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The 340B Program Director is responsible for planning, implementing, supporting, and optimizing projects related to the 340B program at LCMC Health. The incumbent participates in the policy and procedure development, education to internal and external stakeholders, rules/guidance surveillance, registration/ recertification, self and external audits, contract management, and reporting and program enhancement/optimization projects. The incumbent serves as the subject matter expert for all matters regarding the 340B Program. Additionally, the
incumbent will oversee all uses of the split billing software.

GENERAL DUTIES:

Training and Education

Develops training and competency materials for all staff who work with the 340B program.Conducts ongoing 340B program training for staff.Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement.

Policies and Procedures

Develops, implements, and modifies consistent policies and procedures according to all applicable guidelines as approved by the legal departmentEnsures that policies and procedures support maximum productivity and efficiency to avoid any unnecessary costs or operational barriers

Compliance

Continually monitors 340B regulations to ensure federal compliance, staying up-to-date on all rule changes, including HRSA/OPA and Medicaid. Shares all learnings and hot topics with management and staff.Keeps abreast of trends and issues by attending 340B trainings, monitoring industry publications and websites, professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions and advanced ideas for improving participation.Determines the best use of 340B program staff by collaborating with Prime Vendor Program, Pharmacy Leadership, and other 340B institutions.

Registration/Recertification

Ensures that the annual HRSA recertification is completed within the allowable time frame.Ensures that the HRSA 340B Database is accurate for all organization entities.Ensures registration of any new child site within the allowable time frame.

Auditing

Is responsible for the oversight of required 340B audits, both internally and externally.Maintains a current state of “audit readiness.”Serves as the point person and coordinator for all audits.Coordinates all requests and responses.Coordinates external compliance assessments with outside firms, where appropriate, to validate internal processes.Leads 340B purchasing and utilization audits or compliance assessments internally, as needed to ensure compliance with all applicable regulations. This includes, self-audits of 340B processes, annual audit of contract pharmacies, and monthly audits of 340B eligible locations. Coordinates the remediation of findings.Routinely reviews data and related reports from all points of service at which 340B participation occurs to ensure that policies and procedures are followed, entity eligibility requirements are met, and all patients meet patient definition requirements.Works with medical auditors on third-party payer audits to ensure coordination of efforts and maximum collection.340B Contract Management Manages relationships, billing services, and compliance with contracted 340B pharmacies. Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.

Program Enhancement/Optimization

Develops strategies to appropriate use of the program working directly with manufacturers and wholesalersAssesses opportunities for cost savings, business and system improvementsParticipates in projects, councils and special initiatives related to 340B, compliance, auditing, vendor selection and medication management.Monitors all outpatient points of service to continually check for new areas that may qualify for the 340B program.Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement.Provides input and implements business plans in coordination with the organization’s pharmacy leadership for organizational facilities to help use 340B savings to expand and improve care provided to underserved and vulnerable populations; assists facilities to prioritize and implement outpatient program development and contract pharmacy agreements related to 340B; and assists the organization’s leadership with program development and optimization.

Reporting and Financial Analysis

Prepares, monitors and reports measurements to ensure satisfaction with the 340B program.Develops, monitors, and presents reports on 340B participation that clearly document utilization, savings, problem areas, exceptions, and/or discrepancies to pharmacy and administrative leadership.Routinely communicates any questions, issues, or discrepancies with the appropriate authority.Reports monthly on saving opportunities. Communicates key metrics and improvement actions to management.Ensures appropriate documentation and audit trail across areas of responsibility.Develops, monitors, maintains, and presents reports to Directors and directors on budget variancesDevelops and prepares drug spend analysis for forecasting and budgetingCompletes analytics on any department changes that may affect budget to make appropriate budgetary adjustmentsServes as the point person for finance as it relates to reporting needs for drug expense

Operations

Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy.Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.Participate in interviews, selection, orientation, and training of new employeesProvide input on staff performance including providing feedback for performance evaluations.Participate in staff meetings to communicate changes and address issues that need to be discussed.Address customer concerns/complaints as they arise. Assist in the implementation of policies and procedures and ensures uniform compliance.Utilize time tracking tools, as required by department to assure accurate project planning and budgeting needs.

EXPERIENCE QUALIFICATIONS:

Minimum: Three (3) years of institutional experience (hospital—acute care, nursing home, home health care, integrated health system)Preferred: Three (3) years of experience in pharmacy business operations with an emphasis on 340B

EDUCATION QUALIFICATIONS:

Minimum: Bachelor’s degree in Pharmacy or a PharmD degreePreferred: Master’s Degree in health system pharmacy administration, business administration, or other relevant fields

LICENSES AND CERTIFICATIONS:

Minimum: Licensed or eligible for licensure to practice pharmacy in the State of LouisianaPreferred: Advanced 340B Operations Certificate (340B ACE)

WORK SHIFT:

Days (United States of America)

LCMC Health is a community. 

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion.  Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do

You are welcome here. 

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

 

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