340B Program Coordinator - Pharmacy

Position: 340B Program Coordinator - Pharmacy - Full Time - 8 Hour - Days
Job Description:The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that the program is maximally and that related records are complete, accurate, auditable, and that primary objectives as defined are met. Responsible for day-to-day compliant medication procurement, billing, and inventory management to ensure compliance standards are being upheld and that cost savings returns are being realized.

Assists with implementation of and adherence to 340B related policies and procedures. Oversees 340B internal audit program, and serves as the 340B analyst and assess data trends and reports as identified by the organization.

Education:

• Bachelor of Science or Bachelor of Arts degree in business or health-related field, or current unrestricted State of California Pharmacy Technician licensure - Required

• National Pharmacy Technician Certification (PTCB) - Preferred

• Apexus Advanced 340B Operations Certificate - Preferred

Experience:

• Must demonstrate three to five years of experience performing in a 340B hospital oversight role with responsibility for policies, audits, data analysis, and compliance.

• Must possess good organizational, problem-solving, and analytical skills

• Must demonstrate effective oral and written communication skills

• Experience in managing 340B purchases in a mixed-use setting with a third-party administrator

• Experience with 340B purchasing

Additional Experience:

• Must have expert-level Microsoft Excel reporting and analysis skills

• Must have experience overseeing a third-party administrator (TPA) integrated with an electronic health record (e.g. Epic)

• Experience overseeing a 340B contract pharmacy program (preferred)

Certifications/Licensures:

• Requires pharmacy technician licensure in the state of California

• Apexus Advanced 340B Operations Certificate - Preferred

Essential Job Functions:

Policy and Procedure Development/Training/Education Support

• Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved.

• Tracks organizational 340B training and reports findings.

• Provides ongoing training, education, and communication required for the 340B Program at the organization.

• 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.

Rules/Guidance Surveillance

• Monitors and assesses 340B guidance, industry publications and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes. Ensures that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation.

• Effectively and continually maintains open lines of communication with all staff and management involved with the 340B program. Provides timely and accurate communication, both written and verbal as appropriate, regarding changes and continuous quality improvement activities, including goals and objectives of the 340B program. Reports any deficiencies identified during auditing and review for appropriate resolution.

• Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations and updates policies and procedures.

Registration/Recertification

• Responsible for ensuring that the HRSA 340B OPAIS is accurate for all organization entities and ensuring that annual HRSA recertification is completed per established timelines, including any quarterly updates.

• Supports primary contact and authorized official to ensure proper registration and recertification are followed.

Self-Audits

• Develops, executes, and documents comprehensive self-audits of the 340B process. Conducts regular audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies, including contract pharmacy locations.

• Coordinates and ensures remediation of any audit finding..

• Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent future billing issues.

• Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes.

• Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status.

• Monitors 340B compliance within workflow processes.

• Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions…