Description
Provides local oversight of the 340B program. This position will utilize 340B software to maintain program compliance according to OPA.
Essential Duties and Responsibilities :
- Split-Billing Software Maintenance
- Ensures that the 340b pharmacy program is continuously compliant with 340b federal regulations and monitors 340B guidance and rule changes.
- Develops, executes, and documents self-audits of the 340b process. Coordinates and ensures remediation of findings.
- Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
- Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas by reviewing patient medical records, insurance plans, and hospital status.
- Serves as the primary internal program coordinator and liaison for all 340b-related matters.
- Assesses opportunities for cost savings and process improvements to yield higher compliance.
- Collaborates with department leadership to improve and enhance service offerings.
- Provides oversight for the implementation of process improvement initiatives.
- Monitors purchasing records and clearly documents utilization, savings, problem areas, and exceptions or discrepancies.
- Monitors inventory levels to effectively balance product availability and cost-efficient inventory control.
- Serves as the point person and coordinator for all audits, coordinating all requests and responses.
- Provides oversight for all audits performed by independent external auditors.
- Assists in monitoring reports to ensure compliance with the program.
Qualifications :
- Must possess an Associate Degree in Business or Computer Science or have two years in direct 340B pharmacy coordination experience.
- Must be certified by the Pharmacy Technician Certification Board with a Kentucky registry or have 3+ years in direct 340B pharmacy coordination experience.
If not certified, candidates must obtain KY pharmacy technician certification within 6 months of hire.
PTCB Certification is required if working on-site in a Baptist Health Pharmacy.
Baptist Health is an employer.
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