Healthcare Business Analyst
Job Details
Experienced
The David Geffen Center - Los Angeles, CA
Full Time
4 Year Degree
Undisclosed
Up to 25%
Day
Other
Description

POSITION SUMMARY:

Responsible for financial and data analysis of APLA Health business activities, primarily supporting the compliance oversight for the 340B Drug Pricing Program. The Healthcare Business Analyst will compile data analytics, perform internal 340B program audits, and participate as appropriate on Risk & Compliance Subcommittee of the Quality, Compliance, Risk & Utilization Management Committee.

                                                                                                              

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Documents, reviews and updates policies and procedures to ensure effectiveness and compliance with state and federal regulations related to 340B.
  • Assures compliance with 340B Program requirements of qualified patients, drugs, providers, vendors, payers and locations.
  • Designs and maintains regular internal self-audits for the compliance of the 340B program; coordinates the annual 340B compliance audit of all contract pharmacies with independent auditors. Coordinates and ensures remediation of any self-audit or external audit findings.
  • Participates as appropriate as a member of the Risk & Compliance Subcommittee of the Quality, Compliance, Risk & Utilization Management Committee; reports on quarterly internal and annual external audit results, as well as HRSA audits as required.
  • Oversees the annual external audit of the 340B program, as well as potential HRSA audits.
  • Provides financial analysis and modeling of clinical operations as requested.
  • Designs and prepares financial and data reports, as directed and as independently determined, to assist with determination of compliance and profitability.
  • Identifies areas of analytical focus for the organization’s service delivery/performance and evaluation of potential areas of opportunity and risk.
  • Communicates operational impact of analytical findings/decision support.
  • Creates data sets, extracts and synthesizes data; conducts and interprets quantitative and qualitative analyses.
  • Develops knowledge and maintains awareness of current regulations, trends, and issues pertaining to federally qualified health centers.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

                                                                                                     

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

Qualifications

REQUIREMENTS:

Training and Experience:

  • Bachelor’s degree required; Finance or Business major or other similar major required.
  • MBA or MPH degree or three or more years of experience working in a highly regulated environment developing assessments, including corrective action planning, is required.
  • Experience in data and financial analysis and regulatory compliance is required.
  • Experience in healthcare and pharmacy industry/operations helpful.

 

Knowledge of:

  • 340B Drug Pricing Program and contract pharmacy operations.
  • Electronic health records and data reporting.
  • Strong Microsoft Excel skills.

 

Ability to:

  • Communicate effectively with providers, other staff, and outside vendors. Must be well-organized and detail-oriented.
  • Strong analytical and written communication skills in order to prepare complete and accurate program reports and records. The ability to analyze and interpret data is required.

 

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.

 

SPECIAL REQUIREMENTS:

Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.

 

Equal Opportunity Employer: minority/female/disability/veteran.  

Apply