Pharmacy Program Manager

Position Overview

The Allies 340B Pharmacy Program Manager is responsible for managing the agency's registration and participation in the 340B Program for all our grantee types, which are STD clinic, Ryan White Part B and Title X Family Planning, and ensuring that all use of 340B throughout the organization is fully compliant. The employee is responsible for achieving maximum utilization of 340B pricing through full 340B Program participation in all areas of qualified use meeting objectives defined by leadership. This employee is responsible for ensuring compliance in all areas of the 340b pharmacy program, including, conducting regularly scheduled self-audits, scheduling and monitoring external audits, ensuring patient and prescriber eligibility, complying with claims data submission requirements, ensuring compliant medication procurement, billing and inventory management, and for prevention of diversion of 340B drugs. This employee is responsible for adherence to and maintenance of 340B related policies and procedures. The position reports to the Chief Executive Officer and works closely with members of Allies leadership.

Mission

To improve health and well-being, Allies provides integrated medical care, supportive human services, and community-based education for individuals living with, or at risk of HIV, viral hepatitis, and sexually transmitted infections.

Vision

Allies envisions a healthier community whereby people access integrated medical care and supportive human services in a respectful setting, free of stigma and discrimination.

Key Responsibilities

• Assures annual HRSA recertification completion for all Allies' grantee types and maintains accurate records on OPAIS.


• Maintains knowledge and expertise on Section 340B rulings and related interpretations, including new and proposed regulations, current trends and issues. Assesses potential organizational impact of 340B changes and ensures 340B program is continuously compliant with federal regulations.


• Serves as the primary liaison between Allies and its in-house pharmacy management company as well as its contract pharmacy

• Ensures that written agreements between covered entities and contract pharmacy are in accordance with HRSA's Contract Pharmacy Services Guidelines and that records are maintained to demonstrate compliance.


• Ensures all aspects of patient and prescriber eligibility are met and provides updated lists monthly or as required to in-house and contract pharmacy to prevent diversion.

• Collaborates with various departments to ensure the accuracy and integrity of data used to determine eligibility, process prescriptions, and support program auditing.

• Ensures that all claims are uploaded to the various portals as required by CMS, and drug manufacturers, including Beacon and Truzo.


• Conducts routine self-auditing activities such as random prescription checks, crosswalks and inventory reviews, to ensure that duplicate discounts and diversion are not occurring.

• Maintain reports of self-auditing activities and distributes as requested to agency leadership

• Convenes the 340B Pharmacy Committee quarterly to review self-audit results, and recommends and implements action plans to correct 340B compliance deficiencies, if indicated.


• Develops and/or updates 340B policies and procedures whenever there is clarification to interpretation, or change in the rules, regulations, or guidelines to 340B requirements. Reviews 340B policies and procedures annually.


• Reviews pharmacy claims information on a monthly basis to ensure that we are maximizing our participation in the 340B drug pricing program.

• Oversees all areas of 340B outpatient use and collaborates with key stakeholders to insure maximum participation regarding use of 340B priced products in all qualified outpatient settings.

• Designs, implements, and participates in continuous quality improvement activities and initiatives. Leads and participates in various committees, and performance improvement teams as assigned.

Organizational Expectations

• Seek out up-to-date information about Allies' programs and services, as well as relevant local, regional and national health statistics that will inform and support our Mission

• Improve job knowledge by remaining aware of new regulations and best practices; participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations

• Embrace and exemplify organizational standards and guiding principles for processes, protocols, and utilization


• Commit to Allies' promise to sustain and extend diversity, equity, and inclusion

• Contribute to efforts which build and reinforce Allies' distinctive, effective, and ethical practices

Requirements

Knowledge Skills and Abilities

• 3+ years of experience in 340B pharmacy program compliance


• General knowledge of pharmacy operations


• Demonstrated ability to analyze data, research issues, and independently develop corrective strategies.

• Excellent verbal and written communication skills with the ability to establish and maintain relationships with co-workers, visitors, and non-agency representatives

• Proven ability to work with minimal direction, as well as be resourceful and independent in solving problems.

• Acute attention to detail and dedication to providing high-quality work products.

• Willingness to work in an adaptive and innovative environment

Education & Experience

• Bachelor's degree in business or health related field or equivalent work required; Advanced degree in Hospital Administration or Pharmacy preferred

• Advance Operations Certificate from Apexus 340B University strongly preferred

The 340B Pharmacy Program Manager may be called upon to engage in physical activity related to general office work including the capacity to stand or sit for extended periods. Current PA child abuse, PA criminal history, Federal criminal history clearances, and verification of TB test performed within the last year are required within the first 30 days of employment.

Salary for this position ranges from $75,000-$90,000 commensurate with relevant education and experience. We comply with EEOC.

Salary Description


$75,000 - $90,000/year