Program Manager at Healthy MD
Tamarac, FL 33321
About the Job
CORE JOB SUMMARY
The 340 B Program Manager works under direct supervision of the Director of Pharmacy Operations. This position plays an integral role in managing 340B regulations and compliance for all covered entities throughout the organization. Essential responsibilities include managing dispense claims administration, claims analysis, and operations of 340B Drug program.
The 340 B Program Manager works under direct supervision of the Director of Pharmacy Operations. This position plays an integral role in managing 340B regulations and compliance for all covered entities throughout the organization. Essential responsibilities include managing dispense claims administration, claims analysis, and operations of 340B Drug program.
CORE JOB FUNCTIONS
1. Ensures compliance with all aspect of the 340B program and implements all applicable aspects of the Office of Pharmacy Affairs guidance.
2. Serves HMD subject matter expert (SME) for 340 B compliance and performance.
3. Develop metrics for program compliance monitoring for all covered entities.
4. Schedule and oversee internal and external 340B compliance audits.
5. Develop and maintain 340 B program policies and procedures.
6. Serves as the organization primary liaison for maintaining relations and accountability for with assigned (TPA) vendor.
7. Assist with 340 B contract reviews and negotiations.
8. Serves as organization liaison for affiliated departments (i.e., Compliance, Legal, Finance, IT, Pharmacy) to ensure 340B Program integrity.
9. Develops and maintains external relationships: Apexus, HRSA, wholesalers, manufacturers, contract pharmacies, vendors, pharmacy benefit managers, third party administrators.
10. Provides ongoing education, training, and communications to all staff (particularly those who work with 340B routinely) regarding the 340B Program operations and compliance.
11. Maintains knowledge of policy changes that impact 340B program which includes, but not limited to, HRSA-OPA rules and Medicaid changes.
12. Participate in end of month finance evaluation of 340 cost savings.
13. Work with pharmacy leadership on implementation of new and existing clinical services that generates 340 B savings.
14. Flexibility to travel to covered 340 B entities.
15. Performs other related duties as assigned by your supervisor.
1. Ensures compliance with all aspect of the 340B program and implements all applicable aspects of the Office of Pharmacy Affairs guidance.
2. Serves HMD subject matter expert (SME) for 340 B compliance and performance.
3. Develop metrics for program compliance monitoring for all covered entities.
4. Schedule and oversee internal and external 340B compliance audits.
5. Develop and maintain 340 B program policies and procedures.
6. Serves as the organization primary liaison for maintaining relations and accountability for with assigned (TPA) vendor.
7. Assist with 340 B contract reviews and negotiations.
8. Serves as organization liaison for affiliated departments (i.e., Compliance, Legal, Finance, IT, Pharmacy) to ensure 340B Program integrity.
9. Develops and maintains external relationships: Apexus, HRSA, wholesalers, manufacturers, contract pharmacies, vendors, pharmacy benefit managers, third party administrators.
10. Provides ongoing education, training, and communications to all staff (particularly those who work with 340B routinely) regarding the 340B Program operations and compliance.
11. Maintains knowledge of policy changes that impact 340B program which includes, but not limited to, HRSA-OPA rules and Medicaid changes.
12. Participate in end of month finance evaluation of 340 cost savings.
13. Work with pharmacy leadership on implementation of new and existing clinical services that generates 340 B savings.
14. Flexibility to travel to covered 340 B entities.
15. Performs other related duties as assigned by your supervisor.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Bachelors degree, Doctor of Pharmacy degree preferred
Bachelors degree, Doctor of Pharmacy degree preferred
Certification and Licensing:
Apexus 340 B Certification
PharmD preferred
Apexus 340 B Certification
PharmD preferred
Experience:
3- 5 years of experience in healthcare management specifically related 340B
3- 5 years of experience in healthcare management specifically related 340B
Knowledge, Skills, and Attitudes:
• Strong customer service orientation skills
• Strong Communication Skills
• Full knowledge of Windows Office Suite; particularly Microsoft Word and Excel
• Basic understanding of computers
• Strong problem resolution skills
• Strong customer service orientation skills
• Strong Communication Skills
• Full knowledge of Windows Office Suite; particularly Microsoft Word and Excel
• Basic understanding of computers
• Strong problem resolution skills
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