Description
Salary Range: $92,000 - $133,000.00
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
Job Description
Division: Pharmacy Department, Operations and Support Division
Job Title: Pharmacy 340B Program Coordinator
Position Summary
Job Code: 09C
Pharmacy 340B coordinator under the direction of the Director of
Pharmacy is responsible for managing the daily administration,
analysis and operation of the 340B Drug Program and all its
components including compliance and program regulations. Ensures
that the 340B program is continuously compliant with 340B federal
regulations.
Reports to: Director of Pharmacy
Statement of
Accountability
Required Qualifications
Qualifications
1.
California State Board of Pharmacy Technician Registration and
Pharmacy Technician National Certification, maintained in active
status and available for primary source verification.
Certification from Apexus 340B University course required within 3
months of hire; maintains current knowledge as Apexus and HRSA
guidance is updated.
• Education
• Licensure
2.
• Work Experience
• Skills/computer/ specific
technical
3.
4.
Two (2) year degree (or expected completion within one (1) year) or
better.
Completes hospital orientation, initial competency assessment, and
all required annual compliance education (including HIPAA,
workplace violence prevention, and safety) within required
timeframes.
• Other qualifications,
miscellaneous
Specify if qualifications are
required or preferred
Preferred Qualifications
1.
2.
3.
Bachelors' degree in science or finance or MBA preferred
Apexus Certified Expert (ACE) 340B credential preferred.
Working knowledge of 340B Drug Program and contract pharmacy
operations preferred. Familiar with 340B split billing software and
configurations.
4.
5.
6.
7.
Two years of pharmacy purchasing and inventory management
experience or related experience preferred.
Ability to use Microsoft Office products including Excel, Word, and
Outlook.
Critical thinking skills are imperative for the analysis of 340B
program.
Ability to analyze, understand, and use statistical and financial report
data to identify issues, trends, or exceptions to drive improvement of
results and find solutions.
8.
9.
Leadership skills are required to effectively implement changes
throughout the organization to improve the 340B program.
Must have good organization skills, work independently and prioritize
multiple projects and objectives in a rapidly changing environment.
Working knowledge of duplicate discount prevention across Medicaid
fee-for-service and managed care, and of Medicare Part B and Part
D 340B billing and reporting requirements, preferred.
10.
2000 Mowry Avenue
Fremont, CA 94538
www.washingtonhealth.com
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
11.
Familiarity with manufacturer contract pharmacy restriction policies,
manufacturer claims data submission platforms, and rebate model
designs preferred.
Essential Job Responsibilities
1.
Reviews policies and procedures to ensure effectiveness and
compliance with state and federal regulations related to 340B
program management and contract pharmacy operations as needed.
Serves as primary internal, external program coordinator and
institutional "compliance expert or authority" for all 340B-related
matter regarding program details, policies, and procedures of the
virtual inventory processes required for mixed-use areas.
Acts as the liaison with necessary affiliated departments to ensure
340B program integrity.
Achieving Results
Key Components: assess,
plan, evaluate,
2.
demonstrate initiative,
quality of work,
productivity
3.
4.
Provides oversight and leadership from the department of pharmacy
for the 340B program. Will co-chair the organization's 340B oversight
team, which will include representation from pharmacy, legal,
compliance, finance, and senior administration.
5.
6.
Provides expertise and education to the 340B program with staff and
participants regarding ongoing compliance.
Develops and maintains internal relationships (accounting, legal,
national) and external relationships (wholesalers, manufacturers,
contract pharmacies, split-billing software vendors, employee benefit
pharmacy benefits managers (PBMs), and third-party administrator
(TPA) vendors) as needed.
7.
8.
Acts as a liaison to the department of pharmacy and regional
facilities as well as with the organization's purchasing office.
Actively engages with senior leadership and participates in decision-
making processes related to the implementation of new 340B
processes.
1.
Takes a lead role in the development, planning and integration efforts
related to the 340B program. Ensures that policies and procedures
are developed and implemented according to organizational,
regional, national, state, and federal requirements and guidelines are
approved by appropriate committees and legal department.
Completes and ensures regular compliance to the audit program and
recommendations from 340B consultants.
Demonstrates Skill
Key Components:
competency, job
knowledge,
organizational skills,
analytical skill,
management of
information, employee &
patient safety
2.
3.
4.
Contributes processes and materials to promote programs or support
the goals of the department and institution.
Establishes consistent policies and procedures for 340B that ensure
productivity and efficiency so that long-term management of the
program does not hamper operations or create unnecessary costs.
Develops and modifies 340B policies in accordance with state,
federal, and system program requirements as needed.
5.
6.
7.
Responds to all requests regarding 340B activities.
Collaborates with 340B contract pharmacy vendors and pharmacy
wholesalers to support the contract pharmacy network as needed to
maximize operational efficiency.
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
www.washingtonhealth.com
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
8.
9.
Provides problem resolution and appropriate follow-up with the
vendor and wholesalers when necessary.
Maintains a collaborative relationship with contract pharmacies and
provides timely resolution and/or communication of any issues, when
these relationships are established.
10.
Serves as the primary link between wholesale distributors, contract
pharmacies, manufacturers, legal counsel, prime vendor program,
supply chain, 340B Health, split-billing software vendor, HRSA/OPA,
pharmacy leadership and others as it relates to the operation and
management of contract and 340B program business to ensure
compliance.
11.
12.
Coordinates 340B needs with the buyer and Pharmacy IT.
Reviews and provides recommendations to pharmacy leadership on
pharmacy contracting and other 340B opportunities and strategies
while assessing the impact from a financial, clinical and operational
perspective.
13.
14.
Maintains the mapping of the split-billing software, works to ensure
340B drug purchases maximize pharmaceutical cost savings and
works in conjunction with Revenue Integrity to investigate, correct,
and modify any billing NDC discrepancies and pricing issues.
Assists Pharmacy Buyer and Pharmacist, as needed, for
GPO/WAC/340B purchase determination and preparing invoices and
purchasing/financial reports. Manages and tracks 340B drug
inventory, proper replenishment, exclusions, shortages and
establishes appropriate alternative products.
15.
16.
Designs an efficient process to reconcile any issues with drug
ordering, delivery and payment.
Remains informed of changes in policies or procedures, 340B
related legislation, articles, white papers, and document briefs that
could affect the program structure.
17.
18.
Assures appropriate safeguards and 340B integrity.
Develops and monitors standard operating procedures for the 340B
program in its entirety and contract pharmacies as needed.
Works with contract pharmacies to develop standard operating
procedures for 340B multiple contract pharmacy processes as
needed.
Provides periodic reports to the Director of Compliance regarding
adherence to 340B, audit results (internal and external),
effectiveness and regulatory updates.
19.
20.
21.
22.
Tracks, trends, and reports 340B pharmaceutical sales and
purchases data to ensure provider/physician and patient eligibility.
Maintains the accuracy and completeness of the hospital's records in
the 340B Office of Pharmacy Affairs Information System (OPAIS),
including covered entity, child site, and contract pharmacy
registrations; completes annual recertification within the HRSA-
designated period and submits registrations and change requests
within the applicable registration windows.
23.
Administers duplicate discount prevention for Medicaid, including
carve-in/carve-out decisions, Medicaid Exclusion File entries and
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
www.washingtonhealth.com
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
billing identifiers, Medicaid managed care arrangements, and state-
specific billing and modifier requirements, including Medi-Cal.
Coordinates nonduplication between 340B and the Medicare Drug
Price Negotiation Program, verifying that selected drugs are acquired
at the lower of the 340B ceiling price or the maximum fair price
(MFP) and that no unit receives both discounts; supports enrollment
of dispensing pharmacies with the Medicare Transaction Facilitator
(MTF) and reconciliation of retrospective MFP refunds.
Evaluates and, where the hospital elects to participate, coordinates
submission of Part D 340B claims data to the CMS Medicare Part D
Claims Data 340B Repository, and maintains readiness for expanded
or mandatory 340B claims data reporting.
Monitors the status of manufacturer rebate models and any HRSA
rebate model pilot, maintaining operational and financial readiness to
submit claim-level data, model cash flow impact, and reconcile
rebates should such models take effect.
Tracks manufacturer contract pharmacy restriction policies and
associated data submission requirements; maintains required
pharmacy designations, evaluates the financial impact of each policy,
and escalates access issues to pharmacy, finance, and legal
leadership.
24.
25.
26.
27.
28.
29.
Verifies 340B ceiling prices against HRSA-published pricing,
identifies suspected overcharges, and pursues credits or refunds
from manufacturers and wholesalers, escalating unresolved matters
for consideration under HRSA's administrative dispute resolution
(ADR) process.
Monitors federal and California legislative, regulatory, and litigation
developments affecting 340B eligibility, contract pharmacy access,
PBM reimbursement practices, and provider reporting obligations,
and advises leadership on operational and financial impact.
1. Ability to communicate effectively verbally and in writing, good
presentation skills, team building and educational teaching skills to
provide ongoing training for the 340B program.
2. Ability to work effectively with a variety of personnel with backgrounds
varied in education and skill sets.
Planning & Coordinating
Key Components:
delegates, decision
making, problem solving,
management of
3. Must be able to function as a team leader.
resources
4. Must have good negotiation skills and be able to interact with internal
staff, system vendors and outside consultants in a professional,
effective method.
5. Reports savings of the program [monthly, quarterly, etc.].
6. Assesses opportunities for cost savings and business improvement in
340B contract pharmacy utilization and prepares statements for this
purpose as needed.
7. Collaborates with departments, sites and staff representatives to
communicate improvements and promote broad participation in 340B
activities across the organization.
8. Leads and facilitates priority 340B projects to the final outcome.
9. Assists Pharmacy Director and CFO with HRSA and manufacturer
audits.
2000 Mowry Avenue
Fremont, CA 94538
510.797.1111
www.washingtonhealth.com
Docusign Envelope ID: 7A5B3479-9D4C-88D2-83E5-044BBCB62EF5
10. Performs quality assurance audits on all aspects of the organization's
340B program on a continuous basis including contract pharmacy
operations, financial transactions, and patient and provider
qualifications.
11. Evaluates OPA database accuracy for eligible sites and compliance.
12. Reviews 340B purchase history to ensure that drugs being purchased
on 340B accounts are drugs being utilized accurately for outpatient
use.
13. Evaluates 340B inventory replenishment to confirm that accumulation,
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