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340B Pharmacy Analyst
Job
High Country Community Health
Connelly Springs, NC (In Person)
Full-Time
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Job Description
Nature of the
Position:
Under the supervision of the Director of Pharmacy, the 340B Pharmacy Analyst assists in maintaining compliance with operational oversight, compliance monitoring, and optimization of the 340B Drug Pricing Program for our Federally Qualified Health Center (FQHC). This position ensures program integrity across entity owned and contract pharmacy operations while supporting the organization's mission to improve patient access to affordable medications. The analyst serves as the primary lead for 340B compliance activities, contract pharmacy management, audit preparedness, and cross-department collaboration. This role works closely with pharmacy leadership, pharmacies, wholesalers, and third-party administrators (TPAs) to maintain full compliance with HRSA regulations and organizational policies. 340 Pharmacy Analyst duties include but are not limited to:- Monitor compliance of daily operations of the FQHC's 340B program across all eligible sites and pharmacy locations.
- Maintain compliance with all applicable HRSA, OPA, and Medicaid billing requirements.
- Monitor patient eligibility and ensure prescriptions meet 340B qualification standards.
- Maintain accurate records related to covered entity eligibility, child sites, Medicaid carve-in/carve-out status, and provider eligibility.
- Assist with annual HRSA recertification and ongoing maintenance of the
HRSA OPAIS
database.- Oversee TPA software operations and ensure accurate accumulations and replenishments.
- Perform routine reconciliation of: o Accumulator data o Virtual inventory o Wholesaler purchases o Dispensing records o Contract pharmacy claims
- Investigate and resolve inventory discrepancies, negative accumulations, and replenishment variances.
- Monitor compliance with
FQHC GPO
prohibition requirements.- Serve as liaison for contract pharmacy relationships.
- Monitor contract pharmacy performance, utilization trends, and compliance metrics.
- Review prescription capture reports, claims exceptions, and TPA reconciliation data.
- Assist with implementation, onboarding, and maintenance of contract pharmacy agreements.
- Conduct routine internal auditing and monitoring activities to identify: o Diversion risks o Duplicate discount risks o Ineligible provider usage o Ineligible patient utilization o Inventory inaccuracies
- Maintain audit-ready documentation and supporting records.
- Prepare for and support HRSA audits, manufacturer audits, and independent compliance reviews.
- Develop and implement corrective action plans when necessary.
- Assist with maintenance and updates for 340B policies and procedures.
- Generate 340B operational reports for monthly and quarterly metrics.
- Assist pharmacy leadership with identifying opportunities to improve program efficiency and patient access.
- Analyze utilization and reimbursement trends impacting 340B performance.
- Educate pharmacy staff, providers, billing personnel, and clinic staff regarding 340B requirements and workflow expectations.
- Serve as a member of the 340B Oversight Committee
- Remain current on changes to 340B regulations, manufacturer restrictions, and industry developments.