340B Pharmacy Coordinator

3 weeks ago

Tyler, United States Tyler Family Circle of Full time
Job DescriptionJob Description


Summary

The Pharmacy 340B Coordinator acts as a subject matter expert and provides operational support to all 340B Program Covered Entities. Responsible for day-to-day compliant medication procurement, billing, and inventory management to ensure compliance standards are being upheld and that cost savings returns are being realized. Assists with implementation of and adherence to 340B related policies and 340B Compliance Program updates.

Program Coordinator Responsibilities

  • This position serves as the primary program coordinator and liaison for 340B-related matters.
  • Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity.
  • Participates in the organization’s compliance committee, which includes members from senior leadership, pharmacy, compliance, legal, and finance.
  • Provides expertise with the 340B Program to staff and participants regarding ongoing compliance.
  • Ensures that policies and procedures are developed, implemented, and maintained according to organizational, state, and federal requirements and guidelines and are approved by the health center’s legal department.
  • Develops training/competency materials for all employees who work with the 340B Program.
  • 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.
  • Monitors and assesses 340B guidance and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes.
  • Attends regular 340B trainings and shares lessons and hot topics with staff.
  • Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
  • Develops and maintains internal relationships (accounting, legal, operations) 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 and procedures.
  • Shares expertise and assists with training, education, and communication to staff and participants regarding updates to 340B policies and procedures.
  • 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.
  • Maintains 340B TPA software integrity and reviews reports to identify areas for improvement.
  • Assists in implementing new software packages and other changes in business practices based on changing regulations and policies.
  • Audits all points of service where 340B participation occurs to ensure compliance with 340B program requisites, including entity and patient qualifications and ensure consistent processes are followed.
  • Audits utilization and 340B purchasing records to ensure software and/or tools are functioning properly.
  • Assists with implementation of action plans to correct 340B compliance deficiencies, if indicated.
  • Participates in the development of quarterly and annual 340B participation reports documenting utilization, savings, and exceptions or discrepancies.
  • Audits of 340B formulary pricing, potential alternatives, and possible additional savings because of formulary and 340B prime vendor program on a routine basis.
  • Helps to identify companies that offer 340B or equivalent pricing and develop strategies to maximize participation.
  • Utilizes, and maintains a working knowledge of computerized systems, split-billing software programs and specialized equipment and technologies utilized in operations related to the 340B program in collaboration with the Pharmacy 340B Program Manager and Information Services.
  • Effectively and continually maintains open lines of communication with all staff and management involved with the 340B program. Provides timely and accurate communication, both written and verbal as appropriate, regarding changes and continuous quality improvement activities, including goals and objectives of the 340B program. Reports any deficiencies identified during auditing and review for appropriate resolution.
  • Reports to Chief Operating Officer in coordination with Clinical Pharmacist.
  • Other duties as assigned.

QUALIFICATIONS

  • Bachelor of Science or Bachelor of Arts degree in business or health related field or current unrestricted State Pharmacy Technician licensure and National Pharmacy Technician Certification (CPhT) preferred.
  • 2-3 years of 340B Drug Pricing Program experience in healthcare and/or with a healthcare provider is preferred.

This job description is intended to be a tool to describe the primary purpose of the job and the key duties and responsibilities. The position description may not be inclusive of all duties and job assignments. Job duties and responsibilities may be added, deleted, and/or revised at the discretion of management. This is a description of the way this position currently performs the job functions and does not address the potential for accommodation, which would be addressed on a case-by-case basis.

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