Pharmacy 340B Analyst - Pharmacy- 1.0 FT - 8hrs days variable
Washington Hospital · Fremont, United States ·
- Employment
- Contract
Salary Range: $84,000 - $122,000.00
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
Job Description
Division: Pharmacy Department, Operations and Support Division
Job Title: Pharmacy 340B Analyst
Job Code:
Under the direction of the Director of Pharmacy, with day-to-day
Position Summary
direction from the Pharmacy 340B Program Coordinator, the Pharmacy
340B Analyst performs the data analysis, reconciliation, and reporting
that support daily operation of the 340B Drug Program. The Analyst
validates 340B accumulations, replenishment, and split-billing accuracy,
prepares compliance and savings reporting, supports internal and
external audits, and escalates identified compliance risks. This position
performs analysis and executes established processes; program policy,
vendor contracting, external commitments, and institutional compliance
authority remain with the Pharmacy 340B Program Coordinator and
pharmacy leadership.
Reports to: Director of Pharmacy (day-to-day direction from the
Pharmacy 340B Program Coordinator)
Statement of Accountability
Required Qualifications
Qualifications
• Education
1. California State Board of Pharmacy Technician Registration and
Pharmacy Technician National Certification, maintained in active
status and available for primary source verification.
2. Certification from Apexus 340B University course required within
6 months of hire; maintains current knowledge as Apexus and
HRSA guidance is updated.
3. Demonstrated ability to work accurately with large data sets in
Microsoft Excel, including pivot tables, lookup functions, and
reconciliation of data from multiple sources.
• Licensure
• Work Experience
• Skills/computer/ specific
technical
• Other qualifications,
miscellaneous
4. Completes hospital orientation, initial competency assessment,
and all required annual compliance education (including HIPAA,
workplace violence prevention, and safety) within required
timeframes.
Specify if qualifications are
required or preferred
Preferred Qualifications
5. Two (2) year degree or higher preferred.
6. One (1) year of experience in pharmacy operations, pharmacy
purchasing, revenue integrity, health system finance, or
healthcare data analysis preferred.
7. Working knowledge of 340B Drug Program requirements, split-
billing software, and contract pharmacy operations preferred.
8. Familiarity with wholesaler ordering platforms and
GPO/WAC/340B account structures preferred.
9. Critical thinking skills and the ability to identify issues, trends,
and exceptions in data and trace them to root cause.
10. Ability to organize work, meet recurring deadlines, and work
independently within established procedures in a rapidly
changing environment.
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
Essential Job Responsibilities
Achieving Results
1. Reviews daily 340B accumulation, replenishment, and order activity
in the split-billing system and resolves or escalates exceptions within
established timeframes.
2. Validates patient, provider, and location eligibility on 340B-identified
claims against the hospital’s established eligibility criteria and
documents the result of each review.
Key Components: assess,
plan, evaluate, demonstrate
initiative, quality of work,
productivity
3. Reconciles 340B purchases against accumulations to confirm that
quantities purchased are supported by qualifying dispenses, and
investigates variances to root cause.
4. Prepares recurring 340B savings, utilization, and compliance reports
for pharmacy leadership on a defined schedule.
5. Monitors contract pharmacy third-party administrator (TPA) reports
and dispensing activity and identifies discrepancies for follow-up.
6. Maintains documentation supporting each review, reconciliation, and
correction so that the program’s work is auditable.
7. Supports the Pharmacy 340B Program Coordinator in preparing
data and materials for the 340B oversight team and other
committees.
8. Escalates suspected diversion, duplicate discount, or eligibility
concerns to the Pharmacy 340B Program Coordinator and
pharmacy leadership promptly upon identification.
1. Uses the 340B split-billing software to review accumulations,
mappings, exclusions, and exception queues, and recommends
mapping corrections to the Pharmacy 340B Program Coordinator.
2. Analyzes NDC-level purchasing, dispensing, and billing data to
identify discrepancies and works with Revenue Integrity and
Pharmacy IT to research and resolve them.
3. Applies intermediate to advanced spreadsheet and data analysis
skills to reconcile purchase, dispense, and claims data drawn from
multiple systems.
Demonstrates Skill
Key Components:
competency, job knowledge,
organizational skills, analytical
skill, management of
information, employee &
patient safety
4. Supports maintenance of the hospital’s records in the 340B Office of
Pharmacy Affairs Information System (OPAIS), including preparing
child site and contract pharmacy information for review and
assembling documentation for annual recertification.
5. Executes established duplicate discount prevention procedures for
Medicaid, including applying carve-in/carve-out rules, billing
identifiers, and state-specific billing and modifier requirements,
including Medi-Cal.
6. Compiles and validates data supporting nonduplication between
340B and the Medicare Drug Price Negotiation Program, including
identifying claims for selected drugs and supporting reconciliation of
maximum fair price (MFP) refunds.
7. Prepares data sets required under manufacturer contract pharmacy
policies and, where the hospital elects to participate, for submission
to CMS or manufacturer platforms, subject to review and approval
by the Pharmacy 340B Program Coordinator.
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
8. Compares invoice pricing to published 340B ceiling prices, identifies
suspected overcharges, and prepares documentation supporting
credit or refund requests.
9. Monitors 340B inventory accumulation, replenishment, exclusions,
and shortages, and notifies the Pharmacy Buyer and Pharmacy
340B Program Coordinator when alternative products are needed.
10. Follows established standard operating procedures for the 340B
program and contract pharmacies, and recommends revisions when
a process does not work as intended.
11. Maintains working knowledge of wholesaler ordering platforms and
GPO/WAC/340B account structures and how purchasing decisions
affect program compliance.
12. Presents analysis clearly in writing and verbally, translating technical
findings into information that pharmacy, finance, and compliance
staff can act on.
13. Responds to routine requests regarding 340B data and activity,
referring policy interpretation and any external commitment to the
Pharmacy 340B Program Coordinator.
14. Maintains accuracy across multiple recurring deadlines in a
changing environment.
1. Plans and completes recurring reconciliation, reporting, and self-
audit tasks on schedule with limited supervision.
2. Performs self-audit sampling under the direction of the Pharmacy
340B Program Coordinator, covering patient and provider eligibility,
child site and contract pharmacy activity, and duplicate discount
prevention, and documents findings.
Planning & Coordinating
Key Components: delegates,
decision making, problem
solving, management of
resources
3. Assembles documentation, samples, and data extracts requested
during HRSA audits, manufacturer audits, and internal compliance
reviews.
4. Tracks corrective action items to completion and reports status to
the Pharmacy 340B Program Coordinator.
5. Coordinates with pharmacy, revenue integrity, finance, information
technology, and departmental staff to obtain the data required for
analysis.
6. Prepares audit findings, reports, graphs, and charts, and contributes
to presentations delivered to work groups and committees.
7. Prioritizes competing deadlines and escalates conflicts rather than
allowing compliance deliverables to lapse.
8. Works effectively with a variety of personnel with backgrounds
varied in education and skill sets.
9. Maintains organized, retrievable working files so that another staff
member can follow and reproduce the analysis.
10. Contributes to orientation and training of staff on 340B data
processes as requested.
1.
The Pharmacy 340B Analyst performs duties following established
work routines, constantly organizing his/her work within a
frequently busy environment.
Professionalism
Key Components:
dependability, interpersonal
skills, teamwork, patient first
ethic, customer service,
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
2.
3.
4.
The ability to constantly follow direction with high attention to detail
is critical and essential; accuracy in 340B data directly affects
program compliance and patient access to medications.
Exercises independent judgment within established procedures
and escalates matters requiring policy interpretation or decision to
the Pharmacy 340B Program Coordinator.
Must display appropriate interpersonal skills while working
productively and efficiently in a team atmosphere.
Patient confidentiality must be continuously observed.
Attention to detail and neatness is required continuously during the
everyday activities in which the Pharmacy 340B Analyst involves
his/her workday (evidenced by preciseness in task performance
and orderliness of the work area).
communication skills,
punctuality/attendance,
receptiveness to criticism,
judgment, confidentiality
5.
6.
7.
8.
Completes assigned routine work tasks while accommodating
urgent or time-sensitive requests.
Must be capable of applying new information immediately and
consistently.
9.
10.
11.
Be collaborative at all times.
Respect privacy and confidentiality at all times.
Demonstrates the values and behaviors of the organization.
1.
Identifies trends and exceptions in 340B data that indicate
opportunities for savings, improved capture, or compliance risk,
and recommends them to the Pharmacy 340B Program
Coordinator for evaluation.
Recommends refinements to reconciliation, mapping, and reporting
processes to improve accuracy and reduce manual effort.
Analyzes utilization of the split-billing system and other existing
software to identify underused functionality that would strengthen
compliance or capture.
Improving the Organization
Key Components:
performance improvement,
quality initiatives
2.
3.
4.
5.
6.
Prepares supporting data for evaluation of outpatient points of
service that may qualify for the 340B program.
Participates in departmental performance improvement activities.
Prepares and analyzes data.
Contributes 340B data, audit results, and corrective action
outcomes to the hospital’s performance improvement program (LD
12.01.01).
7.
8.
Participates in projects, councils, and special initiatives related to
340B, compliance, and medication management as assigned.
Supports implementation of approved process changes and
monitors results after implementation to confirm the intended
effect.
1.
Maintains working knowledge of 340B program rules and of
changes issued by HRSA/OPA, CMS, and Joint Commission that
affect the hospital’s 340B operations.
Completes Apexus 340B University within six months of hire and
maintains current knowledge as guidance is updated.
Maintains licensure/certification in active status and supplies
documentation required for primary source verification of
credentials (HR 11.01.03).
Self-Development
Key Components: maintain
license/certification, education
and training
2.
3.
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
4.
5.
6.
Completes competency assessment at orientation and at least
once every three years, or more frequently as determined by the
organization (HR 11.04.01, EP 1).
Participates in ongoing education and training necessary to
maintain or increase competence, including 340B program and
data analysis training (HR 11.03.01).
Attends and completes all required health and safety classes,
updates, and health screenings/testing (NPG Goal 12).
Seeks out opportunities to learn and apply best practices.
Must be able to demonstrate the knowledge and skills necessary to
provide service based on the physical, psycho/social, educational,
safety, and related criteria appropriate to the age of the patients
served in his/her assigned service area.
7.
8.
1.
2.
Demonstrates awareness of and compliance with regulatory
standards; i.e., 340B federal requirements (HRSA Office of
Pharmacy Affairs), CMS Conditions of Participation — including
Pharmaceutical Services (42 CFR §482.25), Joint Commission
Accreditation 360 standards and National Performance Goals
(NPGs), Title 22, HIPAA, and other service specific regulations.
Performs all work in a manner consistent with 340B program
integrity requirements under section 340B of the Public Health
Service Act (42 U.S.C. §256b), including the prohibitions on
diversion to ineligible individuals and on duplicate discounts and,
as applicable to the hospital’s covered entity type, the group
purchasing organization (GPO) prohibition and orphan drug
exclusion.
Regulatory Compliance
Key Components: Joint
Commission Accreditation 360
standards and National
Performance Goals (NPGs),
CMS Conditions of
Participation, Title 22, OIG,
HIPAA, State/Federal laws,
hospital policies
3.
4.
Supports compliance with Joint Commission Medication
Management requirements as they apply to 340B purchasing,
inventory, and storage records, including management of drugs
and biologicals in accordance with federal and state law (MM
11.01.01), the medication formulary (MM 12.01.01), and medication
storage, records and disposition (MM 13.01.01).
Handles 340B claims, split-billing, and reporting data consistent
with Information Management requirements for privacy,
confidentiality, security, and integrity of health information (IM
12.01.01 and IM 12.01.03), and uses only approved standardized
terminology, abbreviations, acronyms, symbols, and dose
designations (IM 13.01.01).
5.
6.
7.
Employees in this position have access to protected health
information (includes demographics, date of service,
insurance/billing, medical record summary information, and all
other information that may be contained in patient records).
Maintains auditable 340B records and working files sufficient to
demonstrate compliance to HRSA, manufacturers, and the
hospital’s compliance function throughout the applicable audit look-
back period.
Reports suspected noncompliance promptly through the Pharmacy
340B Program Coordinator or the hospital’s compliance reporting
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
channels, and does not independently resolve or dispose of
potential program integrity issues.
8.
9.
Knows and complies with all Hospital safety policies and
procedures as identified in the Hospital Safety Manual, Disaster
Preparedness Manual and the Employee Safety Handbook,
including Physical Environment (PE) requirements.
Completes workplace violence prevention training and reports
workplace violence events in accordance with hospital policy (NPG
02.04.01, EP 2), supporting the organization’s workplace and
patient safety goal (NPG Goal 11).
10.
11.
Knows and uses the right safety practices and equipment or
materials.
Takes immediate action and/or reports to supervisor or other
appropriate personnel any potential unsafe condition, practice or
hazard.
12.
Immediately reports every work related injury.
Prepared by:
Approved by:
Minh-Thu Dennen
Title: Director of Pharmacy
Date: 07/2026
7/28/2026
Title: Sr VP & Chief
Operating Officer
Date:
7/29/2026
Personnel Office Review:
Revised Date:
Date:
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111