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Children's Hospital of Philadelphia · 1 day ago

Pharmacy 340(b) Program Analyst-2

Philadelphia, PA

Full-time

Onsite

Entry, Mid Level

$68K/yr - $86K/yr

1+ years exp

Children’s Hospital of Philadelphia (CHOP) is seeking a Pharmacy 340(b) Program Analyst to assist in managing the 340(b) drug discount program. The role involves ensuring compliance with federal regulations, maximizing program participation, and maintaining program policies and procedures to optimize financial performance across the Pharmacy enterprise.

Child CareHealth CareHospitalMedicalNon Profit

Growth Opportunities

Responsibilities

Serve as an institutional compliance resource on 340(b) regarding qualifications to the details, operational processes, contractual agreements, and policies and procedures

Routinely monitor PHPC and Office of Pharmacy Affairs (OPA) publications and websites as well as the professional media, literature, and peers to assure the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation

Reviews and monitors all points of service where 340(b) participation occurs to ensure Program compliance and recommendation of required changes

Monitors routinely and analyzes pharmacy utilization records, 340(b) purchasing accounts to insure software or tools are working properly and accurately, performing audits or compliance assessments internally as needed; also participates in external compliance assessments where appropriate with outside firms to validate internal processes

Monitors routinely and analyzes purchasing records for each cost center where 340(b) accounts to insure the GPO exclusion rule is followed and that cherry-picking either by area, patient, or drug is not occurring

Develops and monitors routinely monthly and annual reports on 340(b) participation which clearly documents utilization, savings, problem areas and exceptions or discrepancies, to be passed to pharmacy leadership and administration

Communicates any questions, issues, or discrepancies with the appropriate authority, either via PHPC, or directly to OPA leadership or staff

Routinely monitors all areas of 340(b) outpatient use and works with pharmacy purchaser and pharmacy leadership to ensure maximum participation regarding:

Ensure use of 340(b) priced products in all qualified outpatients where available and appropriate therapeutic or generic choice

Monitors for 340(b) pricing exclusions or shortages and establish appropriate alternatives products that are included where possible, including work with medical staff and formulary to assure proper position and related use

Monitors all outpatient points of service to continually look for additional qualified areas where 340(b) may be used

Reviews 340(b) account records for exceptions, drugs required to be purchased at WAC, etc., then consider possible alternatives to become standard practice

Participates with prime vendor(HPPI) and reviews routinely 340(b) formulary pricing, potential alternatives, and possible additional savings as a result of GPO formulary

Standardizes formularies between areas and institutions to achieve maximum 340(b) participating and savings

Maintains policies and procedures for 340(b) that ensure productivity and efficiency so that long-term management of the program does not hamper operations and/or create unnecessary costs

Maintains the CDM/crosswalk for new products, product changes, etc. to insure both the accuracy of the utilization report and the efficiency and accuracy of the charge process

Performs a thorough review of the new 340(b) pricing list, searching for costly changes to be detected quickly and addressed quarterly

Performs audits or compliance assessments of specific areas and specific products to ensure the CDM, the charges are passes to accounting and that the utilization numbers are translating accurately into the report for 340(b) reorders

Monitors routinely and analyzes data and related reports from each participating area or entity to ensure consistent processes are followed and to continually improve related policies and procedures for 340(b) throughout the institution

Communicates with all staff involved with 340(b) to ensure processes remain efficient and to address any problems or suggestions for improvement; also establishing a clear way for them to communicate to the coordinator any concerns or problems at any time

Participates in Quarterly Oversight Committee meetings as well as semi-annual Steering Committee meetings

Qualification

340B complianceFinancial analysisData reportingAccounting applicationsOrganizational skillsHealthcare experienceService excellenceCommunication skills

Required

Bachelor's Degree Finance, Business or Accounting Required

At least one (1) year finance, accounting or audit experience Required

Organizational skills to meet deadlines

Experience/skill with Personal Computers

Experience/skill with spreadsheets and other accounting applications (Excel, Access, PowerPoint, Crystal Reports)

Excellent communication skills to include oral and written comprehension and expression

Ability and willingness to exhibit behaviors consistent with standards for performance improvement and organizational values

Ability and willingness to exhibit behaviors consistent with principles for service excellence

Preferred

At least three (3) years finance, accounting or audit experience Preferred

At least one (1) year of 340B related experience Preferred

Experience in a health care setting preferred

Company

Children's Hospital of Philadelphia

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Since its start in 1855 as the nation's first hospital devoted exclusively to caring for children, The Children's Hospital of Philadelphia has been the birthplace for many dramatic firsts in pediatric medicine.

Founded in 1855

Philadelphia, Pennsylvania, USA

10001+ employees