Spartanburg Regional Healthcare System

About Spartanburg Regional Healthcare System

 

Job Category:

SRHS Employee Pharmacy

Approximate Salary:

Not Specified

Position Type:

Full Time

Analyst- Pharmacy Reimbursement - Retail

Spartanburg Regional Healthcare System - Spartanburg, South Carolina

Posted: 08/9/2018

Position Summary

The Reimbursement & Compliance Analyst is responsible for:<?xml:namespace prefix = "o" ns = "urn:schemas-microsoft-com:office:office" />


340B Contract Pharmacy Coordination

Policy and Procedure Development

Education

Rules/Guidance Surveillance

Registration/Recertification

Self-Audits (including external contract pharmacy)

External Audits

Program Enhancement/Optimization

Reporting

Retail Pharmacy Reimbursement & Compliance

Third Party Claim Reconciliation and analysis

Third Party Contract Monitoring

Drug Profitability Analysis

Ryan White Program compliance & reporting

ADAP Program compliance & reporting

Minimum Requirements

Education: Bachelor's degree in healthcare, business, accounting, or related field

Experience Required: Data/Financial Analysis or Revenue Cycle experience required ; Requires 5-10 years full-time healthcare experience; MBA or MHA preferred; 340B experience preferred; Retail Pharmacy experience preferred; EPIC experience preferred; QS1 experience preferred; Project Management experience preferred; Highly proficient in Microsoft Office with an emphasis in Microsoft Excel; leading small groups to facilitate outcomes, communicating outcomes to hospital leadership, auditing for compliance, analyzing financial impact of a department/business unit, requires application of intermediate to advanced-level analytical skills to provide data-driven recommendations.

Required Licenses/ Registration/ Certifications

340 B University (must be completed within 1 year of hire)

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