Somerton, Arizona, United States · On-site
ESSENTIAL JOB DUTIES ➢Assists in developing tracking mechanisms for Sunset Health Pharmacy compliance programs ➢Assists pharmacy leadership with specialized computer hardware and software maintenance updates ➢Maintains S…
Skills: 340B Compliance, Pharmacy Auditing, HRSA Guidelines, Invoice Verification, TPA Management
Yuma, Arizona, United States · On-site
Handle incoming clinical tasks, phone calls, and in-person requests, reviewing clinical history and obtaining notes for provider when needed; ensuring correct payer, CPT, and ICD-10 codes are on referral requisition. All…
Skills: Referral Processing, Insurance Verification, CPT Coding, ICD-10 Coding, EHR Documentation
Yuma, Arizona, United States · On-site
Handle incoming clinical tasks, phone calls, and in-person requests, reviewing clinical history and obtaining notes for provider when needed; ensuring correct payer, CPT, and ICD-10 codes are on referral requisition. All…
Skills: Referral Processing, Insurance Verification, CPT Coding, ICD-10 Coding, Electronic Health Records
Somerton, Arizona, United States · On-site
Duties: Provision of services within the Standards of Practice as set forth in the American Dental Association (ADA) guidelines for the practice of dentistry. Responsible for accurate and confidential records in EDR. Res…
Skills: Dental Examination, Cavity Preparation, Tooth Extraction, Root Canal Therapy, Gingival Curettage
Yuma, Arizona, United States · On-site
Meets Physician Standards by: Providing professional medical services to patients during scheduled clinical session; maintaining a patient panel in line with Center standards; providing coordination of care and managing …
Skills: Pediatric Care, Patient Population Health Management, Clinical Supervision, Care Coordination, Patient-Centered Medical Home
Yuma, Arizona, United States · On-site
Handle incoming clinical tasks, phone calls, and in-person requests, reviewing clinical history and obtaining notes for provider when needed; ensuring correct payer, CPT, and ICD-10 codes are on referral requisition. All…
Skills: Referral Processing, Insurance Verification, CPT Coding, ICD-10 Coding, Electronic Health Records
Somerton, Arizona, United States • On-site
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The role focuses on maintaining 340B compliance programs and auditing contract pharmacy operations to ensure adherence to HRSA and federal regulations. Responsibilities include verifying prescription eligibility, managing TPA relationships, and supervising audit staff.
The candidate must be able to track drug wholesaler invoices and verify billing accuracy within the 340B program. Experience in pharmacy compliance and the ability to supervise other auditors is required.
ESSENTIAL JOB DUTIES
➢Assists in developing tracking mechanisms for Sunset Health Pharmacy compliance programs
➢Assists pharmacy leadership with specialized computer hardware and software maintenance updates
➢Maintains Sunset Health Pharmacy 340B compliance programs
➢Tracks and verifies drug wholesaler invoices for accuracy of product and 340b pricing.
➢Places orders for product obtained through the 340B contract pharmacy program.
➢Assists pharmacy leadership with compliance programs to ensure adherence to HRSA, 340B, and State and Federal Pharmacy rules and regulations.
➢Schedules and runs meetings with 34oB TPA managers and addresses any contract pharmacy
➢Verifies all captured prescriptions by TPA’s are eligible through 340B HRSA guidelines and Sunset Health’s policies and procedures
➢Verifies any prescription that is from an outside provider is eligible for 340B and captured by the TPA’s
➢Verifies with the billing department that payment from 340b contract pharmacy program has been received in a timely manner, and verifies billing is correct
➢Addresses any incorrect billing issues
➢Responsible for the training and supervision of 340B contract pharmacy auditor/referral tracker.
➢Other duties as assigned.
Your place for optimal health
Sunset Health is at the forefront of a collective effort to make Yuma County the healthiest county in the state. Our award-winning services, caring staff and innovative approaches makes us the health destination of choice.
Offices: 2060 W. 24TH STREET, YUMA, Arizona 85364, US
Your place for optimal health
Sunset Health is at the forefront of a collective effort to make Yuma County the healthiest county in the state. Our award-winning services, caring staff and innovative approaches makes us the health destination of choice.
Offices: 2060 W. 24TH STREET, YUMA, Arizona 85364, US
