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Internal Auditor - 340B Pharmacy: Corporate Finance

Company: Memorial Healthcare System
Location: Hollywood
Posted on: September 5, 2020

Job Description:

Job Description: Summary: The 340B Internal Auditor is responsible for auditing the 340B Program across eligible areas within Memorial Healthcare System. This includes an eligibility review of patients and review of all purchases and payments to ensure 340B compliance. This role is also responsible for maintenance of the 340B splitting software. Detailed responsibilities: --- Maintain 340B splitting software integrity and review applicable reports to identify areas for improvements. Perform all necessary updates to split billing software (i.e. Mapping, HCPCS codes etc.). Integrates applicable information from the pharmacy charge master system and wholesaler/distributor platforms into the 340B split-billing computer system and incorporates that information into auditable and compliant processes. --- Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy. --- Perform audits ensuring adherence to 340B Program regulations on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process. --- Develop and foster working relationships with internal working counterparts (IT, Compliance, Revenue & Reimbursement, Finance, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within the organization. Competencies and skills: Essential: --- STANDARDS OF BEHAVIOR: Acts in a manner that supports the standards of communication, respect, privacy, and teamwork by demonstrating a commitment to professional and ethical conduct. --- CUSTOMER SERVICE: Demonstrates commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image and behavior to build and enhance the patient/family/customer experience. --- ACCOUNTABILITY: Accepts ownership of job roles and specific assignments/goals; works independently, takes responsibility for own actions; admits mistakes and judgment errors; and accepts constructive feedback. Connects personal work results to the accomplishment of team and organizational goals. --- RESPONDING TO CHANGE: Accepts change and adapts in a positive and productive manner; handles unexpected situations and changes in direction calmly and with confidence. Views new assignments and job responsibilities as an opportunity for growth. Education: Essential: --- Associates Credentials: Essential: --- Certified Pharmacy Technician Other information: Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Required Work Experience: 5 years hospital and/or retail pharmacy experience. Working conditions: Essential: --- Bending and Stooping 80.00% --- Climbing 60.00% --- Keyboard Entry 80.00% --- Kneeling 60.00% --- Lifting or Carrying 0 - 25 lbs Non-Patient 80.00% --- Lifting or Carrying 25.01 lbs - 75 lbs Non-Patient 80.00% --- Pushing or Pulling 0 - 25 lbs Non-Patient 80.00% --- Pushing or Pulling 26 - 75 lbs Non-Patient 80.00% --- Reaching 80.00% --- Repetitive Movement Hand/Arm 80.00% --- Running 40.00% --- Sitting 80.00% --- Squatting 60.00% --- Standing 80.00% --- Walking 80.00% --- Audible Speech 80.00% --- Hearing Acuity 80.00% --- Depth Perception 80.00% --- Distinguish Color 80.00% --- Seeing - Far 80.00% --- Seeing - Near 80.00% --- Bio hazardous Waste 40.00% --- Biological Hazards - Respiratory 40.00% --- Biological Hazards - Skin or Ingestion 40.00% --- Communicable Diseases and/or Pathogens 40.00% --- Cytotoxic Chemicals 60.00% --- Dust 60.00% --- Gas/Vapors/Fumes 60.00% --- Hazardous Medication 60.00% --- Latex 40.00% --- Computer Monitor 80.00% --- Domestic Animals 40.00% --- Fire Risk 40.00% --- Moving Mechanical Parts 80.00% --- Needles/Sharp Objects 80.00% --- Potential Electric Shock 40.00% --- Potential for Physical Assault 40.00% --- Radiation 60.00% --- Wet or Slippery Surfaces 60.00% Organizational Profile: Since its inception in 1953, Memorial Healthcare System has been a leader in providing high-quality healthcare services to South Florida residents. Today, it is one of the largest public healthcare systems in the nation with over 14,000 team members and highly regarded for its exceptional patient- and family-centered care. Memorial's patient, physician and employee satisfaction rates are some of the most admired in the country, and the system is recognized as a national leader in quality healthcare. Memorial has a reputation as one of Florida's leading healthcare systems and is supported by a distinguished medical staff. In fact, the vast majority of physicians are board certified or

Keywords: Memorial Healthcare System, Hollywood , Internal Auditor - 340B Pharmacy: Corporate Finance, Other , Hollywood, Florida

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