Healthcare 340B Program Manager

posted on July 7, 2020

Job Description

Location: Tampa, FL

Duration: Permanent

Responsibilities:

  • Serves as primary internal and external program manager and liaison for all 340B related matters.
  • Serves as primary internal liaison to key stakeholders to help ensure appropriate utilization of the 340B Program and compliance with all program requirements
  • Serves as primary internal and external program manager and liaison for all 340Brelated matters and the institutional “compliance expert” on 340B regarding program details, policies, and procedures.
  • Ensures appropriate utilization of the 340B Program and compliance with all program requirements
  • Lead and assist the organization’s 340B oversight team, which includes representation from legal, compliance, finance, and senior administration.
  • Develops and maintains internal relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers (PBMs), and third-party administrator (TPA) vendors) as needed.
  • Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes.
  • Review, Negotiate and maintain all 340B related contracts.
  • Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement.
  • Coordinates monthly financial reporting and analysis, including, but not limited to, metric reporting, scorecards, and variance analysis and reporting. Routinely communicates any questions, issues, or discrepancies with the appropriate authority.
  • Ensures that policies and procedures are developed and implemented according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s legal department.
  • Assists organizational leadership to develop a regular compliance audit program.
  • Contributes processes and materials to promote programs or support the goals of the department and institution.
  • Provides ongoing training, education, and communication required for the 340B Program at the organization.
  • May assist in the development, implementation, or promotion of programmatic resources/tools to support staff.
  • Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient and to address any problems or suggestions for improvement.
  • Establishes a clear way for staff to communicate concerns to the coordinator.
  • Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations by routine monitoring of industry publications and websites as well as the professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation.
  • Relays pharmacy leadership and 340B staffing concerns when appropriate
  • Collaborates with the Prime Vendor Program and other 340B institutions to determine the most appropriate 340B staffing and compliance.
  • Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame.
  • Responsible for ensuring that the HRSA 340B Office of Pharmacy Affairs Information system (OPAIS) is accurate
  • Responsible for ensuring registration of any new site within the allowable time frame.
  • Serves as the point person and coordinator for all audits.
  • Coordinates all requests and responses to maintain a current state of “audit readiness.”
  • Coordinates external compliance assessments with outside firms, where appropriate, to validate internal processes.
  • Develops, executes, and documents self-audits of the 340B process.
  • Coordinates and ensures remediation of findings for both internal and external pharmaceutical utilization.
  • Conducts and coordinates an annual audit of all contract pharmacies. Documents results and follow- up on any findings.
  • Monitors utilization records and 340B purchasing accounts to ensure compliance measures are working properly and accurately, performing audits or compliance assessments internally as needed.
  • Routinely reviews data and related reports from all points of service at which 340B participation occurs to ensure that policies and procedures are followed, entity eligibility requirements are met, and all patients meet patient definition requirements.
  • Tracks and reports program savings on a regular basis; communicates to the leadership team on an ongoing basis.
  • Coordinates monthly financial reporting and analysis, including, but not limited to, metric reporting, scorecards, and variance analysis and reporting.
  • Routinely communicates any questions, issues, or discrepancies with the appropriate authority.
  • Ensures compliance with regulations related to 340B purchasing
  • Maintain patient information within HIPAA
  • Keep other care team members informed when situations occur that disrupts timely patient flow through site.
  • Consistently participates in and actively adheres to patient care expectations to attain clinical goals set forth in the CLIENT Health Care Plans and the Quality Improvement / Quality Assurance (QI/QA)

 

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