340b Program Manager in Baltimore, Maryland at Chase Brexton Health Care

JOB SUMMARY:

Perform and provide oversight for all 340B program related activities (outlined below) under the supervision of a Director of Pharmacy.

Provide oversight and audit of inventory related functions to ensure compliance with the 340B program.

Manage the voucher program for payment of prescription copayments in collaboration with the Social Work & Outreach Department (SWOD).

Perform other duties as assigned.

MAJOR DUTIES AND RESPONSIBILITIES:

Compliance, Policies and Procedures:

• Maintain up-to-date policies and procedures related to all aspects of the 340B program.
• Create, review and maintain all 340B Program policies and procedures on an ongoing basis and provide updates as appropriate to ensure ongoing 340B compliance.
• Ensure that all sites maintain adherence to 340B Program guidelines and regulations
• When and where appropriate establish an external audit system to validate the self-audits, compliance with the 340B program, and to assess readiness for the HRSA and manufacturer audits.
• Maintain copies of reports for compliance and audit purposes
• Ensure that any prescriptions billed to the voucher program are billed in compliance with Social Work and Outreach Department guidelines.

Teamwork

• Management and oversight of the Voucher program in coordination with the Social Work and Outreach Department.
• Develop and foster working relationships with internal working counterparts (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance.
• Staff when needed in appropriate areas of the pharmacy.

Analytical and Critical Thinking

• Perform periodic review and audit of the 340B split-billing and third party administrator software
• Evaluates and provides analysis of provider opportunities
• Perform covered entity-specific gross financial analysis and make recommendations to improve program performance.
  • Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.
• Develop reports to educate staff and assist management in tracking the overall financial program impact to the organization.
• Develop and analyze appropriate financial metrics to assess areas of improvement.
• Develop other reports, as appropriate, to monitor and improve 340B Program compliance and performance. Maintain copies of reports for compliance and audit purposes.
• Through financial analysis, strive to recognize the value opportunity of the 340B program.
• Assess opportunities for cost savings and system improvements to yield higher compliance.
• Ensure monitoring of product par levels to promote adequate product availability and cost-effective inventory control,
• In concert with Finance, monitor and ensure proper credit for all returns of merchandise including expired medications, excess inventory, and manufacturer Recalls. Planning and Organizing
• Identify new contract pharmacy opportunities
• Coordinate purchasing for split inventory within internal pharmacies

Willingness to Learn

• Develop a thorough understanding of the split-billing/third party administrator systems and the functions to be performed.
• Expand professional development through related classes, seminars, current publications, and regional/national association membership participation.
• Participate and offer staff 340B University OnDemand training based on their role/responsibility.
• Develop a thorough understanding of the 340B program. Strive to consistently improve the overall efficiency, value, and internal support of the 340B program.
• Continue to build knowledge of the health care and pharmacy services industry and use that knowledge to identify ways and make recommendations to improve the 340B program

Patient Focus

• Assist all customers to clarify requirements, propose sourcing options; evaluate and recommend the best sourcing solution.

Communication

• Report to 340B Oversight Council involving periodic inter-departmental meetings (IT, Finance, Quality, Pharmacy) to facilitate exchanges of information, to improve program efficiency and promote program compliance.
• Provide data, information, and reports as needed for other business units within the organization.
• Provide Sr Technicians responsible for purchasing the information needed to place orders using appropriate accounts (e.g., WAC, Retail, 340B)
• Provide staff education to personnel involved in purchasing operations to ensure proper participation and program compliance including use of appropriate accounts (e.g. WAC, GPO, 340B, and non-340B) to replenish inventory in the mixed-use inventory setting.
• Develop proper 340B quality assurance training for employees as appropriate, including split billing and use of appropriate order accounts.
• Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures.
• Manage existing vendor contracts and supplier relations.
• Provide data, information, and reports as needed for other business units within the organization.

Checking, Examining, and Recording

• Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
• In concert with Pharmacy, IT, and Finance develop and perform monthly self-audits of pharmacy 340B related operations
• Monitor and audit state Medicaid and MCO claims to ensure compliance to prevent potential duplicate discount rebates
• Perform monthly audits of contract pharmacies contract pharmacy arrangements and opportunities.
• Review and refine monthly 340B cost savings reports detailing purchasing and Replacement Practices as well as dispensing patterns.
• Monitor, report, and analyze contract pharmacy 340B activities and make recommendations to improve participation, outcomes, and future enrolments.
• Monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 codes. Summarize and report results to appropriate personnel.
• Monitor product par levels to effectively balance product availability and cost-efficient inventory control
• Ensure periodic physical inventory is conducted of all pharmacy merchandise and communicate inventory results to Pharmacy and Finance Leadership.
• Ensure periodic cycle counts are conducted to facilitate proper inventory control and management. Discrepancies, if any, shall be resolved per established procedures.
• Ensure that specialized dedicated inventories such as floor stock, emergency drug boxes are managed in compliance with the 340B program guidelines.
• Perform weekly audits (per specified check list) of inventory related processes.
• Daily perpetual physical inventory
  • Monitor daily perpetual inventory count for identified medications.
  • The daily inventory is conducted at 8 AM and the counts documented and reconciled on a tracking log. Discrepancies, if any, shall be resolved per established procedures.
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Performs other duties as required

SKILLS AND ABILITIES:

• Working knowledge of auto-split billing 340B software and 340B program operations
• Excellent computer skills
• Knowledge of Microsoft Word, Excel, PowerPoint
• Good drug information retrieval skills
• Excellent verbal and written communication skills
• Ability to make verbal presentations to large groups

EDUCATION AND/OR EXPERIENCE:

• Required: Apexus Advanced 340B Operations Certificate
• Required: National Pharmacy Technician Certification
• Preferred: Previous business management experience
• Preferred: Hospital, Clinical, or Ambulatory Care experience