The MISSION of SpendMend’s Pharmacy team is to focus on 340B compliance, so that hospitals and clinics can focus on their patients and to help covered entities improve their 340B program by sharing our experiences and expertise.

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

The 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.

340B Drug Program Audits: 

• Perform onsite and remote audits both independently and with support
• Conduct audit as a HRSA like audit
• 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
• Provide education to pharmacy staff and/or other 340B compliance staff while on audit
• Lead entrance and closing conferences
• Provide client an education slide deck
• Provide support during client HRSA audit, when requested
• Participate in corrective action planning with clients post audit
• Implement a notice of disagreement post HRSA audit finding

SpendMend Pharmacy Compliance Participation, Monitoring, And Development:

• Participate in development of company
• Participate in weekly team meetings
• Maintain an up-to-date calendar
• Understand OPAIS and resources available on the HRSA website
• Review the 340B Health general discussion group weekly
• Review the NACHC Manual and any updates
• Maintain knowledge of changing rules and regulations
• Participate in policy and procedure development
• Participate in webinar development and delivery
• Participate in tool development
• Expand professional development through related classes and seminars, current publications, and regional/national association membership participation
• Monitor state Medicaid duplicate discount prevention processes

Evaluation And Process Improvement:

• Annual performance reviews will be conducted along with goal setting
• Provide recommendations on process improvements

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:

• Bachelor’s Degree, or commensurate experience and/or training
• 5 years’ experience in 340B related operations
• Knowledge of the healthcare environment, electronic health records, and 340B program in general
• Experience presenting to management staff and C-suite leadership
• Previous experience as a compliance analyst, specialist, auditor, supply chain, or pharmacy/finance management team member.
• Proficiency with at least one split billing vendor/platform
• Possess in-depth understanding of contract pharmacy operations
• Reside near a major US International Airport
• 340B split billing internal audit experience
• Pharmaceutical purchasing/inventory experience
• Knowledge of state and federal laws and regulations related to 340B and associated billing practices

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

Job Location: 

• Remote office
• Travel expected at least twice monthly and possibly three times per month when there are five weeks in the month.