Compliance Analyst - Peoria, United States - Heartland Community Health Clinic

Heartland Community Health Clinic Peoria, United States

Found in: Lensa US 4 C2 - 5 days ago

Description

Position Summary

The 340B Compliance Analyst position is responsible for auditing, analyzing, and coordinating activities for the Finance and Clinical departments as it relates to compliance and program optimization initiatives. This includes auditing patient records and collaborating with various departments to facilitate productive exchanges of information which improve program efficiency and promote program compliance, in accordance with the Heartland Health Services' (HHS) mission, strategic goals, federal and state laws and regulations, performance and outcome objectives, and accreditation standards.

Essential Functions

Performs 340B internal audits to ensure compliance with 340B program requirements and act as staff lead during all external audits and site visits.
Develops and fosters working relationships with external and internal working counterparts (Contracted pharmacies, TPA's, Information Systems, Compliance, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance.
Performs monthly and quarterly program audits and reports to the organization's 340B Leadership team.
Continues to build knowledge of the 340B program, health care, and pharmaceutical industry and use that knowledge to continually assess opportunities for cost savings and system improvements to yield higher compliance.
Administers the organization's patient pharmaceutical assistance program and pharmaceutical samples program.
Performs various general duties: maintain inventory control, foster patient outreach and enrollment, and maintain all departmental policies and procedures.
Supports clinic compliance with all applicable federal, state, local, and HHS rules, regulations, protocols, and procedures governing the clinical provision of medical services as well as those relating to, but not limited to, workplace safety, public health, and confidentiality.
Supports and is involved in HHS's continuous quality improvement efforts designed to improve patient outcomes.
Works in consultation with clinical teams, direct clinical support staff, and indirect clinical support staff to develop and implement policies and procedures that maximize patient-centered communication and services.
Maintains and assures confidentiality of patient information in accordance with HHS's policies.
Reports building/equipment problems through the appropriate channels.
Performs any clerical duty or department related task as assigned by supervisor in a continuously changing medical practice.
Attends all staff meetings, department meetings, and any other meetings as required.

Requirements

High school diploma or equivalent; 1-2 year of experience in health care required
Pharmacy Tech license preferred
Medication prior authorization experience preferred
Strong verbal and written communication skills
Solid analytical, problem solving, and organizational skills
Ability to work independently and as part of a team
Ability to travel to various sites when needed
Proficient computer skills and experience with Microsoft Word, Excel, Power Point, and Outlook
Electronic Medical Record (EMR) experience preferred

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