About City of Hope
City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.
Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope's translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope's specialized cancer expertise.
A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation's "Best Hospitals" in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.City of Hope's commitment to Diversity, Equity and Inclusion
We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds and perspectives; this is reflected in our work and represented in our people.Position Summary
The 340 B program analyst will provide support to all activities related to the program including purchasing, training, audits, and other program support as needed. The analyst will ensure that the program meets program regulatory requirements including but not limited to HRSA. The analyst will plan and execute comprehensive program audits and provide reports to the 340B leadership for appropriate corrective actions. Key Responsibilities include:Policy and Procedure
- Keep up to date with all 340B policies and procedures.
- Update the enterprise polices to reflect any changes that can impact the program
- Complete annual 340B continuing education or competency requirement.
- Expand professional development through classes, conferences, or certifications.
- Provide accurate information/education to staff regarding policies and procedures related to inventorymanagement and 340B procedures.
- Be involved in all 340B Program audits.
- Perform monitoring daily; may involve presenting and resolving reconciliation issues as they arise duringthe monitoring and reconciliation process.
- Perform 100% claims eligibility monitoring for contract pharmacies.
- Perform monthly self-audits of 340B pharmacy operations.
- Perform monthly claims eligibility monitoring for hospital and retail settings.
- Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
- Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discountviolations.
- Using Excel or a comparable data management program, filter out non-eligible transactions, including,but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs providedfree by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligibleproviders.
- Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics byreviewing patient medical records, insurance plans, and, if applicable, hospital status.
- Ensure that facilities maintain adherence to 340B Program regulations and guidelines.
- Develop and foster working relationships with internal working counterparts (IT, internal audit, patientfinancial services, accounting, and others) to facilitate productive exchanges of information to improveprogram efficiency and promote program compliance. Provide data, information, and reports as neededfor other business units within the organization.
- Develop a thorough understanding of the pharmacy Electronic Health Record (EHR) build andconfiguration.
- Understand 340B EHR build and logic and ensure alignment with workflow.
- Be able to troubleshoot errors and issues related to 340B EHR build.
- Submit tickets and coordinate with various stakeholders to resolve issues.
- Address any impact analysis/fix required.
- Perform scheduled 340B cost updates in the EHR.
- Maintain and update med lists in the EHR based on actual inventory.
- Manage barcode validation for capturing proper NDC values.
- Maintain accurate drug classifications in the EHR for exclusion or inclusion in the 340B Program.
- Assist in setting up EDI feeds for all data needed for reports, dashboards, or DataMart.
- Assist in running or developing reports that can be used to monitor or feed into a database or vendorprogram.
- Coordinate re-runs of failed reports and request impact analysis.
- Maintain copies of reports for compliance and audit purposes.
- Use provided tools to monitor prescription data, patient data, hospital data, and payer data. Summarizeand report results to the appropriate individuals.
- Monitor, report, and analyze contract pharmacy 340B activities.
Basic education, experience and skills required for consideration:Minimum Education:
- Monitor ordering processes, ensuring 340B compliance with appropriate 340B, GPO, WAC purchasing.
- Research missing invoices.
- Upload manual invoices to split billing/third party administrator.
- Assist with credit/rebills to facilitate 340B purchasing compliance.
- Split-Billing or Third-Party Administrator Duties
- Develop a thorough understanding of the split-billing/third party administrator systems and the functionsto be performed.
- Perform daily monitoring of unmatched utilizations, unmatched purchases, gap analysis, and BUPPvariance reviews.
- Monitor daily 340B key elements in split-billing/third party administrator
- Educate others involved in the purchasing process to ensure proper operation and compliance.
- Provide each buyer with information needed to place orders using the appropriate accounts (e.g., WAC,
- GPO, and 340B and non-340B) to replenish inventory in the mixed-use inventory setting.
- Coordinate purchasing for dual or multiple split inventories within pharmacies.
- High School or equivalent.
- 3 years performing 340B related duties in a hospital.
- Valid CA Pharmacy Technician License
- Post High School Vocational/Specialized Trainingor graduation from a foreign School of Pharmacy
- 340B ACE Certification
- Experience in operational hospital setting and contract pharmacies.
- As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.
- Full Time
City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.