Pharmacy Program Coordinator

Pharmacy Program Coordinator 6770 at Meridian Health

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Our Mission at Meridian Health Services is to close the gap on access to Whole-Person Healthcare by expanding locations and services so that all people in underserved communities can get quality treatment. You can be a part of our vision to be a leader in the integration of physical, mental and social health to make a real difference in the lives of others.

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You are the dynamic, professional Pharmacy Program Coordinator we are looking for. In a full‑time capacity, you will assist and support the 340B Oversight Committee in the management of Meridian’s 340B drug discount program for all qualified locations within the organization, inclusive of owned pharmacy locations, retail, and contract pharmacies with a home base at our Corporate Headquarters located in Muncie, Indiana.

• Policy and Procedure Development:
  • Maintain up‑to‑date policies and procedures on 340B purchasing processes.
  • Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.
  • Review 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.
• Self‑Audits:
  • Be involved in any and all 340B Program audits.
  • Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.
  • Perform monthly audits of contract pharmacies.
  • Perform monthly self‑audits of 340B pharmacy operations.
  • Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
  • Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.
  • Using Excel or a comparable data management program, filter out non‑eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non‑eligible locations, or prescriptions written by non‑eligible providers.
  • Evaluate patient eligibility for qualified and non‑qualified patients in mixed‑use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, health center status.
  • Ensure that facilities maintain adherence to 340B Program regulations and guidelines.
  • Develop and foster working relationships with internal counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within the organization.
• Reporting:
  • Develop reports that can be used to educate staff and assist management in tracking the overall financial impact to the organization. Build other reports, as appropriate, to monitor and improve 340B Program compliance and performance.
  • Maintain copies of reports for compliance and audit purposes.
  • Collaborate with the 340B Oversight Committee to develop monthly, quarterly, and yearly audit metrics.
  • Construct appropriate financial metrics to assess areas of improvement.
  • Develop and update 340B Program reporting packages detailing volume, financial value, and other reporting metrics as needed.
  • Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD‑10 codes. Summarize and report results to the appropriate individuals.
  • Monitor, report, and analyze contract pharmacy 340B activities.
  • Perform covered entity‑specific gross financial analysis and make recommendations to improve program performance. Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.
  • Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns.
• Purchasing/Inventory Duties:
  • Contract…