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Pharmacy Program Manager

2 months ago

Somerville, United States Mass General Brigham Full time

Description:

Summary

Reporting to the Enterprise 340B program Director, the Enterprise 340B program Manager is responsible for compliance and administration of the 340B Drug Pricing Program for all qualified entities throughout the Mass General Brigham Health System. The Enterprise 340B Manager serves as the institutional compliance expert and authority on 340B Program details and oversees all 340B Program Services. This position functions as the primary 340B Program contact, HRSA Primary Contact and liaison for all 340B subject matters. This position manages regulatory adherence and all 340B related policies and procedures and is responsible for HRSA OPAIS Database accuracy. Various System 340B oversight committees are assisted and led by the 340B Manager who develops relationships and works with leadership, staff, and external vendors. The Manager is responsible for Third Party Administrator oversite and negotiations. The Manager engages with leadership and participates in decision-making processes related to the 340B Program. Preparation and budgeting fall under this position as well as Human Resource matters.

Principal Duties and Responsibilities

  • Manages all points of service where 340B Drug Pricing Program participation occurs to ensure policies and procedures are followed accordingly and is responsible to be the institutional program expert with regard to plan qualifications, policies, and procedures.
  • Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institutions legal department.
  • Serves as the institutional compliance expert or authority on 340B regarding program details, policies and procedures and regulatory compliance.
  • Develops and routinely monitors monthly and annual reports which clearly document utilization, savings, problem areas and exceptions or discrepancies, to be passed to pharmacy leadership and administration and works to ensure maximum program participation.
  • 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
  • Routinely monitors 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.
  • Maintains knowledge of the policy changes that affect the 340B Program, including, but not limited to, HRSA/OPA rules and Medicaid changes.
  • Develops and implements consistent 340B program processes for new initiatives which would include 340B program administration rules, centralization efforts, internal control policies, compliance, and inventory management.
  • Develops and implements solutions and gains efficiencies in gathering data and reporting data consistently across all MGB entities.
  • Responsible for overseeing project management of all 340B installations, conversions, specialized pharmacy business projects, contract negotiations and financial reporting of 340B program for all supported entities.
  • Leads projects for 340B Program Services by coordinating the efforts of the entire team to deliver the solution and seek resolution in various specialty projects as project leader.
  • Attends all 340B related meetings when required, conducts annual hospital site visits, and contract pharmacy site visits. Will be involved in the high importance 340B conversations between system directors and leadership, third party vendors and contract pharmacies involved in Health System.
  • Responsible for representing MGB 340B programs when working with drug manufacturers and government oversight organizations to resolve 340B program discrepancies.
  • Responsible for ensuring that the HRSA 340B OPAIS Database is accurate for all system covered entities and ensuring that the annual HRSA recertification is completed.
  • Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement.
  • Coordinates external compliance assessments with outside firms, where appropriate to validate internal processes.
  • Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.
  • Coordinates all 340B related meetings with Senior Leadership, IT, Finance, Legal, Pharmacy Directors and 340B Stakeholders.
  • Responsible for 340B automation and system integration across multiple platforms.
  • Responsible for department management including budget and human relations issues
Qualifications:

Qualifications

  • Licensed or eligible for licensure to practice pharmacy in the Commonwealth of Massachusetts required
  • Graduate of an ACPE accredited College of Pharmacy OR Masters degree
  • MBA, MHA or other advanced degree preferred

Non-Pharmacist Candidate:

  • 5+ years of 340B/supply chain experience required (340B program experience preferred).
  • 3+ years of Leadership experience with formal leadership training or supervisory experience highly preferred

Pharmacist Candidate:

  • Completion of ASHP accredited PGY1 Pharmacy, PGY2 Specialty Pharmacy, or PGY2 Health-System Pharmacy Administration Residency preferred Exceptional aptitude or knowledge may be considered in lieu of experience
  • Pharmacy leadership experience with formal leadership training or supervisory experience highly preferred

Skills/Abilities/Competencies

  • Possess strong interpersonal skills to effectively communicate with cross functional teams including staff at all levels of the organization
  • Ability to successfully negotiate and collaborate with others of different skill sets, backgrounds an levels within and external to the organization
  • Strong problem solving and negotiation skills
  • Ability to effectively conduct meetings, both formal and informal
  • Requires minimal direction from leadership and possesses the ability to learn quickly

Supervisory and Fiscal Responsibilities

  • Oversight of Mass General Brigham 340B Enterprise team; approximately 12 FTE of professional and technical staff

  • Understanding and oversight of the department budget
  • Demonstrates fiscal responsibility by effectively using Mass General Brigham resources

Working Location and Conditions

  • Hybrid model which includes remote work and onsite days, planned local travel to Mass General Brigham sites in Somerville and/or Boston area, scheduled team meetings or onsite audits as needed
  • Normal office working conditions. The noise level in the work environment is quiet to moderate.
  • Must be able to lift to 20 lbs.
  • Must be able to stand or sit for extended periods of time

Diversity Statement

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

EEO Statement

Mass General Brigham is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.