340b Program Coordinator

4 weeks ago

Huntsville, United States Thrive Alabama Full time

This position reports to the Controller and serves as primary day to day monitoring of internal and external programs for all 340B related matters. This includes compliance with regulations related to the 340B Drug Pricing Program, as well as completing analyses and audits associated with the 340B Drug Pricing Program. Duties and Responsibilities: Ensure program integrity and maintain accurate records documenting compliance with all 340B program requirements, state, and federal regulations. Monitor and assess 340B guidance and/or policy changes that affect the 340B program, including HRSA/OPA rules and Medicaid changes. In conjunction with Director of Compliance, conduct and document routine internal monthly audits and track all points of services where 340B participation occurs to ensure policy and procedure compliance adherence, covered entity eligibility, patient eligibility is met and identify risks. Audits purchasing records to ensure compliance. 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 as a result of formulary and 340B prime vendor program on a routine basis. Responsible for the accuracy of the HRSA 340B OPAIS database registration accounts and complete for all organization entities to ensure new sites are registered within quarterly restrictions. Develop and present monthly financial reporting, summaries, and analyses on 340B participation documenting utilization, savings, problem areas, and exceptions, and/or discrepancies, to include preparing journal entries and monitoring utilization records and 340B purchasing accounts to ensure software and tools are tracking properly and accuratel Track, trend, and report 340B pharmaceutical sales and purchases, and track referral data to ensure provider/physician and patient eligibility. Audit vendor accounts quarterly to ensure 340B IDs are matched correctly to the corresponding facility account when purchasing 340B drugs for onsite dispensation. Conduct monthly reconciliation and quarterly audits of onsite drug inventory and dispensation. Review and update 340B program policies and procedures on an ongoing basis and implement according to organizational, state, and federal requirements, training, and guidelines for continued compliance. Coordinate, oversee and upload documents for semi-annual 340B mock compliance audit with outside firm, reporting findings and develop corrective action plan for 340B Compliance Committee. Responsible for all audits and external requests and requirements. Assist in review and negotiation any new or expiring 340B contracts including amendments for contract language, fee structure, and data setup with the Procurement Specialist for CEO or CFO approval. Responsible for managing relationships, billing services, compliance and registration for all participating contract pharmacies, software vendors and TPAs. Maintain all 340B contracts. Prepare and conduct staff training in 340B based on department needs, to include areas of compliance and benefits to patients. Ensure the annual HRSA recertification is completed within the allowable time fram Coordinate annual audits of all contract pharmacies. Document results and follow-up on any findings. 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. Perform other duties as assigned. Knowledge, Skills, and Abilities: Knowledge of compliance and regulations related to the 340B drug pricing program. Knowledge of policy changes affecting 340B program including HRSA/OPA rules and Medicaid changes Knowledge of procedures and operations of a 340B drug discount program in a clinic setting Experience/skill with Excel and analyzing and reporting data to identify issues, trends, or exceptions. Ability to plan, organize and coordinate work assignments. Ability to communicate effectively. Software Access: Microsoft Office eClinicalWorks Education: Bachelor’s degree in Pharmacy, Business, Accounting, Finance or Healthcare Administration Experience Preferred: 5 years’ experience in 340B Administration, audit, healthcare, pharmacy purchasing, data analysis, or healthcare inventory management. Trainings and Certifications Preferred: 340B University or Apexus Advanced Training and Certification

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