Program Director 340B

Program Director 340B MGB Enterprise MGB Enterprise 340B Program Director position is full time, Monday‑Friday with comprehensive benefits that start Day 1. This role is hybrid with planned meetings and requires a strong director with expertise in business pharmacy operations and development. The director owns the compliance and operational aspects of the program, managing day‑to‑day activities and engaging in stakeholder meetings. The team currently consists of 15 employees (direct and indirect reports) and is evolving. Responsibilities A. Training and Education Develops training and competency materials for all staff who work with the 340B program. Conducts ongoing 340B program training for staff. Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement. B. Policies and Procedures Develops, implements, and modifies consistent policies and procedures according to all applicable guidelines as approved by the legal department. Ensures that policies and procedures support maximum productivity and efficiency to avoid any unnecessary costs or operational barriers. C. Compliance Continually monitors 340B regulations to ensure federal compliance, staying up‑to‑date on all rule changes, including HRSA/OPA and Medicaid. Shares all learnings and hot topics with management and staff. Keeps abreast of trends and issues by attending 340B trainings, monitoring industry publications and websites, professional media, literature, and peers. Determines the best use of 340B program staff by collaborating with Prime Vendor Program, Pharmacy Leadership, and other 340B institutions. D. Registration/Recertification Ensures that the annual HRSA recertification is completed within the allowable time frame. Ensures that the HRSA 340B Database is accurate for all organization entities. Ensures registration of any new child site within the allowable time frame. E. Auditing Is responsible for the oversight of required 340B audits, both internally and externally. Maintains a current state of "audit readiness". Serves as the point person and coordinator for all audits. Coordinates all requests and responses. Coordinates external compliance assessments with outside firms, where appropriate, to validate internal processes. Leads 340B purchasing and utilization audits or compliance assessments internally, as needed to ensure compliance with all applicable regulations. Routinely reviews data and related reports from all points of service at which 340B participation occurs to ensure that policies and procedures are followed, entity eligibility requirements are met, and all patients meet patient definition requirements. Works with medical auditors on third‑party payer audits to ensure coordination of efforts and maximum collection. Lead and implement automation software such as Robotic Process Automation, RPAs, and 340B ESP submissions. F. 340B Contract Management Manages relationships, billing services, and compliance with contracted 340B pharmacies. Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing. G. Program Enhancement/Optimization Develops strategies to appropriate use of the program working directly with manufacturers and wholesalers. Assesses opportunities for cost savings, business and system improvements. Participates in projects, councils, and special initiatives related to 340B, compliance, auditing, vendor selection and medication management. Monitors all outpatient points of service to continually check for new areas that may qualify for the 340B program. Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement. Provides input and implements business plans in coordination with the organization's pharmacy leadership for organizational facilities to help use 340B savings to expand and improve care provided to underserved and vulnerable populations; assists facilities to prioritize and implement outpatient program development and contract pharmacy agreements related to 340B; and assists the organization's leadership with program development and optimization. H. Reporting and Financial Analysis Prepares, monitors and reports measurements to ensure satisfaction with the 340B program. Develops, monitors, and presents reports on 340B participation that clearly document utilization, savings, problem areas, exceptions, and/or discrepancies to pharmacy and administrative leadership. Routinely communicates any questions, issues, or discrepancies with the appropriate authority. Reports monthly on saving opportunities. Communicates key metrics and improvement actions to management. Ensures appropriate documentation and audit trail across areas of responsibility. Develops, monitors, maintains, and presents reports to managers and directors on budget variances. Develops and prepares drug spend analysis for forecasting and budgeting. Completes analytics on any department changes that may affect budget to make appropriate budgetary adjustments. Serves as the point person for finance as it relates to reporting needs for drug expense. I. Operations 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. Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues. Participates in interviews, selection, orientation, and training of new employees. Provides input on staff performance including providing feedback for performance evaluations. Participates in staff meetings to communicate changes and address issues that need to be discussed. Addresses customer concerns/complaints as they arise. Assists in the implementation of policies and procedures and ensures uniform compliance. Utilizes time tracking tools, as required by department, to assure accurate project planning and budgeting needs. What You'll Bring Healthcare knowledge and experience 8-10+ years preferred Bachelor's Degree Pharmacy required Master's Degree Pharmacy preferred Master's Degree Related Field of Study preferred Pharm D or clinical license, MA state license highly preferred Develop and maintain policies and procedures related to 340B program operations. Coordinate with internal and external stakeholders to maximize program benefits and address compliance issues. Communicate latest information, rulings, and trends around 340B Program to ensure all institutional stakeholders have the latest information. Develop, monitor and track 340B Program performance and KPIs, including those for individual enhancement initiatives. Performs other duties as assigned. Complies with all policies and standards. Working Model Requirements Monday‑Friday Eastern Business Hours Quarterly business reviews and planned team and/or stakeholder meetings will be onsite Must be flexible for quarterly workdays in office, as planned for the business needs, generally the team meets 2‑4 times quarterly Remote workdays require stable, secure, quiet, compliant workspace. Mass General Brigham Incorporated 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. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. #J-18808-Ljbffr Mass General Brigham (Enterprise Services)