340B Program Manager

Description

POSITION SUMMARY

The 340B Program Manager is responsible for Adelante’s 340B drug pricing program. This position will serve as the primary program manager, subject matter expert, as well as being a liaison for all 340B program matters.

This position will be responsible for ensuring compliance with all aspects of the 340B program, implementing all applicable requirements from the HRSA’s Office of Pharmacy Affairs, managing projects, creating processes to ensure all legal aspects of the program are being followed, and creating policies and procedures when necessary.

EXPECTATIONS

Every Adelante Leader will strive to maximize the performance and contribution of each team member to Adelante Healthcare and the community that we serve every day.

Leaders will set clear performance expectations, provide on-going feedback and coaching to improve results and outcomes and provide regular performance evaluations.

Leaders are also expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and model for all other employees the highest standards of personal integrity, professionalism, and competence.

OUR CORE VALUES

• Compassion
• Excellence
• Integrity
• Learning
• Respect
• Sustainability

Qualifications

ESSENTIAL SKILLS AND EXPERIENCE :

• High school diploma or GED from an accredited institution required
• Certified Pharmacy Technician required
• Experience working with 340B program
• Two (2) years or more supervisory experience
• Two (2) to three (3) years of experience in a health care or pharmacy setting
• Knowledge of purchasing, inventory control, distribution and price / cost analysis
• Intermediate to advanced skill level in Excel required
• Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
• Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations

POSITION RESPONSIBILITIES / ESSENTIAL :

• Provide guidance and leadership for Adelante Healthcare’s 340B program
• Monitor and evaluate staff performance, organize staff work activities and attendance. Assure compliance for quality purposes and maintain appropriate documentation.

This includes recruiting, interviewing, training and mentoring staff.

• Lead the 340B program committee which will include representation from various departments
• Maintain knowledge of policies that affect the 340B program, including, but not limited to HRSA / OPA rules and Medicaid changes
• Ensure that the 340B program is continuously compliant with all 340B federal regulations.
• Develop, modifies, and enforces 340B program policies and procedures in accordance with state, regional, national, and federal requirements
• Develop training and competency materials for the 340B Program
• Responsible for ensuring the annual HRSA recertification is completed within the allowable time frame. Ensures the 340B database is accurate for all organization entities.

Responsible for registering any new child site within the allowable time frame

Develop, execute, and document self-audits of the 340B process. Will also oversee all audits performed internally and those performed externally by outside auditors.

Maintains a state of audit readiness. Manages annual audits of all contract pharmacies. Documents results and follows-up on findings

• Coordinate and ensure remediation of findings
• Resolve and troubleshoot any pharmacy billing issues and safeguards that adequate system checks are reviewed to prevent further billing issues
• Work closely with the finance department to track, trend, report revenue, purchases, and expenses associated with the 340B program
• Collaborate with Adelante’s Credentialing team and external Pharmacy Data Informatics Designees to ensure that the PBMs and contract pharmacies have an up to date provider lists

NONESSENTIAL SKILLS AND EXPERIENCE :

• Associates or Bachelor’s degree preferred
• Experience working in a Federally Qualified Health Center

Additional Duties and Responsibilities

Other duties as requested or assigned

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system.

Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements.

Such compliance will be an element considered as part of the regular performance evaluation.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands : While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls;

reach with hands and arms; climb steps / stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions.

The employee must frequently lift and / or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance.

Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work environment : While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites.

The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.

when working in the clinic area.

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities.

Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises.

In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.