340B Pharmacy Coordinator- CMH Pharmacy
Carle
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Posted 6+ months ago
Job Description
JOB SUMMARY:The 340B Pharmacy Coordinator is responsible for the management and coordination of the 340B Drug Discount Program, including policy and procedure development, education, rules and guidance surveillance, registration and recertification, self-audits, external audits, contract management, program enhancement and optimization, reporting, split-billing software maintenance, and all areas of program compliance. Responsibilities include continuous analysis of 340B program integrity and ongoing communication to the Pharmacy management team any issues or concerns.
EDUCATIONAL REQUIREMENTS
H.S. Diploma/GED
CERTIFICATION & LICENSURE REQUIREMENTS
Driver's License When driving any vehicle for work-related reasons upon hire and
ADDITIONAL REQUIREMENTS
- Use of usual and customary equipment used to perform essential functions of the position.
SKILLS AND KNOWLEDGE
Current knowledge of state, federal, and professional industry standards pertaining to pharmaceutical healthcare and the 340B program requirements is required.Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.Exceptional database and spreadsheet knowledge, proficient in math, pharmacy calculations and use of MS Excel formulas. Proficient with MS Office (Excel, Outlook, PowerPoint, Word, Access, Visio), electronic medical records, pharmacy systems, and internet navigation.Must interact well with people and have excellent written and verbal communication skills.
ESSENTIAL FUNCTIONS:
- Program Management* Serves as primary internal and external program coordinator and liaison for all 340B-related matters.* Serves as primary internal liaison to key stakeholders to help ensure appropriate utilization of the 340B program and compliance with all program requirements.* Is responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy.* Ensures that policies and procedures are developed and implemented according to organizational, regional, national, state and federal requirements and guidelines.* Provides ongoing training, education and communication required for the 340B program at the organization.* Conducts ongoing 340B program training for staff whose position affects or participates in the covered entity's 340B program.* Monitors and assesses 340B guidance and/or rule changes and maintains current and up to date knowledge of industry standards.* Provides expertise on all 340B program legislation and policy changes from HRSA and OPA.* Maintains NDC integrity between purchasing, billing, and split-billing software.* Communicates key metrics and improvement actions to Pharmacy management. * Reviews and refines 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns.* Works with buyers, managers, and directors to ensure proper inventory management of pharmaceutical products available within the 340B program.* Coordinates purchases with Pharmacy Buyer to maximize 340B savings and compliance by purchasing on appropriate accounts - 340B, GPO, and WAC. * Manages relationships, billing services, and compliance with 340B contract pharmacies.* Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.* Assesses opportunities for cost savings and business improvements in 340B contract pharmacy utilization.* Oversees split-billing software maintenance.* Establishes a routine approach to updating the CDM/crosswalk for new products and product changes to ensure both the accuracy of the utilization report and the efficiency of the charge process. * Maintains and monitors the virtual accumulator and any interfaces between the organization and contract pharmacy providers and/or administrators. Ensures split-billing software integrity and reviews applicable reports for areas of improvement.* Participates with the Prime Vendor and routinely reviews 340B formulary pricing, potential alternatives and possible additional savings as a result of GPO formulary.* Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes.* Continuously monitors product min/max levels to effectively balance product availability and cost- efficient inventory control.* Assesses opportunities for cost savings and system improvements to yield higher compliance.
- Compliance* Ensures that the 340B program is continuously compliant with 340B federal regulations. * Provides oversight and leadership from the Department of Pharmacy through leading and organizing quarterly 340B Regional Compliance Committee meetings.* Oversees 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient, and mixed-use areas.* Maintains up-to-date policies and procedures on all 340B processes. Reviews 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.* Is responsible for the oversight of required internal and external 340B audits.* Maintains knowledge of the policy changes that affect the 340B program, including, but not limited to, HRSA/OPA rules and Medicaid changes. Develops systems and process
This job is no longer accepting applications
See open jobs at Carle.See open jobs similar to "340B Pharmacy Coordinator- CMH Pharmacy" Greater Peoria, IL.