340B Analyst at SSM Health

Jefferson City, Missouri, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Mar, 26

Salary

0.0

Posted On

07 Dec, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

340B Program Operations, Audits, Internal Audits, Compliance, Patient Eligibility, Database Management, Reporting, Pharmacy Programs, Contract Pharmacy, Revenue Reconciliation, Medicaid Claims, Operational Activities, Data Entry, Communication, Team Collaboration, Problem Solving

Industry

Hospitals and Health Care

Description

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Qualifications: Experienced with 340B program operations and audits and Advanced 340B Operations Certificate within 18-months of hire date - Apexus Location: Remote - reside in MO, IL, OK, or WI At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates must reside in MO, IL, OK, or WI Job Summary: Development and execution of the operational activities of the 340B Center of Excellence functional areas. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies. Supports for implementation of new child sites, shipping addresses and/or contract pharmacies. Assists with Office of Pharmacy Affairs (OPA) database changes and updates. Monitors and audits state Medicaid claims to ensure compliance. Reconciles contract pharmacy payments against revenue posted by Finance. Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR). Develops and updates 340B Program reporting packets for SSM ministries. Reviews ordering, negative and positive accumulations and unmapped items in third-party administrator’s (TPA) portal. Ensures compliant setup for secondary suppliers and wholesaler accounts. Performs other duties as assigned. EDUCATION Bachelor's degree or equivalent combination of experience and education EXPERIENCE Five years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin Advanced 340B Operations Certificate within 18-months of hire date - Apexus Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8763000033 340B_Center_of_Excellence Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Responsibilities

The 340B Analyst is responsible for the development and execution of operational activities related to the 340B Center of Excellence. This includes performing audits, supporting new site implementations, and ensuring compliance with Medicaid claims.