Compliance and 340B Analyst (Hybrid)

Join the Erie team! Motivated by the belief that healthcare is a human right, we provide high quality affordable care to support healthier people, families, and communities. Erie delivers holistic care to help every member of the family stay healthy and active from infancy through adulthood. Since 1957, we have provided high-quality care to diverse patients most in need, regardless of their insurance status, immigration status, or ability to pay.

Erie Family Health Centers, a nationally recognized top workplace with 14 sites in Chicago and suburbs, is looking for a valuable addition to our Credentialing team! The Compliance and 340B Analyst will have two distinct sets of responsibilities that both require a similar skill set. The individual will work with the Sr. Director of Compliance and Risk Management in executing the HHS OIG 7 elements of an effective compliance program. This individual will support health center staff to achieve and sustain compliance with regulatory standards including 340B, HRSA, FTCA, CMS, and other outside stakeholders. The second set of responsibilities focuses on administrative and analytics support of Erie's 340B Pharmacy Program. Under the leadership of the Senior Pharmacy Business Data Analyst, this individual will be responsible for preparing and processing significant data sets with outside vendors, ensuring accuracy of internal and external data for audit and analytic purposes, and reporting and analysis to support the 340B program.

At Erie, we are proud to provide competitive salaries, high-quality health care plans, generous time off benefits, retirement benefits, and more! Erie employees are eligible for Erie's Full Benefits Package that includes Medical, Dental, Vision, Life and Disability Insurance and Flexible Spending (FSA) for Health Care or Childcare. Retirement Programs: 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee's biweekly salary. Annual Paid Time Off: starting at 20 days of PTO, and 8 paid holidays. Competitive salary, annual merit increases, plus room for growth and career advancement.

• Compensation is based on each candidate's experience, skills and education within the range identified for the role. Candidates who meet the minimum requirements of the role will start at entry in the range. Any additional skills, experience and education will be reflected in the compensation offered.

Main Duties & Responsibilities

Compliance (50%)

• Provide support around compliance, risk, and privacy for all of Erie.

• Facilitate annual compliance training.

• Training compliance reporting and follow-up

• Stakeholder reporting for compliance training attestation

• Audit training plans for learner enrollment and module assignment.

• Policy, procedures, and other document management

• Maintain policies and other documents in the document management system.

• Facilitate timely review, updates, and approval of policies and other compliance documents.

• Support scheduling and review process of policies to go before the board of directors.

• Audit management

• Promote awareness of reporting any outside audit, site visit, or data request to compliance.

• Tracking and reporting of audits, site visits, and outside data requests

• Provide support as needed for audits, site visits, and outside data requests.

340B (50%)

• Prepare 340B pharmacy dispense data for upload to external vendors (340B ESP, Truzo, Beacon, etc.) and upload data on a timely basis. If any claims are flagged as non-conforming or the integrity of the file is questionable, promptly report any issues to the Senior Pharmacy Business Data Analyst.
• Follow a frequently evolving standard operating procedure (SOP) for data submission. Always follow the most up-to-date data gathering and submission instructions. Where possible, contribute to the team's ongoing monitoring of changes to vendor and manufacturer rules.
• Track claims data from submission reports to rebate submission files, and ultimately to whether a 340B rebate is received or denied.

Education and Experience

Required:

• High school diploma or equivalent, with four (4) years of experience in healthcare compliance, privacy, security, finance, QI, and/or risk management required; OR
• Associate degree or two years of college, with two (2) years of experience in healthcare compliance, privacy, security, finance, QI, and/or risk management required; OR
• Bachelor's degree from a 4-year accredited college or university with one (1) year of experience in healthcare compliance, privacy, security, finance, QI, and/or risk management required.

Skills and Knowledge

Required:

• Knowledge and understanding of systems within a community health care setting.
• Ability to learn new systems (document management, learning management, stakeholder portals, Office 365 applications, and more).
• Ability to follow established procedures, protocols, and system instructions.
• Intermediate use of Microsoft Excel
• Unfailing ability to plan and meet deadlines.
• Comfortable navigating multiple online portals (TPAs, wholesalers, 340B ESP, Truzo, Beacon, learning management system, document management system, etc.)
• Competence in document preparation using Microsoft Word, data collection using Microsoft Excel and competence in using Microsoft PowerPoint for presentations.

The Erie Advantage Pledge

WORKING TOGETHER FOR WHAT MATTERS MOST

Erie makes a pledge that all current and future employees can feel confident that:

• Our mission, vision, and values unite us.
• Our voices matter.
• We do things well.
• Our inclusive culture promotes balance and belonging.
• We find our career sweet spot at Erie.