Job Summary:
The 340B Manager will provide oversight and leadership for Erlanger Health System's eligible entities within the 340B Drug Pricing Program. Responsibilities include, but are not limited to, management of split billing software/TPA(s), contract pharmacy networks, system compliance within 340B operational guidelines, and collaborating with Pharmacy leadership for drug purchasing, inventory processes and dispensing patterns to fulfill 340B regulations. This role will supervise the pharmacy analytics team in regard to 340B responsibilities. This role is also responsible for leading and effectively strategizing work processes of day-to day auditing, maintenance, financial reporting, and other duties that arise. The 340B Manager will also collaborate with Pharmacy Revenue Cycle Specialist, Revenue Integrity, Patient Financial Services, and Epic teams to uphold regulatory compliance within billing and claim needs.
This individual will collaborate with the Pharmacy leadership team to achieve departmental and organizational goals, meet customer needs and assure high quality services and products. The 340B Program Manager will be responsible for maintaining good working relationships with all contracted pharmacy partners.
Strong interpersonal communication skills and organizational skills. Consistently demonstrates ability to respond to changing priorities and situations in a flexible manner in order to meet current needs. Demonstrated ability to manage and prioritize tasks with attention to detail. Ability to work in a team environment, use a computer for communication, writing and research. Expertise with Microsoft Office including Word, Excel, PowerPoint, and Outlook.
Education:
Required:
Minimum of a Bachelor's of Science Degree from an American Council on Pharmaceutical Education accredited program or a Master's in business in a Health-Related Fields
Preferred:
340B Apexus Advanced Certificate Program (will be required within 6 months of hire date)
Experience:
Required:
- 1 -2 years of experience in purchasing, auditing, 340B compliance, and/or management
Preferred:
- 2 years of 340B experience within a DSH hospital
- Experience in Pharmacy billing within Epic
- Experience with CMS billing requirements within 340B Drug Pricing Program
- Knowledge of heath care accounting, finance, and reimbursement principles
Position Requirements (Licensure/Certifications):
Required:
- N/A
Preferred:
- Current and Valid license to practice pharmacy in the State of Tennessee or be eligible to be licensed as a pharmacist by reciprocation or examination.
Department Position Summary:
The 340B Program Manager will serve as a member of the pharmacy administration team and report to the Director of Pharmacy Business and Analytics. Role responsibilities include but are not limited to:
- Provides expertise and serve as the primary contact for 340B program matters of compliance, operations, and regulations
- Oversee 340B team and effectively direct responsibilities of auditing, reporting, financial analysis, billing/error work queues, and maintenance of the 340B third party vendors for all entities of Erlanger Health System
- Collaborate with Pharmacy Revenue Cycle Specialist and eChart/Epic teams for medication record builds, troubleshooting, and system changes impacting drug record codes and charging
- Partner with Revenue Integrity and Payer Relations for quarterly, annual, and ad hoc updates to medication records in 340B compliance with CMS and various payers
- Work with Patient Financial Services, Coding Managers, and Clinic Managers in various aspects of patient medication charging with regard to 340b regulations.
- Collaborate with Pharmacy Leaders across multiple sites for optimal 340B purchasing, dispensing, and inventory management while upholding compliance
- Maintain policy and procedures and implement appropriate changes across different entities to adhere to 340B program compliance requirements
- Maintain and optimize internal relationships (finance, legal, pharmacy, etc.) and external relationships (wholesalers, manufacturers, contract pharmacies, vendors, etc.) as needed
- Capacity to solve problems and manage multiple assignments with critical deadlines
- Provide financial and regulatory reporting to Director of Pharmacy Business and Analytics and Sr Director of Pharmacy
- Leads organization's 340B Oversight Committee which includes senior leadership within pharmacy, compliance, legal, and finance teams
