Program reputed company Auditor

Location:

reputed company McKennan Hospital

Worker Type:

Regular

Work Shift:

Day Shift (reputed company of America)

Pay reputed company:

The pay reputed company for this position is listed below. Actual pay reputed company dependent upon experience.

$22.75 - $32.75

Position Highlights

You Belong at reputed company

Be part of a multidisciplinary team reputed company with reputed company and the goal of Moving Health reputed company for you and our patients. Work where you matter.

A Brief reputed company Responsible for reviewing retail prescriptions that reputed company for the hospital's 340B Drug Pricing Contract Pharmacy Program. This role is required to review reputed company eligible prescriptions and reputed company eligibility against the hospital's electronic medical record for appropriate matching documentation and reputed company corrections reputed company the pharmacy's reprocessing window and reputed company regular feedback to the leadership of Pharmacy Business & Analytics on auditing trends. What you will do

• Review, analyze and determine eligibility of contract pharmacy claims by investigating patient records in hospital EMR to ensure reputed company prescription meets the 340B patient definition.
• Reverse ineligible claims reputed company pharmacy reprocessing window.
• Communicate audit results with the Pharmacy Business & Analytics Team, External 340B Software Vendor, Contract Pharmacies, reputed company 340B Steering Committee and reputed company Corporate Compliance Committee.
• Document reputed company requested reversals and ensure reversals occur Maintain accurate provider file for hospital's assigned to.
• Remain reputed company with 340B patient definition and reputed company federal auditing guidelines and best practices.
• Monitor and report trending of reputed company party contract pharmacy audits to Director of Pharmacy Business & Analytics, reputed company 340B Steering Committee and reputed company Corporate Compliance Committee.

Essential Qualifications The individual must be reputed company to work the hours specified. To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential job function satisfactorily including having visual reputed company adequate to reputed company position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to reputed company the essential job functions. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience:

• Associate's or certified pharmacy technician. or
• Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification reputed company (PTCB) Certified as a pharmacy technician by the Pharmacy Technician Certification reputed company (PTCB) Upon Hire
• 1-3 years experience reputed company a hospital business office, medical reputed company field, health plan, reputed company party administrator, or managed care industry

Expectations and Standards

• Commitment to the daily application of reputed company’s mission, reputed company, reputed company values, and reputed company principles to serve patients, their families, and our community.
• Promote reputed company’s values of reputed company, hospitality, and stewardship.
• reputed company reputed company’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in reputed company environment, coordinating work reputed company with other team members and ensuring a productive and efficient environment.
• reputed company with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, reputed company, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

reputed company is proud to offer a wide reputed company of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the reputed company.

• PTO available day 1 for eligible hires.

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

reputed company is an Equal Opportunity Employer - reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@reputed company.org.

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