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Worker Type: Regular
Job Summary: Development and execution of the operational activities of the 340B Center of Excellence functional areas.
Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES
- Performs recurring internal audits and oversight of 340B contract pharmacy programs, inpatient pharmacy programs, child sites and entity-owned pharmacies.
- Supports for implementation of new child sites, shipping addresses and/or contract pharmacies.
- Assists with Office of Pharmacy Affairs (OPA) database changes and updates.
- Monitors and audits state Medicaid claims to ensure compliance.
- Reconciles contract pharmacy payments against revenue posted by Finance.
- Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR).
- Develops and updates 340B Program reporting packets for SSM ministries.
- Reviews ordering, negative and positive accumulations and unmapped items in third-party administrator's (TPA) portal.
- Ensures compliant setup for secondary suppliers and wholesaler accounts.
- Performs other duties as assigned.
EDUCATION
- Bachelor's degree or equivalent combination of experience and education
EXPERIENCE
PHYSICAL REQUIREMENTS
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
- Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin
- Advanced 340B Operations Certificate within 18-months of hire date - Apexus
Work Shift: Day Shift (United States of America)
Job Type: Employee
Department: 8763000033 340B_Center_of_Excellence
Scheduled Weekly Hours: 40
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,pregnancy, veteran status
, or any other characteristic protected by applicable law. Click here to learn more.