals.

• Monitor, report, and analyze contract pharmacy 340B activities; provide financial reports to hospitals or other covered entities relative to financial impact and liabilities; make recommendations that would improve efficiency.

• Perform hospital- or other covered entity-specific gross financial analysis and make recommendations to improve program performance. Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.

• Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns.

 Purchasing/Inventory Duties:

• Oversee all aspects of the inventory purchasing process for the applicable inpatient and outpatient pharmacies.

• Procure supplies, equipment, services, and merchandise; request price quotes; facilitate purchasing proposals and contract negotiations.

• Process requisitions and issue purchase orders; expedite deliveries; resolve receiving and invoicing issues or problems.

• Manage existing contracts and supplier relations.

• Manage drug selection, procurement, and inventory control.

• Maintain system databases to reflect changes in the drug formulary or product specifications,

• Manage purchasing, receiving, and inventory control processes,

• Continually monitor product par levels to effectively balance product availability and cost-efficient inventory control,

• Ensure appropriate safeguards and system integrity.

• Perform annual inventory and monthly cycle counts.

• Monitor ordering processes, integrating the most current pricing from wholesalers. Analyze invoices, shipping, and inventory processes.

• Comply with all GPO Prohibition rules for applicable covered entities: DSH, PED, and CAN.

• Comply with all track-and-trace legal requirements of the Drug Supply Chain Security Act for purchasing and distribution of drug products.

 Split-Billing Duties:

• Develop a thorough understanding of the split-billing system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance.

• Provide each buyer with information needed to place orders using the appropriate accounts (e.g., WAC, GPO, and 340B) to replenish inventory in the mixed-use inventory setting.

• Coordinate purchasing for split inventory within internal pharmacies.

 Other:

• Serve as a project leader for the 340B program functions.

• Develop and foster working relationships with internal working counterparts (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within the organization.

• Assumes responsibility for processing all wholesaler/administrative invoices for payment, directly to the wholesaler. Also, ensure reimbursement of receivables due to capture maximum revenues for the facility.

• Maintains follow-up collection procedures to ensure maximum reimbursemsent from all third party payors.

• Resolves all issues regarding accounts payable and accounts receivable vendor payment and check/ACH receipt.

• Track 340B Savings system wide and report data to key 340B stakeholders on a quarterly basis or as needed.

• Assist in other areas as required ensuring data integrity as requested by 340B leadership.

 Policy and Procedure Development:

• Maintain up-to-date policies and procedures on 340B purchasing processes.

• Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.

• Review 340B program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.

 Education:

• Develop proper 340B quality assurance training for employees as appropriate.

• Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures.

• Expand professional development through related classes and seminars, current publications, and regional/national association membership participation.

 Self-Audits:

• Be involved in any and all 340B audits.

• Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.

• Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers.

• Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status.

• Ensure that facilities maintain adherence to 340B program regulations and guidelines.

• Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.

• Perform monthly audits of contract pharmacies.

• Perform monthly self-audits of 340B pharmacy operations.

• Ensure compliance with 340B program requirements for qualified patients, drugs, and locations.

 Program Enhancement/Optimization:

• Through financial analysis, strive to recognize the value opportunity of the 340B program.

• Assess opportunities for cost savings and system improvements to yield higher compliance.

• Develop a thorough understanding of the 340B program. Strive to consistently improve the overall efficiency, value, and internal support of the 340B program.

• Continue to build knowledge of the health care and pharmacy services industry, and use that knowledge to identify ways and make recommendations to improve the 340B program.

• Evaluate and implement cost savings opportunities.

• Assist all customers to clarify requirements, propose sourcing options; evaluate and recommend the best sourcing solution.

 Reporting:

• Develop reports that can be used to educate staff and assist management in tracking the overall financial impact to the organization. Build other reports, as appropriate, to monitor and improve 340B program compliance and performance.

• Maintain copies of reports for compliance and audit purposes.

• Collaborate with the Pharmacy, Compliance, and 340B Oversight Council to develop monthly, quarterly, and yearly audit metrics.

• Construct appropriate financial metrics to assess areas of improvement.

• Develop and update 340B program reporting packages detailing volume, financial value, and other reporting metrics as needed.

• Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-9 codes. Summarize and report results to the appropriate individuals.

• Monitor, report, and analyze contract pharmacy 340B activities; provide financial reports to hospitals or other covered entities relative to financial impact and liabilities; make recommendations that would improve efficiency.

• Perform hospital- or other covered entity-specific gross financial analysis and make recommendations to improve program performance. Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.

• Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns.

 Purchasing/Inventory Duties:

• Oversee all aspects of the inventory purchasing process for the applicable inpatient and outpatient pharmacies. 

 • Procure supplies, equipment, services, and merchandise; request price quotes; facilitate purchasing proposals and contract negotiations.

• Process requisitions and issue purchase orders; expedite deliveries; resolve receiving and invoicing issues or problems.

• Manage existing contracts and supplier relations.

• Manage drug selection, procurement, and inventory control.

• Maintain system databases to reflect changes in the drug formulary or product specifications,

• Manage purchasing, receiving, and inventory control processes,

• Continually monitor product par levels to effectively balance product availability and cost-efficient inventory control,

• Ensure appropriate safeguards and system integrity.

• Perform annual inventory and monthly cycle counts.

• Monitor ordering processes, integrating the most current pricing from wholesalers. Analyze invoices, shipping, and inventory processes.

• Comply with all GPO Prohibition rules for applicable covered entities: DSH, PED, and CAN.

• Comply with all track-and-trace legal requirements of the Drug Supply Chain Security Act for purchasing and distribution of drug products.

 Split-Billing Duties:

• Develop a thorough understanding of the split-billing system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance.

• Provide each buyer with information needed to place orders using the appropriate accounts (e.g., WAC, GPO, and 340B) to replenish inventory in the mixed-use inventory setting.

• Coordinate purchasing for split inventory within internal pharmacies.

 Other:

• Serve as a project leader for the 340B program functions.

• Develop and foster working relationships with internal working counterparts (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within the organization.

• Assumes responsibility for processing all wholesaler/administrative invoices for payment, directly to the wholesaler. Also, ensure reimbursement of receivables due to capture maximum revenues for the facility.

• Maintains follow-up collection procedures to ensure maximum reimbursemsent from all third party payors.

• Resolves all issues regarding accounts payable and accounts receivable vendor payment and check/ACH receipt.

• Track 340B Savings system wide and report data to key 340B stakeholders on a quarterly basis or as needed.

• Assist in other areas as required ensuring data integrity as requested by 340B leadership.

 

 

What You Will Need

Licenses/Certifications/Registration:

  • Required Credential(s):
    • One or more of the following:
      • Pharmacy Tech credentialed from the National Healthcare Association obtained within 6 Months (180 days) of hire date or job transfer date. 
      • Pharmacy Tech credentialed from the Pharmacy Technician Certification Board (PTCB) obtained within 6 Months (180 days) of hire date or job transfer date. 

Education:

  • Diploma 
    • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required
    • Bachelor's degree from a four-year college or university required OR associates degree combined with specific experience with the 340B program OR Pharmacy Tech Certification with specific experience with 340B program preferred. Previous experience in healthcare is preferred.

Work Experience:

  • Specific experience with 340B program preferred. Previous experience in healthcare is preferred.

Equal Employment Opportunity

Ascension Wisconsin is an equal opportunity employer and will not discriminate against employees or prospective employees on basis of age, race, creed, color, religion, marital status, sex, national origin, ancestry, citizenship, sexual orientation, disability, arrest and/or conviction record, military status, protected veteran status, or any other characteristic or status protected by law.

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

M/F/Disabled/Vet

EEO is the Law Poster Supplement

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccp_eeo_supplement_final_jrf_qa_508c.pdf

Job ID: 350380
Category: Pharmacy Services
Facility: WIMIL Ascension WI Pharmacy
Ministry: Ascension Wisconsin, WI
Location: Brown Deer, WI

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