Head of Programme Management

The Director is responsible for data analysis to enable CHCI, its patients and pharmacy customers to receive maximum benefit from the 340B program.
Serves as CHCI’s compliance expert on 340B Program details, policies and procedures.
Leads CHCI’s 340B oversight committee, which includes members from leadership, pharmacy, compliance, legal and finance.
Medical (CMO/CNO/CPO, pharmacy management), Finance, Operations and Legal, as well as external relationships (wholesalers, manufacturers, contract pharmacies, and third-party administrator (TPA) vendors) as needed.
Actively engages with CHCI leadership and participates in decision-making processes related to the implementation of new 340B processes.
Policy and Procedure Development

Ensures that policies and procedures are developed, implemented and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by CHCI’s legal department.
Establish 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 cost.
Provides ongoing training, education and communication in collaboration with pharmacy and medical team required for the 340B Program at CHCI.
Develops training/competency materials for all employees who work with the 340B Program.
May assist in the development, implementation, or promotion of programmatic resource/tools to support staff.
Regulatory Surveillance and Compliance

• Attends regular 340B training 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 CHCI has latest information regarding interpretations, rulings, suggestions and advanced ideas for improving participation.
• Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams.
• Registration/Recertification

Responsible for ensuring that the HRSA 340B OPAIS (Office of Pharmacy Affairs Information System) is accurate for all organization entities.
Responsible for ensuring registration of any new associated sites are within the allowable time frame.
Develops, executes, and documents self-audits of the 340B process. Conducts and/or coordinates and annual audit of all CHC and contract pharmacies. Documents results and follow-up on any findings.
Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and “covered patient” eligibility.
Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate system checks are reviewed to prevent billing issues.
Monitors utilization records and 340B purchasing accounts to ensure that software/tools are working properly and accurately, performing audits or compliance assessments internally as needed; Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications and prescriptions filled by 340B CHC and contract pharmacies.
Conducts monthly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines/policies.
Ensures compliance with all aspects of the 340B Program and implements all applicable aspects of HRSA’s OPA guidance, as well as CHCI’s policies and procedures.
Ensure that audits follow current regulatory compliance recommendations and are completed at the site level.
Ensures evaluations are completed for gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program.
Evaluates covered entity compliance at the CHC and contract pharmacy and wholesaler levels.
Serves as the point person and manager for all audits. 340B Contract Management

Reviews and negotiates and new 340B contract/amendment. Manage relationships, billing services, and compliance with CHC and contracted 340B pharmacies.
Evaluates all current and future CHC and contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and external auditing.
Assesses opportunities for cost savings and business improvements in 340B CHC and contract pharmacy utilization.
Oversee the 340B contract pharmacy marketing program to attract and retain qualified retail pharmacy contracts and serve eligible patients.
Analyzes utilization of the program and existing software to identify ways to compliantly use the 340B Program to its fullest extent to meet the needs of underserved patients.
Develops business plans to optimize and implement programs related to program services and contract pharmacy agreements.
Implements business plans in coordination with CHCI pharmacy leadership to help use 340B savings to expand and improve care provided to underserved and vulnerable populations.
Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement.
Routinely monitors monthly and annual reports on 340B participation that clearly document utilization, savings, problem areas, and exceptions or discrepancies, to be passed on to pharmacy and finance leadership.
Develops routine reports that are a by-product of the inventory process and software, allowing for concise information to be communicated to CHCI staff responsible for 340B inventory management.
Constructs appropriate financial metrics to assess areas of improvement.
Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program.
Coordinated monthly financial reporting and analysis, including, but not limited to metric reporting, scorecards, and variance analysis.
Purchasing/Inventory Oversight

clearly documents utilization, savings, problem areas, and exceptions or discrepancies. Manages and tracks 340B drug inventory, including proper replenishment.
Tracks 340B pharmaceutical sales and purchases data to ensure provider and patient eligibility.
Continuously monitors product min/max levels to effectively balance product availability and cost-efficient inventory control.
Maintains system databases to reflect changes in the drug formulary or product specifications.
Routinely monitored utilization records and 340B purchasing accounts to ensure that software or tools are working properly.
Third-Party Administrator Software Maintenance

Maintains 340B TPA software integrity and reviews reports to identify areas for improvement.
Assists in implementing new software packages and other changes in business practice based on changing regulations/policies.
Works with pharmacy and informatics teams to ensure that CHCI clinical information system is coordinated and integrated into the work with the 340B Program. This shall include electronic interfaces between the EMR and the virtual accumulator and any interfaces between CHCI and contract pharmacies and/or administrators.
Bachelor Degree or equivalent required

• 340B University Training Required, additional Apexus Certifications preferred
• Proficiency in Microsoft Suite

This Position is available for remote work.
Full time