Reports to the Director Pharmacy Services. Responsible for the overall management and coordination of the 340B program for all qualified entities within the organization. The management and coordination of the 340B program includes assuring qualifications are met and maintained the program is fully implemented in all areas of qualified use related records are complete and accurate and that it meets all primary objectives as defined by hospital leadership. Assuring all use of 340B throughout the institution is fully compliant with all federal regulations and related interpretations for the program. Assuring the institution is achieving maximum utilization of 340B pricing through full participation in all qualified areas with all applicable products including inpatient contracts to insure greatest cost savings returns throughout the institution. Assuring that all policies procedures and related approaches to 340B include the most efficient use of personnel resources and other costs of managing monitoring and fully participating in the program.
Acts as the institutional compliance expert or authority on 340B regarding everything from qualifications to the details policies and procedures of the virtual inventory processes required for mixed areas.
Establishes understanding and relationships with Finance department to monitor any changes that could affect 340B qualification such as changes in the points of service position on the cost report any changes in institutional ownership or related relationships (i.e. joint ventures etc.) and any variations or negative trends in DSH percentages.
Attends regularly national 340B conferences routinely monitor SNHPA and OPA publications and websites as well as the professional media literature and peers to assure the institution has the latest information regarding interpretations rulings suggestions and advanced ideas for improving participation.
Routinely reviews and monitors all points of service where 340B participation occurs to insure policies and procedures are followed entities qualify and all patients qualify as covered patients.
Routinely monitors utilization records 340B purchasing accounts to insure software and/or tools are working properly and accurately performing audits or compliance assessments internally as needed. Also coordinates external compliance assessments where appropriate with outside firms to validate internal processes.
Monitors routinely purchasing records for each cost center where 340B accounts apply to insure the GPO exclusion rule is followed and that cherry-picking either by area patient or drug is not occurring.
Participates in the development and implementation of monthly and annual reports on 340B participation which clearly document utilization savings and exceptions or discrepancies to be discussed with pharmacy leadership and hospital administration.
Monitors routinely all areas of 340B outpatient use and works with purchasing agents / techs and directors to insure maximum participation regarding use of 340B priced products in all qualified outpatient settings where available.
Collaborates with prime vendor and pharmacy leadership to routinely review 340B formulary pricing potential alternatives and possible additional savings as a result of GPO formulary
Works directly with manufacturers as well as through GPO and peer professional relationship to determine companies that offer 340B or equivalent pricing and develop strategies to maximize such participation.
Collaborates with the Pharmacy Information Systems/Technology Team and Lifespan Information Services to establish a routine approach for up-dating the CDM/crosswalk for new products product changes etc. that insure both the accuracy of the utilization report and the efficiency and accuracy of the charge process.
Performs audits or compliance assessments periodically of specific areas and specific products to assure the CDM is accurate the charges are coming across to accounting accurately and that the utilization numbers are translating accurately into the report for 340B reorders.
Monitors data and related reports routinely from each participating area or entity to assure consistent processes are followed and to continually improve related policies and procedures for 340B throughout the institution.
Participates in the development and implementation of patient-focused pharmaceutical care services. Maintains regular contact with physicians clinical nurse managers and customers in other services/disciplines to identify opportunities for improvement and promote effective multidisciplinary collaboration.
Maintains computerized systems split-billing software programs and specialized equipment and technologies utilized in operations related to the 340B program in collaboration with the Pharmacy Manager and Lifespan Information Services.
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.
Participates in continuous quality improvement activities and total quality management initiatives. Participates in or leads various committees task forces and performance improvement teams as assigned.
Maintains knowledge of and expertise in leading edge developments in pharmacy therapeutics services programs and innovative technology by participation in ongoing independent study education-related professional activities and affiliations.
Prepares papers for presentation at professional organization meetings submits manuscripts for publication in professional journals and authors articles for the Pharmacy web site.
Provides other administrator duties as assigned.
Bachelor of Science or Bachelor of Arts degree in business or health related field preferred. A Master's degree in Business Administration Hospital Administration or Pharmacy or Doctorate of Pharmacy degree highly preferred.
Current pharmacist licensure in the State of Rhode Island if applicable.
Excellent interpersonal verbal communication and presentation skills.
Ability to provide targeted communication both verbal and written to internal and external constituents.
Proven analytical and process redesign skills including but not limited to problem solving quantitative reasoning workflow process etc.
3-5 years of 340B Drug Pricing Program experience in healthcare and/or with a healthcare provider is preferred or equivalent experience.
Advanced knowledge of MS Office applications including Word PowerPoint Excel Access and Outlook.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:
Extended periods of time spent standing and walking. Requires the visual and manual dexterity to operate a computer.
SUPERVISORY RESPONSIBILITY: None.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.