The 340B Program Coordinator works to provides oversight quality assurance for the 340B program. Work closely with the Chief Executive Officer and Clinical, Fiscal and Program Managers to maintain 340B operational compliant, program enhancement/optimization and reporting with federal regulations.
Duties include but are not limited to:
- Primary contact for internal and external 340B related inquiries.
- Maintain up-to-date policies and procedures on 340B purchasing processes.
- Develop and maintain policies and procedures for the 340B program in accordance with federal standards.
- Develop systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.
- Facilitate the monthly 340B committee to discuss compliance, program updates, eligibility and other quality assurance related subject matters. Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures.
- Review 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.
- Develop proper 340B quality assurance training for employees as appropriate.
- 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, hospital status.
- Ensure that facilities maintain adherence to 340B Program regulations and guidelines.
- Develop and foster working relationships with internal working 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
- Expand professional development through related classes and seminars, current publications, and regional/national association membership participation.
- Develop a thorough understanding of the 340B Program and improve the overall efficiency, value, and internal support of the 340B Program.
- Continue to build knowledge of the health care and pharmacy services industry and use that knowledge to identify ways and make recommendations to improve the 340B Program.
- Evaluate and implement cost savings opportunities.
- 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.
- 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; provide financial reports to hospitals or other covered entities relative to financial impact and liabilities; make recommendations that would improve efficiency.
- 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 report detailing purchasing and replacement practices, as well as dispensing patterns.
Minimum of bachelor’s in health or business administration with at least 2-5 years working in health care setting; Knowledgeable about 340B, OPASIS and Apexus. Ability to use personal computer systems software and portal platforms to; to analyze, appraise, track and to prepare actionable steps to strengthen or resolve concerns areas. Demonstrate the ability to make effective and responsible decisions; ability to work independently and be self-motivated. Able to compile clear, complete, and logical reports and correspondence. Demonstrate skills to recognize, investigate, and analyze 340B regulatory requirements and devise effective solutions. Maintain professional working relationships with colleagues and vendors. Ability to organize and prioritize a variety of demands on time; and ability to speak publicly in an effective manner. Valid driver's license and current auto insurance.
Complete 340B University On Demand training. Become the 340B subject matter expert by reviewing and understanding federal guidance and disseminate correspondence to all pertinent parties.