Wakemed Raleigh , NC 27611
Serving the community since 1961, WakeMed Health & Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest health system in Wake County, WakeMed exists to improve the health and well-being of our community by providing outstanding, compassionate, patient- and family-centered care to all.
The 919-bed system is accredited by The Joint Commission and designated Magnet by the American Nurses Credentialing Center.
WakeMed is a leader in cardiac and vascular care, women's and children's services, emergency medicine and trauma care, physical rehabilitation, orthopaedics and neurosciences. Specialty facilities include the WakeMed Heart Center, Children's Hospital, Rehabilitation Hospital, Adult and Children's Emergency Departments and a Level 1 Trauma Center.
WakeMed's team of more than 8,200 employees, 250 employed physicians, 1,500 volunteers, 1,200 affiliated physicians use the most advanced technologies along with the best minds and the biggest hearts to ensure the finest quality in health care and community health. For more information, visit www.wakemed.org.
The Financial Specialist, Sr. is responsible for oversight of and distribution of all 340B Program information to the 340B Executive Compliance Committee. The Specialist serves as the 340B Program health system content expert and is the primary liaison for all 340B-related matters.
Ensures the appropriate utilization of the 340B program and compliance with all program requirements/regulations as set forth by the Health Services and Resources Administration (HRSA) which includes cost analysis to identify and determine the preferred NDC for 340B and GPO pharmacy purchases. In addition, the specialist monitors and analyzes 340B accumulations related to drug purchases to minimize cost impact to the organization on a daily basis. Serves as the institutional compliance expert or authority on 340B regarding program details, policies, and procedures of the virtual inventory processes required for mixed-use areas.
Maintains the 340B split-billing software data and integrity. Understands pharmaceutical transactions and charging build in EPIC to assure correct pharmacy billing and revenue capture. Maintains expertise in Macrohelix, pharmacy?s wholesaler purchasing system, Crystal reports to ensure accurate information is available for 340B reporting.
Works with outpatient pharmacy management and the pharmacy informatics teams to ensure that the organization's clinical information system and contract pharmacy claims are coordinated and integrated into the 340B program. This includes the interfaces between the EMR and the virtual accumulator and any interfaces between the organization and contract pharmacy providers and/or administrators. Performs ongoing internal audits and review of applicable reports to ensure program integrity, compliance and to identify areas for improvement.
Coordinates all external audits by HRSA. Performs special projects for the 340B Executive Compliance Committee and Pharmacy Management Team as directed including cost analysis and determination for the Department?s non-labor cost saving initiatives. This position requires extensive work on various financial planning and analysis tasks to maximize 340B savings and non-labor savings, including but not limited to management reporting, budgeting and forecasting and business analysis. This position will also assist the pharmacy operational areas with developing and monitoring business performance indicators related to revenue, billing, 340B savings, and non-labor pharmacy initiative savings through general financial analysis and support.
2 Years Direct Position Experience Required
Bachelor's Degree Business Administration Or Finance Or Healthcare Management Or Health Administration Required
Hours of Work: 8am-4:30pm