Thayer County Health Services
340B Program Director
Thayer County Health Services, Hebron, Nebraska, United States, 68370
340B Program Director
Thayer County Health Services, Hebron, NE
This position contributes to the fulfillment of Thayer County Health Services vision and mission by assisting in the provision of pharmacy services through the overall management of the 340B program. ensuring that the organization fully leverages the benefits of the 340B program. Ensures participation in the 340B program complies with all federal regulations and guidelines set by HRSA. Oversee relationships with contract pharmacies, ensuring they comply with program requirements and contribute to the organization's goals. Oversee the revenue cycle process for the pharmacy. Ensure the pharmacy's revenue is maximized.
SUPERVISION:
Reports to Director of Pharmacy
SHIFT:
Full-Time, Non-Exempt, Days
JOB QUALIFICATIONS:
Bachelor's degree in business or health-related field or equivalent pharmacy related work experience preferred.
Active Pharmacy Technician license or National Pharmacy Technician Certification (CPhT) required.
3-5 years of 340B Compliance Program experience in healthcare or with a healthcare provider is preferred.
Strong verbal and written communication skills required.
PRINCIPAL RESPONSIBILITIES:
Serves as the primary program director and liaison for 340B related matters
Develop, implement and oversee the 340B program strategy
Ensure the program is integrated effectively into the organization's pharmacy operations
Monitor and optimize program performance to maximize savings and benefits
Maintain up-to-date knowledge of 340B regulations, guidelines, and legislative changes
Conduct regular internal audits to verify compliance with program requirements
Coordinates independent external audits from outside firm as recommended by HRSA
Provides oversight for all audits performed by independent external auditors
Maintains a current stat of audit readiness
Prepare for and manage HRSA audits and respond to audit findings
Ensure accurate record keeping and reporting related to the 340B program
Identify opportunities to maximize savings and improve program efficiency
Manage relationships with contract pharmacies and ensure they follow 340B regulations
Monitor contract pharmacy performance and ensure they provide value to the program
Address issues related to contract pharmacy operations, including compliance concerns
Ensure accurate tracking and reporting of drugs dispensed through contract pharmacies
Identify and manually qualify prescriptions based on referrals to increase contract pharmacy revenue
Generate reports on program performance, including savings, compliance and operational efficiency
Analyze trends and identify areas for improvement in the program
Ensure the accuracy and integrity of data related to the 340B program
Recertify covered entity annually on HRSA OPAIS database
Updates HRSA OPAIS database and ensure the accuracy of all information
Registers any new child sites and contract pharmacies on HRSA OPAIS database
Train staff on 340B policies and ensure they are followed across the organization
Develop, implement and maintain policies and procedures in accordance with 340B federal regulations and organization's procedures
Develop standard operating procedures (SOPs) for 340B process, including purchasing, dispensing, and billing
Keep staff informed about changes in 340B regulations and best practices
Facilitate knowledge sharing and collaboration among departments involved in the 340B program
Assist with the configuration, maintenance, and implementation of pharmacy related modules within the EMR system.
Identify growth opportunities with the 340B program
Implements, oversees and ensures split-billing software integrity
Ensures data feeds are accurate and uploaded to split-billing software
Knowledge of metric and apothecary systems of weights and measurements
Strong understanding of pharmaceutical and related medical technology and software.
Skilled in establishing and maintaining effective working relationships with patients, medical staff and the public.
Knowledge of prescription drugs and the dispensing function to check for accuracy of orders.
Performs regular audits to avoid duplicate discounts, diversion, loss of pricing, inaccurate qualifying of patients or medications, and contract pharmacies submissions to avoid liabilities and loss of profit.
Explore opportunities through internal and external relationships to further grow the 340B program by expanding the programs criteria for qualifying drugs and other expanded service opportunities.
Monitor, develop, and present opportunities for cost saving opportunities through maximizing 340b discounts via biosimilar substitution or contract revisions.
Develop training competencies for pharmacy employees to facilitate understanding of the program and continual updates regarding changes to the program or policies.
Responsible for annual HRSA recertification, OPAIS accuracy for the organization, and registration of child sites is performed in the allotted time frame.
Maintain split-billing software, EMR reporting and chargemaster, CDM/crosswalk, accumulations, and all other contract and software requirements for 340B reporting and utilization.
Report on utilization, savings, problems, exceptions, or discrepancies to stakeholders.
Assists in the dispensing of medication by compounding, unit dosing, or stocking automated dispensing cabinets under a pharmacist’s supervision.
Checks all orders for completeness of information. Verifies patient information and proper physician authorization.
Calculates correct dosages, converting between metric and apothecary equivalents.
Ensure proper billing of current drug inventory by monitoring and updating the facilities formulary with current NDC’s and drug pricing.
Provides non-drug information to staff and answer inquires in a timely manner.
Attends required meetings and participates in committees as requested.
Participates in staff development and educational activities.
Maintains strict patient confidentiality.
Performs other duties as assigned.
PERFORMANCE STANDARDS:
Maintains and promotes good health practices.
Will conform to TCHS procedures and policies.
Will perform all duties as described by the job description within the scope of licensure.
Does not discuss patient matters such as medical treatment, diagnosis or history outside of the clinical setting, keeping in compliance of HIPAA.
Understand and comply with the requirements of Thayer County Health Services’ Compliance Program, including, but not limited to, the Code of Conduct, the Compliance Manual, all supporting policies for compliance and compliance plans.
Participate in all education and training programs regarding compliance as required by organizational policy and as requested by supervisor.
Willingly accepts new responsibilities and cooperates with implementation of change.
Dresses in a neat, clean uniform for patient care; maintains high personal hygiene standards.
Demonstrates respect, integrity, compassion, and excellence through a “We Care” philosophy with all patients, visitors, and TCHS staff.
WORKING CONDITIONS:
Indoor, smoke free, climate-controlled environment.
Possible exposure to unpleasant odors or fumes, intermittent unpleasant conditions, liquids, and chemicals.
Must be able to tolerate a moderate noise level.
Possible exposure and contact with bio-hazardous materials and communicable diseases.
Frequent contact with doctors, patients and their families, and employees of other departments.
Health care workers who prepare or administer hazardous drugs or who work in areas where these drugs are used may be exposed to these agents in the air or on work surfaces, contaminated clothing, medical equipment, patient excreta, and other surfaces. Studies have associated workplace exposures to hazardous drugs with health effects such as skin rashes and adverse reproductive outcomes (including infertility, spontaneous abortions, and congenital malformations) and possibly leukemia and other cancers. The health risk is influenced by the extent of the exposure and the potency and toxicity of the hazardous drug. Due to these risks, all pharmacy staff are required to be fitted annually for a filtered respirator.
PHYSICAL DEMANDS
Physical Activity
Not Applicable
Occasionally
(0-35% of day)
Frequent
(36-66% of day)
Continuous
(67-100% of Day)
Sitting
X
Standing
X
Walking
X
Climbing
X
Driving
x
Lifting (floor to waist)
40 Ibs.
40 Ibs.
40 Ibs.
Lifting (waist and above
40 Ibs.
40 Ibs.
40 Ibs.
Lifting (shoulder and above)
20 Ibs.
15 Ibs.
10 Ibs.
Carrying Objects
X
Push/pull
X
Twisting
X
Bending
X
Reaching Forward
X
Reaching Overhead
X
Squat/kneel/crawl
X
Wrist position deviation
X
Pinching/fine motor activities
X
Keyboard use/repetitive motion
X
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Thayer County Health Services, Hebron, NE
This position contributes to the fulfillment of Thayer County Health Services vision and mission by assisting in the provision of pharmacy services through the overall management of the 340B program. ensuring that the organization fully leverages the benefits of the 340B program. Ensures participation in the 340B program complies with all federal regulations and guidelines set by HRSA. Oversee relationships with contract pharmacies, ensuring they comply with program requirements and contribute to the organization's goals. Oversee the revenue cycle process for the pharmacy. Ensure the pharmacy's revenue is maximized.
SUPERVISION:
Reports to Director of Pharmacy
SHIFT:
Full-Time, Non-Exempt, Days
JOB QUALIFICATIONS:
Bachelor's degree in business or health-related field or equivalent pharmacy related work experience preferred.
Active Pharmacy Technician license or National Pharmacy Technician Certification (CPhT) required.
3-5 years of 340B Compliance Program experience in healthcare or with a healthcare provider is preferred.
Strong verbal and written communication skills required.
PRINCIPAL RESPONSIBILITIES:
Serves as the primary program director and liaison for 340B related matters
Develop, implement and oversee the 340B program strategy
Ensure the program is integrated effectively into the organization's pharmacy operations
Monitor and optimize program performance to maximize savings and benefits
Maintain up-to-date knowledge of 340B regulations, guidelines, and legislative changes
Conduct regular internal audits to verify compliance with program requirements
Coordinates independent external audits from outside firm as recommended by HRSA
Provides oversight for all audits performed by independent external auditors
Maintains a current stat of audit readiness
Prepare for and manage HRSA audits and respond to audit findings
Ensure accurate record keeping and reporting related to the 340B program
Identify opportunities to maximize savings and improve program efficiency
Manage relationships with contract pharmacies and ensure they follow 340B regulations
Monitor contract pharmacy performance and ensure they provide value to the program
Address issues related to contract pharmacy operations, including compliance concerns
Ensure accurate tracking and reporting of drugs dispensed through contract pharmacies
Identify and manually qualify prescriptions based on referrals to increase contract pharmacy revenue
Generate reports on program performance, including savings, compliance and operational efficiency
Analyze trends and identify areas for improvement in the program
Ensure the accuracy and integrity of data related to the 340B program
Recertify covered entity annually on HRSA OPAIS database
Updates HRSA OPAIS database and ensure the accuracy of all information
Registers any new child sites and contract pharmacies on HRSA OPAIS database
Train staff on 340B policies and ensure they are followed across the organization
Develop, implement and maintain policies and procedures in accordance with 340B federal regulations and organization's procedures
Develop standard operating procedures (SOPs) for 340B process, including purchasing, dispensing, and billing
Keep staff informed about changes in 340B regulations and best practices
Facilitate knowledge sharing and collaboration among departments involved in the 340B program
Assist with the configuration, maintenance, and implementation of pharmacy related modules within the EMR system.
Identify growth opportunities with the 340B program
Implements, oversees and ensures split-billing software integrity
Ensures data feeds are accurate and uploaded to split-billing software
Knowledge of metric and apothecary systems of weights and measurements
Strong understanding of pharmaceutical and related medical technology and software.
Skilled in establishing and maintaining effective working relationships with patients, medical staff and the public.
Knowledge of prescription drugs and the dispensing function to check for accuracy of orders.
Performs regular audits to avoid duplicate discounts, diversion, loss of pricing, inaccurate qualifying of patients or medications, and contract pharmacies submissions to avoid liabilities and loss of profit.
Explore opportunities through internal and external relationships to further grow the 340B program by expanding the programs criteria for qualifying drugs and other expanded service opportunities.
Monitor, develop, and present opportunities for cost saving opportunities through maximizing 340b discounts via biosimilar substitution or contract revisions.
Develop training competencies for pharmacy employees to facilitate understanding of the program and continual updates regarding changes to the program or policies.
Responsible for annual HRSA recertification, OPAIS accuracy for the organization, and registration of child sites is performed in the allotted time frame.
Maintain split-billing software, EMR reporting and chargemaster, CDM/crosswalk, accumulations, and all other contract and software requirements for 340B reporting and utilization.
Report on utilization, savings, problems, exceptions, or discrepancies to stakeholders.
Assists in the dispensing of medication by compounding, unit dosing, or stocking automated dispensing cabinets under a pharmacist’s supervision.
Checks all orders for completeness of information. Verifies patient information and proper physician authorization.
Calculates correct dosages, converting between metric and apothecary equivalents.
Ensure proper billing of current drug inventory by monitoring and updating the facilities formulary with current NDC’s and drug pricing.
Provides non-drug information to staff and answer inquires in a timely manner.
Attends required meetings and participates in committees as requested.
Participates in staff development and educational activities.
Maintains strict patient confidentiality.
Performs other duties as assigned.
PERFORMANCE STANDARDS:
Maintains and promotes good health practices.
Will conform to TCHS procedures and policies.
Will perform all duties as described by the job description within the scope of licensure.
Does not discuss patient matters such as medical treatment, diagnosis or history outside of the clinical setting, keeping in compliance of HIPAA.
Understand and comply with the requirements of Thayer County Health Services’ Compliance Program, including, but not limited to, the Code of Conduct, the Compliance Manual, all supporting policies for compliance and compliance plans.
Participate in all education and training programs regarding compliance as required by organizational policy and as requested by supervisor.
Willingly accepts new responsibilities and cooperates with implementation of change.
Dresses in a neat, clean uniform for patient care; maintains high personal hygiene standards.
Demonstrates respect, integrity, compassion, and excellence through a “We Care” philosophy with all patients, visitors, and TCHS staff.
WORKING CONDITIONS:
Indoor, smoke free, climate-controlled environment.
Possible exposure to unpleasant odors or fumes, intermittent unpleasant conditions, liquids, and chemicals.
Must be able to tolerate a moderate noise level.
Possible exposure and contact with bio-hazardous materials and communicable diseases.
Frequent contact with doctors, patients and their families, and employees of other departments.
Health care workers who prepare or administer hazardous drugs or who work in areas where these drugs are used may be exposed to these agents in the air or on work surfaces, contaminated clothing, medical equipment, patient excreta, and other surfaces. Studies have associated workplace exposures to hazardous drugs with health effects such as skin rashes and adverse reproductive outcomes (including infertility, spontaneous abortions, and congenital malformations) and possibly leukemia and other cancers. The health risk is influenced by the extent of the exposure and the potency and toxicity of the hazardous drug. Due to these risks, all pharmacy staff are required to be fitted annually for a filtered respirator.
PHYSICAL DEMANDS
Physical Activity
Not Applicable
Occasionally
(0-35% of day)
Frequent
(36-66% of day)
Continuous
(67-100% of Day)
Sitting
X
Standing
X
Walking
X
Climbing
X
Driving
x
Lifting (floor to waist)
40 Ibs.
40 Ibs.
40 Ibs.
Lifting (waist and above
40 Ibs.
40 Ibs.
40 Ibs.
Lifting (shoulder and above)
20 Ibs.
15 Ibs.
10 Ibs.
Carrying Objects
X
Push/pull
X
Twisting
X
Bending
X
Reaching Forward
X
Reaching Overhead
X
Squat/kneel/crawl
X
Wrist position deviation
X
Pinching/fine motor activities
X
Keyboard use/repetitive motion
X
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