Join Henry Ford Health's Pharmacy Ambulatory department as a 340B Business Operations Analyst.
GENERAL SUMMARY:
Schedule: Full Time Day Shifts
Performs a wide variety of financial, database, auditing and compliance reporting analyses to ensure HFHS entities to reinforce eligibility, integrity and compliance for the 340B Federal Discount Program. Provides program support for both the financial and compliance operations of the 340B program through investigating, analyzing and reporting accurate data related to the 340B billing and contract pharmacy operations. Utilizes multiple data sources and business intelligence tools to analyze statistical and financial information in order to recommend strategies for optimizing 340B program initiatives while ensuring compliance with all applicable regulations. Maintains database to reflect changes in drug formularies, assures system integrity, analyzes purchasing data and monitors ordering processes and documentation related to pharmacy supply chain compliance with state and federal regulations.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Oversight and responsibility for overall compliance, auditing and financial analytics for the 340B Pharmacy Program within Henry Ford Health System (HFHS).
Conducts regular audits of claims data to ensure 340B program compliance. Evaluates all eligibility criteria for qualified and non-qualified patients. Performs chart and medical record review.
Utilizing multiple data sources and business strategies for optimizing 340B program initiatives while ensuring compliance with all applicable regulations.
Performs a variety of financial and compliance reporting and auditing. Maintains accurate tracking of financial and productivity data related to 340B and purchasing program.
Reviews trends, creates forecasts and develops predictive models. Analyzes data reports for trends and discrepancies while assessing cost savings opportunities for maximum optimization and compliance.
Monitors and tracks all payments received by contract pharmacies. Acts as a liaison between the covered entity and contract pharmacy when payment discrepancies occur.
Validates necessary patient, provider and medication information to ensure proper claims submission, and to maintain accurate documentation of records related to 340B and purchasing program.
Continually monitors product levels to effectively balance product availability and cost-efficient inventory control factoring in 340B utilizing Retail Usage Ratios.
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's Degree in Business, Finance, Healthcare or related field -or- equivalent related work experience required.
Prior Pharmacy operations experience preferred.
Working knowledge of 340B program, including eligibility and compliance requirements.
General working knowledge in areas of compliance, finance, supply chain and database tools.
Proficient working knowledge and/or experience with Microsoft Office products Excel, Assess, Word, PowerPoint, Team, etc., along with relational database and other analytical tools such as Tableau.
Effective verbal, written and interpersonal communication skills to interact effectively and cooperatively with all internal and external customers.
Must possess excellent project planning and time management skills. Ability to work independently while managing multiple tasks and meeting established deadlines.
CERTIFICATIONS/LICENSURES REQUIRED:
340B Apexus Certified Expert (ACE) certification required within one year of employment (highest 340B certification currently available)
Additional Information
Organization: Community Care Services
Department: Ambulatory Pharmacy Services
Shift: Day Job
Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services - from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .
Benefits
The health and overall well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.
