340B Expert in ESP

Looking for an EXPERT in 340B /ESP.

ESP SUBMISSIONS ADMINISTRATOR

Major 340B Company seeking individual with 5 years knowledge.

Apexus certified a plus

Resumes to dot@engagestaff.com

340B ESP Submissions Administrator

Position Summary

We are seeking a detail-oriented, full-time 340B ESP Submissions Administrator to join our team. This remote position is responsible for managing the preparation, validation, and submission of prescription claims through the 340B ESP platform to support manufacturer compliance requirements and maximize 340B program savings for our clients.

The ideal candidate will ensure the accuracy and integrity of submission data by reviewing claim eligibility, validating prescription and dispensing information, researching discrepancies, and resolving claim exceptions. This role works closely with covered entities, third-party administrators (TPAs), pharmacies, manufacturers, and internal stakeholders to facilitate timely and accurate submissions while maintaining compliance with 340B program requirements and audit standards.

Location: Remote (Candidates must reside in Louisiana)

Key Responsibilities

• Prepare, validate, and submit prescription and dispensing data through the 340B ESP platform in accordance with manufacturer requirements and submission deadlines.
• Review claim eligibility and validate data to ensure completeness, accuracy, and compliance with 340B ESP submission standards.
• Research, analyze, and resolve rejected, unmatched, or exception claims by identifying root causes and implementing corrective actions.
• Coordinate with manufacturers, TPAs, pharmacies, covered entities, and internal teams to address submission requirements, data issues, and operational questions.
• Monitor ESP submission outcomes, accumulation reports, and claim statuses to maximize eligible 340B savings and manufacturer accumulations.
• Maintain accurate records, supporting documentation, and audit trails to ensure compliance with 340B program requirements and organizational policies.
• Analyze submission trends, identify recurring issues, and recommend process improvements to enhance operational efficiency and program performance.
• Stay current on manufacturer restrictions, ESP platform updates, evolving 340B guidance, and applicable regulatory requirements.
• Assist with internal reporting, reconciliation activities, and special projects related to 340B ESP operations and manufacturer compliance initiatives.
• Support cross-functional collaboration to ensure consistent, accurate, and timely submission processes across all participating clients.

Qualifications

• Associate's or Bachelor's degree in Healthcare Administration, Health Information Management, Business Administration, or a related field preferred; equivalent work experience will be considered.
• Experience working with the 340B Program, healthcare claims, pharmacy operations, or healthcare administration is strongly preferred.
• Experience with the 340B ESP platform, third-party administrators (TPAs), or manufacturer submission processes is highly desirable.
• Strong analytical, organizational, and data management skills with exceptional attention to detail and accuracy.
• Proficiency with Microsoft Office Suite, particularly Excel, and experience using data management or healthcare software systems.
• Excellent written and verbal communication skills with the ability to collaborate effectively with internal teams, clients, manufacturers, pharmacies, and TPAs.
• Ability to manage multiple priorities, meet deadlines, and work independently in a remote environment.
• Critical thinking and problem-solving skills with the ability to investigate discrepancies and implement effective resolutions.
• Knowledge of healthcare regulations, enrollment processes, and documentation requirements is preferred.
• Commitment to maintaining confidentiality, data integrity, and compliance with all applicable healthcare regulations and organizational policies.

Resumes to dot@engagestaff.com