340b Program Coordinator

4 weeks ago

Milwaukee, United States Sixteenth Street Community Health Centers Full time

Join our team who is committed to the delivery of the highest quality health care service. We are seeking a full-time 340B Program Coordinator that is self-motivated, energetic, and a take charge individual.

**Responsibilities**:

- Serves as a compliance expert on the 340B Program details, policies, and procedures. Provides expertise with the 340B Program to staff and participants regarding ongoing compliance.
- Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity.
- Coordinates and facilitates the SSCHC’s 340B Committee meetings.
- Develops and maintains internal relationships and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, 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.

**Specific Responsibilities**:

- Policy and Procedure Updates
- Helps ensure that policies and procedures are updated, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s 340B Committee.
- Establishes consistent policies and procedures for 340B that ensure compliance, productivity, and efficiency so that long-term management of the program fits within the organization’s model of care.
- Education
- Develops training/competency materials for employees who work with the 340B Program.
- 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.
- Rules/Guidance Surveillance
- Monitors and assesses 340B guidance and/or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Shares lessons with staff.
- Assists in ensuring that the 340B pharmacy program is continuously compliant with 340B federal regulations.
- Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams.
- Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions to determine the most appropriate use of the 340B Program staff.
- Registration/Recertification
- Assists Authorizing Official and Primary Contact in ensuring that the HRSA 340B OPAIS is accurate for all organization entities.
- Self-Audits
- Executes and documents self-audits of the 340B process. Coordinates and ensures remediation of findings in conjunction with 340B Committee.
- Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and “covered patient” eligibility.
- Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
- Responsible for the compliance review and operational review of clinic-administered medications in eligible locations and outpatient prescriptions fulfilled by a contract 340B pharmacy.
- External Audits
- Serves as a point person and coordinator for external audits. Coordinates requests and responses and assists 340B Committee in maintaining a current state of “audit readiness.”
- 340B File Management and Contracting
- Responsible for maintaining the organization’s 340B files, which includes policies and procedures, 340B Committee meeting notes, audit documents, contracts, and 340B workflows.
- Assists in evaluation of current and future contract pharmacy opportunities, including contract language, data setup, and internal and independent external auditing.
- Program Optimization
- Assesses opportunities for cost savings and business improvements in 340B contract pharmacy utilization.
- Analyzes utilization of the program and existing software to identify ways to compliantly use the 340B Program to its fullest extent to meet the needs of underserved patients.
- Works directly with the manufacturers as well as the wholesalers to develop strategies for appropriate use of the program.
- Assists in development and implementation of programs related to 340B utilization and contract pharmacy agreements.
- Reporting
- Routinely monitors monthly and annual reports on 340B participation that clearly document utilization, savings, problem areas, and exceptions or discrepancies, to be passed on to pharmacy leadership and administration.
- Develops routine inventory reports, allowing for concise information to be communicated to the 340B Committee.
- Constructs appropriate financial metrics to assess areas for optimization.
- Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program.
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