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MO-REMOTE
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 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.
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