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Assistant Manager
1 month ago
- Supports the Office Manager for the day-to-day management of staffing support such as waiting room flow, outreach driver routing strategies, HIV Counseling and lab fulfillment
- Executes patient prescription management by ensuring patient insurance eligibility, prescription fulfillment, prescription logistics if need to guaranteeing patient prescription fulfillment
- Supports in overseeing the waiting room flow, supporting ARNP for patients’ assistance and prior authorization with insurance providers
- Serves as a liaison on any questions, issues, or discrepancies with Upper Management
- Assist in troubleshooting pharmacy and insurance billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues
- Aids in patient support in obtaining co payment card and patient assistance program
- Participates in staff meetings to communicate changes and address issues that need to be discussed
- Point of Contact for customer concerns/complaints as they arise, actively participate in continuous quality improvement of services rendered to WVC clients
- Monitors all outpatient points of service to continually check for new areas that may qualify for the 340B program.
- Practices safety, environmental and/or infection control methods
340B Contract Management
- Manages relationships, billing services, and compliance status with contracted 340B pharmacies.
- Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing
- Supports staff in 500 & 501 HIV Counsel and Linkage Training
- Aids in training materials for all staff who work with the 340B program
- Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement
- Collaborates with HR in interviews, selection, orientation, new hire/cross training of new employees and input on staff performance including providing feedback for performance evaluations
- Continues professional training and education to advance knowledge and skills of HIV/AIDS and related disciplines
- Aids and enforces implementation of policies and procedures and ensures uniform compliance for the facility by:
- Collaborating with HR Personnel in developing and executing and modifying policies and procedures according to all applicable guidelines such as HIPPA, OSHA, NIH, and CDC
- Participates in projects, councils and special initiatives related to 340B, compliance, auditing, vendor selection and medication management
- Continually monitors and executes compliance to 340B federal regulations, staying up to date on all rule changes, including HRSA/OPA and Medicaid. Shares all learnings and hot topics with company president, management and staff
- Informs management of trends and issues by attending 340B trainings, monitoring industry publications and websites, professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation
- Partners with staff by collaborating with Pharmacy Leadership, and other 340B institutions to determines the best use of 340B program
- Assisting OM the oversight and coordination of required 340B and alternative audits, both internally and externally
- Collaborates with OM in the purchasing and utilization of audits or compliance assessments internally, as needed to ensure compliance with all applicable regulations.
- 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
- Collaborates with medical auditors on third-party payer audits to ensure coordination of efforts and maximum collection and coordinates external compliance assessments with outside firms, where appropriate, to validate internal processes
- Ensures appropriate documentation and audit trail across areas of responsibility
- Fosters networking relationships with community members and supporting resources such as the FDOH,
- Maintains appropriate use of the program working directly with manufacturers and wholesalers
- Assesses opportunities for cost savings, business, and system improvements
- Communicates key metrics and improvement actions to management.
- Provides input and implements business plans in coordination with the organization’s pharmacy leadership for organizational facilities to help use 340B savings to expand and improve care provided to underserved and vulnerable populations; assists facilities to prioritize and implement outpatient program development and contract pharmacy agreements related to 340B; and assists the organization’s leadership with program development and optimization
Reporting and Financial Analysis
- Collaborates with Office Manger in the completion of:
- Reports on 340B participation that clearly document utilization, savings, problem areas, exceptions, and/or discrepancies to pharmacy and administrative leadership
- Monthly lab billing and patient insurance updates
- Completion of facility regarded pharmacy HIPPA and log support
- Monthly on saving opportunities and utilizes resources and supplies in a cost-effective manner and presents reports to managers and directors on budget variances