340B Auditor

Job Description

Job Description

Description:

Overview: SpendMend partners with hospitals, health systems, and higher education institutions to help them improve financial performance and fuel their mission of patient care. We offer a comprehensive suite of solutions - including cost recovery, pharmacy software, compliance auditing, and medical device management - that deliver insights, reduce risk, and uncover savings across the cost cycle. Our mission is to positively impact patient care by delivering innovative, value-driven services that empower our clients to make smarter financial decisions. With a focus on excellence, integrity, and collaboration, SpendMend is committed to being a trusted partner in healthcare and education.

This position requires knowledge of 340B Program compliance, and the use and management of 340B software systems, and spreadsheet work in general.

The 340B 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.

Essential Duties and Responsibilities:

340B Drug Program Audits:

• Perform onsite and remote audits both independently and with support
• Conduct audit as a HRSA like audit
• Assist with or 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
• Lead entrance and closing conferences
• Provide client an education slide deck

SpendMend Pharmacy Compliance Participation, Monitoring, And Development:

• Participate in weekly team meetings
• Maintain an up-to-date calendar
• Understand OPAIS and resources available on the HRSA website
• Review the NACHC Manual and any updates
• Maintain knowledge of changing rules and regulations
• Expand professional development through 340B related classes and seminars, current publications, and regional/national association membership participation
  

Qualifications:
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

Education:

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:

• 1-3 years’ experience in 340B related operations
• Knowledge of the healthcare environment, electronic health records, and 340B program in general
• Previous experience as a compliance analyst, specialist, or pharmacy team member.
• Proficiency with at least one split billing vendor/platform
• Possess understanding of contract pharmacy operations
• Reside near a major US International Airport
• Pharmaceutical purchasing/inventory experience

Work Environment:

Job Location:

• Remote office
• Travel expected at least once monthly and possibly two times per month based on covered entity client requests and/or conferences.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The role requires regular use of a computer and phone, prolonged periods of sitting, and occasional bending, twisting, or light lifting. This role requires expected travel as defined above. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the role.

This job description is dynamic and reflects the core responsibilities of the 340B Auditor role at SpendMend. It is subject to evolve as SpendMend grows and adapts

Note: We are not able to sponsor work visas for this position.