UW Medicine Pharmacy Services has an outstanding opportunity for a FULL-TIME AUDITOR - 340B DRUG PROGRAM. The 340B Drug Program Auditor will monitor and evaluate the controls for the 340B Drug Program for UW Medical Center and Harborview Medical Center. This position requires knowledge of 340B Program compliance, and the use and management of 340B software systems. The 340B Drug Program Auditor will help ensure that UWMC and HMC are compliant with state and federal regulations.
Duties & Responsibilities:
340B Drug Program audits:
Perform patient record audits to ensure patient eligibility for 340B medications.
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 documented in the EMR.
Responsible for the integrity of the 340B process, including: ordering of the drugs from the wholesaler and receipt within the various pharmacies, distribution to the various clinical and patient care areas, and verification of administration and/or wastage.
Monitor ordering processes, and analyze invoices, shipping, and inventory processes related to 340B drugs. Continuously monitor the process for changes and modify controls appropriately in response.
Pharmacy compliance monitoring:
Implement and maintain pharmacy compliance auditing and monitoring for the 340B drug pricing program.
Monitor indicators and respond to correct deficiencies and improve systems and processes.
Monitor for and follow-up on any identified variances or discrepancies.
Address compliance issues as identified.
Ensure adherence to organizational policies, procedures, and regulatory requirements.
Monitor and audit compliance in-house and third-party systems.
Make recommendations on process improvements to ensure 340B compliance.
Review OPA database on a regular basis to ensure child site list is accurate based on the Medicare Cost Report.
Maintain knowledge of changing rules and regulations.
Perform audits and resolution, if necessary, to ensure the integrity of the 340B contract pharmacy program.
Maintain auditable records and appropriate follow-up for each claim reviewed.
Verify dispense quantities and reversals are accumulated correctly, and purchases are accurate for the contract pharmacy programs.
Evaluation and process improvement:
Participate in the development, implementation, and evaluation of policies and procedures for UWMC/HMC 340B Drug Pricing Program.
With the Pharmacy Administrative staff, evaluate new technologies and software to improve and expand 340B program and inventory systems.
Modify controls in third-party software, policies, and training appropriately to adapt to improvements.
Develop and test control processes for the 340B program to meet or exceed best practice.
340B compliance training:
Perform 340B drug pricing program compliance education and training of new and existing pharmacy staff.
Knowledge of the healthcare environment and electronic medical records.
Knowledge of the 340B Compliance Program.
Previous experience as a compliance analyst, auditor, or Pharmacy compliance team leader.
Education and/or experience in development and implementation of compliance programs.
Bachelor's degree in Business or Healthcare-related field
Current Washington State Pharmacy Assistant or Pharmacy Technician License
2 years of Pharmacy experience.
Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.CONDITION OF EMPLOYMENT: UW Medicine is committed to being a drug-free workplace. We require a pre-employment drug screen. The use of marijuana for medical purposes accompanied by a prescription, even if permitted by state law, will not be considered acceptable for purposes of explaining a positive lab test result for marijuana.
Internal Number: 170424
About UW Medicine Pharmacy Services
The mission of University of Washington Medicine is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. UW Medicine owns or operates the following: Harborview Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Medical Center, a network of UW Medicine Neighborhood Clinics that provide primary care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated, or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Children’s University Medical Group and Seattle Cancer Care Alliance a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Children’s.
The UW is proud to be one of the nation’s premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity,... community involvement, intellectual excitement, artistic pursuits, and natural beauty. As an employee you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, please visit https://tinyurl.com/y5frur89.