Prism Health North Texas

Job 172325 - Compliance Specialist
Dallas, TX

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Job Details

Location: Dallas, TX
Employment Type: Full-Time
Salary: Competitive

Job Description

Prism Health North Texas is seeking a Compliance Specialist. Under the direction of the Compliance Officer, this position is responsible for supporting the ongoing management of the compliance program for the Agency by performing compliance auditing for the 340B Drug Discount Program and the billing and eligibility processes. This position upholds the Agency’s business ethics and quality expectations. Some job responsibilities include but are not limited to, assisting the Compliance Officer with developing the ongoing management of the Compliance Program, assisting with implementing and monitoring corrective action plans developed as a result of audit outcomes and risks assessments, reviewing incoming invoices to ensure all charges are billed to the proper payer source, assisting with the monthly eligibility verification audits, conducting monthly internal audits to verify adherence to the 340B program guidelines, analyzing statistical and financial data provided by 340B Program Administrators, and assisting the Compliance Officer with the annual Ryan White audits.

 

Requirements

A bachelor’s degree in Accounting, Business Administration, Health Care Management, Nursing or related field is required. Related experience may substitute for up to two years of college work. 3 years of experience working with compliance regulations in a business, professional or healthcare environment is required.

Preferred: A Master’s Degree in Accounting, Business Administration, Health Care Management, Nursing or related field is preferred along with 1 plus years of experience in Compliance case investigation.

The correct person for this position will have a high degree of accuracy, attention to detail, independence, and ability to identify areas that need improvement and seek solutions.

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