Johnson, Mirmiran & Thompson Inc, Sparks

Pharmacy Business & Analytics Coordinator

Pharmaceuticals & Biotech
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • BS in Pharmacy required
  • 3+ years of experience in related field
  • 340B Apexus Certified Expert (340B ACE) Certification within six months of hire
  • NYS Pharmacist License required
  • Strong Microsoft Excel skills; experience in Tableau and Power BI preferred

Responsibilities

  • Monitor and manage TPA split-billing software for compliance and revenue optimization
  • Investigate and resolve pricing discrepancies with drug wholesalers
  • Perform quality assurance on billing before and after price uploads
  • Support pharmacy applications and assist in system maintenance
  • Prepare system-generated reports for pharmacy operations

Benefits

  • Comprehensive benefits and wellness package
  • Generous time-off program
  • Access to employee resource groups for peer support
  • Holistic employee wellness program focusing on various health aspects
  • Support for career development and family planning
Full Job Description
Position Summary:
We have an exciting opportunity to join our team as a Pharmacy Business & Analytics Coordinator.

In this role, the successful candidate As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator
(TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue. Of
paramount focus will be responsibly monitoring for diversion and 340B, GPO, and WAC pricing integrity. Manages
formulary matrix performance reporting and responds to alerts to perform drug mapping, execute on penny buys, and
maintain processes for revenue-integrity analytics. Other key areas of focus include conversion factor maintenance, file
extractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPO
Prohibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventory
maintenance and monitoring. Additionally, this position will assist with the monitoring and management of contract
pharmacy operations, writing PBA/340B policies and procedures, education and training, and Office of Pharmacy Affairs
Information System (OPAIS) ongoing maintenance.

Job Responsibilities:

Maintain pharmacy acquisition, WAC and 340B costs and assists in charge configuration reviews with revenue cycle and Willow teams. This will require routine consult with the pharmacy purchasing staff and the pharmacy drug wholesaler to ensure accurate pricing and purchase unit configuration in all related electronic billing systems. Investigates and resolves 340B, GPO, and WAC pricing discrepancies with drug wholesalers and further pursues resolution with other resources as necessary. Ensure compliance with all regulatory standards for 340B Program. Monitors for potential drug supply chain issues, wastage and shrinkage, revenue integrity, billing, and mismatches between clinical and financial charge databases. Utilizes the TPA to identify and optimize revenue opportunities by executing orders for Penny Buys (340B). Performs billing quality assurance (QA) before and after price uploads, as well as when new medications are approved by the Pharmacy and Therapeutics Committee (P&T). Assists and supports pharmacy drug file maintenance. Supports related pharmacy applications (Electronic Health Record, automation technology, etc.) including, but not limited to, system upgrade and maintenance, which may require working during off hours. Prepares system generated report to support pharmacy operations and is available for system troubleshooting and downtimes. Supports the auditing process required for program compliance and reporting. Assists and supports employee training for systems utilization and adaptation. Supports a non-punitive reporting approach when medication variances are identified as due to an individual/group involvement. Provides tools and coaching sessions, when necessary, to establish an environment for improvement. Act as a liaison to the TPA, other vendors, consultants, and pharmacy. Attend meetings as required. Serves as a member of the pharmacy departments leadership team. Supports an environment dedicated to the safety of our patients and staff and facilitate a perpetual efficiency-improvement process in the medication-use physical environment. Precepts pharmacy students and residents if so assigned. Collaborates with Risk Management, Compliance, and QA Departments as necessary. Supports other pharmacy functions as needed. Participates in scholarly/professional activities.

Minimum Qualifications:
To qualify you must have a BS in Pharmacy 3+ years of experience 340B Apexus Certified Expert (340B ACE) Certification within six months of hire
NYS Pharmacist License Required.

Required Licenses: Pharmacist License-NYS

Preferred Qualifications:
Doctor of Pharmacy (Pharm.D.) 340B ACE Certification. Pharmacy IT experience Informatics degree or certificate
Strong Microsoft Excel skills with experience in Tableau, Power BI, and other data analytic/visualization platforms Prior
experience with implementation of Epic Knowledge of Six Sigma

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $84,577.92 - $145,897.01 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

About Johnson, Mirmiran & Thompson Inc, Sparks

Johnson, Mirmiran & Thompson, Inc. (JMT) is an engineering and architecture firm that provides a range of services, including transportation planning and design, environmental engineering, construction management, and surveying. The company serves clients in the transportation, environmental, and construction industries, as well as government agencies and municipalities. JMT is headquartered in Sparks, Maryland, and has offices throughout the United States. The company was founded in 1971 and has grown to become one of the largest engineering firms in the country. JMT is committed to sustainability and has implemented a number of initiatives to reduce its environmental impact, including the use of renewable energy sources and the implementation of green building practices.
Learn more about Johnson, Mirmiran & Thompson Inc, Sparks
Size
1,500 employees
Industry
Founded
1971

Similar Jobs

More Jobs at Johnson, Mirmiran & Thompson Inc, Sparks

More Pharmaceuticals & Biotech Jobs

Find similar Pharmacy Business & Analytics Coordinator jobs: