340B Contract Senior Pharmacy Specialist

Overview:

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Under the direction of the 340B Program Integrity Manager the 340B Contract Pharmacy Sr. Specialist is responsible for leading and deveoping strategies to maximize efficiency and ensure compliance with the 340B Contract Pharmacy Program. Coordination of system pharmacy activities related to 340B Contract Pharmacy Program across all delivery networks
EEO/AA/Disability/Veteran

Responsibilities:

• 1. Compliance & Auditing Perform audits of contract pharmacies as appropriate and develop corrective action plans /monitoring system where necessary. Review aging inventory, contract pharmacy billing and invoices for accuracy . Escalate obstacles and unresolved issues as appropriate to Corporate Pharmacy Leadership. Routine monitoring of utilization records and 340B purchasing accounts to ensure that software or tools are working properly. Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program. Monitors reports on 340B participation that clearly document utilization, savings, problem areas, exceptions, and/or discrepancies to pharmacy and administrative leadership. Communicates key metrics and improvement actions to management. Ensures appropriate documentation and audit trail across areas of responsibility.
• 2. 340B Purchasing Program a.Serve as a project liaison for the 340B Contract pharmacy program functions. Oversees the 340B contract pharmacy marketing program to attract and retain qualified retail pharmacy contracts and serve eligible patients Reviews and negotiates any new 340B contracts. Maintains all 340B contracts. 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.
• 3. Pharmacy Supply Chain Procurement Coordinates maintenance of system databases to reflect changes in the drug formulary or product specifications. Coordinates routine monitoring of utilization records and 340B purchasing accounts to ensure that software or tools are working properly. Oversees 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient, and mixed-use areas. Regularly monitors 340B purchasing activity and compliance with established protocols
• 4. Education Develop proper 340B quality assurance training for employees as appropriate Provide proactive education to staff on policies and procedures related to 340B Contract Pharmacy procedures. Expand professional development through related classes and seminars, current publications, and regional /national association membership participation.
• 5. Leadership: Serve as primary point of contact for all 340B contract pharmacy vendors. Coordinate vendor requests related to service agreements, account set up, 340B split software integration needs, Information System extract creation and file transfer process. Proactive oversight of contract pharmacy activities and continuous monitoring to ensure program integrity. 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
• 6. Information Systems: Develop a thorough understanding of the split -billing system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance as it pertains to 340B contract pharmacy network. Maintain system databases to reflect changes in the drug formulary or product specifications. Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-9 codes. Summarize and report results to Corporate Pharmacy Leadership
• 7. Participates in departmental, organizational and/or health system committees related to pharmacy services , medication procurment, finance and other hospital initatives as appropriate.

Qualifications:

EDUCATION

Graduation from an accredited College of Pharmacy with a Pharm. D. degree. Completion of a residency in hospital pharmacy administration from a program accredited by the American Society of Hospital Pharmacists is highly desired but not required. A minimum of three(3) to five (5) years of retail/specialty pharmacy and/or related experience in hospital 340B pharmacy management or Master's degree in Healthcare Administration, Public Health, Finance, Accounting or Business Administration or Pharm. D. degree. Completion of a financial, administrative fellowship or pharmacy practice residency from a accredited program is highly desired but not required.

EXPERIENCE

A minimum of three(3) to five (5) years of administrative leadership, project management, data analysis, financial forecasting, inventory management and/or related experience in healthcare, retail/specialty pharmacy settings. Demonstrated skills in coordinating committees and application of quality improvement techniques is required . Fluency in database management and data analytics is required.

LICENSURE

For pharmacist applicants Connecticut state pharmacy license required

SPECIAL SKILLS

Experience in data analysis, excellent written and verbal presentation skills are required. Must posses process improvement and change management skills. Strong working knowledge of electronic spreadsheet applications (e.g. Microsoft Excel), electronic data manipulation, strong math-analytical skills, excellent communication skills, and ability to train other employees.

PHYSICAL DEMAND

Employee may be expected to work on-call shifts. Coverage extends to day, evening and overnight shifts . Employee is considered essential personnel and is expected to work during inclement weather (i.e. Blizzards, hurricanes) if scheduled. During to course or daily tasks, the employee is required to walk, sit, stand and crouch. The employee must regularly lift/move up to 10 pounds, frequently lift/move up to 25 pounds and occasionally lift/move up to 50 pounds. The employee is occasionally exposed to moving mechanical parts, fumes airborne particles, and toxic or caustic chemicals. The work environment noise level is moderate