Job Description
Location: Fort Lauderdale, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: The Corporate Finance 340B Internal Auditor provides day-to-day maintenance of Memorial Healthcare System’s participation in the 340B drug discount program to ensure regulatory compliance and inventory management to maximize program savings. This includes surveillance and auditing of pharmacy processes, medication-related activities, and applicable software-related transactions across 340B eligible areas. Responsibilities: Provides and develops ongoing training of all team members involved in the 340B program administration, including procurement processes, to ensure compliant operations.Maintains 340B software integrity, including updates. Reviews applicable reports to identify ineligible claims, 340B compliance issues, adverse trends, and areas to improve capture rate.Completes additional responsibilities and projects assigned.Maintains working knowledge of pharmacy operations including procurement and use of third-party administrator software.Utilizes audit tools, including data and analytics, to properly identify audit findings to improve program financial and compliance performance. Escalates identified issues as they arise during the monitoring, auditing, and reconciliation process.Assists with team efforts in developing solutions for difficult or complex situations identified during monthly audits.Works with stakeholders to provide data analyses, report issues, mitigate findings, and facilitate productive exchange of information to achieve and sustain program compliance. Follows up on progress, integration, and completion of action plans as necessary.Performs pharmacy claim documentation audits to ensure compliance and adherence to established programs, regulations, policies and procedures, and at-risk transactions (including qualified and non-qualified patients) on a routine basis as established by a department lead.Stays up to date with 340B best practices and program changes.Integrates information from pharmacy operating systems, including applicable platforms, and incorporates such information into auditable and compliant processes. Competencies: ACCOUNTABILITY, ACCURACY, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, DEVELOPING RELATIONSHIPS, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, THIRD PARTY AUDITS Education and Certification Requirements: High School Diploma or Equivalent (Required) Additional Job Information: Complexity of Work: Requires initiative, critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work demonstrate a resilient and can do attitude. Be able to respond to change positively. Required Work Experience: Five (5) years of experience in a pharmacy setting, hospital administration, finance, and/or related field. Pharmacy experience preferred. Working Conditions and Physical Requirements: Bending and Stooping = 80% Climbing = 60% Keyboard Entry = 80% Kneeling = 60% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 80% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 80% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 80% Pushing or Pulling 26 - 75 lbs Non-Patient = 80% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 80% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 80% Running = 40% Sitting = 80% Squatting = 60% Standing = 80% Walking = 80% Audible Speech = 80% Hearing Acuity = 80% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 80% Distinguish Color = 80% Seeing - Far = 80% Seeing - Near = 80% Bio hazardous Waste = 40% Biological Hazards - Respiratory = 40% Biological Hazards - Skin or Ingestion = 40% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 40% Asbestos = 0% Cytotoxic Chemicals = 60% Dust = 60% Gas/Vapors/Fumes = 60% Hazardous Chemicals = 0% Hazardous Medication = 60% Latex = 40% Computer Monitor = 80% Domestic Animals = 40% Extreme Heat/Cold = 0% Fire Risk = 40% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% L