340B Manager

Job Description

Job Description

ON-SITE POSITION

MAJOR FUNCTION:
The 340B Manager works in collaboration with the Director of Pharmacy to develop and manage programs integral to the function of the pharmacy department, which includes both the clinical pharmacy department as we as the prescription pharmacy department(s). The 340B Manager is heavily involved in coordination of the 340B Program, management of referral claims, management of pharmacy contracts, development of Policies and Procedure (P&P) and Standard Operating Procedures (SOP), creation and implementation of new pharmacy services, and tracking and trending pharmacy performance.

ESSENTIAL FUNCTIONS:

• 340B Program Coordination
  • Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes.
  • Serves as the institutional authority on 340B.
  • Serves as the primary internal and external program coordinator and liaison for all 340B-related matters.
  • Serves as the primary internal liaison to key stakeholders to help ensure appropriate utilization of the

340B Program and compliance with all program requirements.

• • Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity.
  • Serves as the institutional compliance expert on 340B regarding program details, policies, and procedures.
  • Provides expertise with the 340B Program to staff and participants regarding ongoing compliance.
  • Develops and maintains internal relationships (Clinical, accounting, legal, billing, quality) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers (PBMs), and third-party administrator (TPA) vendors) as needed.
  • Ensures that the annual Health Resources & Services Administration (HRSA) recertification of eligibility of HJAHC to remain in the 340B Drug Pricing Program is completed within the allowable time frame.
  • Ensures that the HRSA 340B Office of Pharmacy Affairs (OPA) website is accurate for all organization entities, including parent and child sites.
  • Ensures HRSA OPA registration of any new contract pharmacy within the allowable time frame.
  • Ensures that contract pharmacies are accurately terminated within the HRSA OPA website in a timely manner.
  • Ensures HRSA OPA registration of any new child site within the allowable time frame.
• 340B Contract Management
  • Reviews and negotiates any new pharmacy contracts, such as 340B contracts with outside vendors, contract pharmacies, or pharmacy wholesalers.
  • Maintains all pharmacy contracts as per the policies and procedures established by Henry J. Austin Health Center.
  • 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.

• 340B P & P and SOP Development
  • Ensures that 340B policies and procedures and SOPs are developed and implemented according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s legal department.
  • Assists organizational leadership to develop a regular compliance audit program of the 340B Program.
  • Establishes consistent policies and procedures for 340B that ensure productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary costs.
  • Develops and modifies 340B policies and SOPs in accordance with state, federal, and system program requirements.
• 340B Education
  • Provides ongoing training, education, and communication required for the 340B Program at the organization.
  • Manages health system education, training, awareness, and customer service for all 340B covered entities.
  • Develops training and competency materials for all staff and leaders who work with the 340B Program.
  • Conducts ongoing 340B Program training for staff.
  • May assist in the development, implementation, or promotion of programmatic resources/tools to support staff.
  • Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient and to address any problems or suggestions for improvement. Establishes a clear way for staff to communicate concerns to the 340B Manager.
  • Provides regular education to staff on policies and procedures related to 340B compliance.

• 340B Rules/Guidance Surveillance
  • Monitors and assesses 340B guidance and/or rule changes. Attends regular 340B trainings and shares lessons and hot topics with staff.
  • Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation.
  • Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
  • Maintains knowledge of the policy changes that affect the 340B Program, including, but not limited to, HRSA/OPA rules and Medicaid changes.
  • Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams.
  • Develops knowledge and maintains awareness of current regulations, trends, and issues pertaining to the 340B Program.
  • Keeps abreast of trends and issues pertaining to the program and relays applications and interpretations to assist departments.
• 340B Audits
  • Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings.
  • Conducts and/or coordinates audits of all 340B contract pharmacies according to the policies and procedures created by HJAHC. Documents results and follow- up on any findings.

• • Serves as the point person and coordinator for all external audits. Coordinates all requests and responses.

• 340B Pharmacy Enhancement/Expansion
  • Identifies opportunities to expand and optimize the current 340B program.
  • Develops plans for implementation of new 340B services.

• 340B Reporting
  • Tracks and reports cost-savings generated through the 340B Program, and:
    • Tracks how savings are utilized
    • Identifies areas for improvement

ADDITIONAL RESPONSIBILITIES:

• Reports to Director of Pharmacy, Chief Medical Officer, and Chief Executive Officer

EDUCATION & EXPERIENCE:

• Associates degree or

Bachelor’s degree is required at minimum.

• Two to three year’s coordination experience; health care leadership is preferred.
• Working knowledge of retail pharmacy considered an asset.
• Working knowledge of the 340B program considered an asset.
• Prior experience working in a low-income, urban setting with racially and culturally diverse

population preferred.
KNOWLEDGE, SKILLS, ABILITIES AND OTHER (KSAO’s)

• High energy and enthusiasm, positive, “can-do” attitude with a high degree of initiative
• Must be able to work in a team environment and collaborative environment
• High attention to detail
• Commitment to community health
• Strong passion for working in an urban e