Internal Auditor - 340B Corporate Finance - FT - Days - MHS

Location:

Hollywood, 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 is responsible for surveillance and auditing of pharmacy processes, medication-related activities and applicable software-related transactions across 340B eligible areas within Memorial Healthcare System. Responsible for preparing responses to transaction audits, including audits by finance or payors, drug utilization audits, and review of ineligible 340B claims.

Responsibilities:

Completes additional responsibilities and projects as assigned.Maintains working knowledge of clinical and distribution work flow processes of pharmacies including procurement and use of split-billing/third party administrator software. Provides ongoing education of all team members involved in the procurement process to ensure proper operations and compliance.Monitors, reports, and analyzes 340B activities. Performs covered entity-specific data analysis and makes recommendations to improve program financial and compliance performance. Develops systems and processes to limit program liabilities and provides proper audits to identify risk. Identifies root causes of adverse trends, and makes recommendations to improve compliance and financial stability.Evaluates dispensations and/or claims eligibility for qualified and non-qualified patients in all 340B Universes, such as, but not limited to, hospital-based, mixed-use, contract pharmacies, clinics, and clean sites by reviewing electronic health records and/or pharmacy management systems.Assists with team efforts in developing solutions to difficult or complex situations identified during monthly audits conducted by 340B Internal Auditors. Ensures that 340B policy and procedures are always being met.Provides day-to-day maintenance of Memorial Healthcare System’s participation in the 340B Drug Discount program in order to ensure regulatory compliance and maximize program savings.

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)LEAN/Six Sigma Certification (LEAN) - The Council for Six Sigma (CSSC)

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.

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%
•  Laser/High Intensity Lights = 0%
•  Magnetic Fields = 0%