- Maintain up-to-date policies and procedures related to all aspects of the 340B program.
- Create, review and maintain all 340B Program policies and procedures on an ongoing basis and provide updates as appropriate to ensure ongoing 340B compliance.
- Ensure that all sites maintain adherence to 340B Program guidelines and regulations
- When and where appropriate establish an external audit system to validate the self-audits, compliance with the 340B program, and to assess readiness for the HRSA and manufacturer audits.
- Maintain copies of reports for compliance and audit purposes
- Ensure that any prescriptions billed to the voucher program are billed in compliance with Social Work and Outreach Department guidelines.
Teamwork
- Management and oversight of the Voucher program in coordination with the Social Work and Outreach Department.
- Develop and foster working relationships with internal working counterparts (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance.
- Staff when needed in appropriate areas of the pharmacy.
Analytical and Critical Thinking
- Perform periodic review and audit of the 340B split-billing and third party administrator software
- Evaluates and provides analysis of provider opportunities
- Perform covered entity-specific gross financial analysis and make recommendations to improve program performance.
- Track financial impact over time, identify root causes of adverse trends, and make recommendations to improve the program’s financial stability.
- Develop reports to educate staff and assist management in tracking the overall financial program impact to the organization.
- Develop and analyze appropriate financial metrics to assess areas of improvement.
- Develop other reports, as appropriate, to monitor and improve 340B Program compliance and performance. Maintain copies of reports for compliance and audit purposes.
- Through financial analysis, strive to recognize the value opportunity of the 340B program.
- Assess opportunities for cost savings and system improvements to yield higher compliance.
- Ensure monitoring of product par levels to promote adequate product availability and cost-effective inventory control,
- In concert with Finance, monitor and ensure proper credit for all returns of merchandise including expired medications, excess inventory, and manufacturer Recalls. Planning and Organizing
- Identify new contract pharmacy opportunities
- Coordinate purchasing for split inventory within internal pharmacies
Willingness to Learn
- Develop a thorough understanding of the split-billing/third party administrator systems and the functions to be performed.
- Expand professional development through related classes, seminars, current publications, and regional/national association membership participation.
- Participate and offer staff 340B University OnDemand training based on their role/responsibility.
- Develop a thorough understanding of the 340B program. Strive to consistently improve the overall efficiency, value, and internal support of the 340B program.
- Continue to build knowledge of the health care and pharmacy services industry and use that knowledge to identify ways and make recommendations to improve the 340B program
Patient Focus
- Assist all customers to clarify requirements, propose sourcing options; evaluate and recommend the best sourcing solution.
Communication
- Report to 340B Oversight Council involving periodic inter-departmental meetings (IT, Finance, Quality, Pharmacy) to facilitate exchanges of information, to improve program efficiency and promote program compliance.
- Provide data, information, and reports as needed for other business units within the organization.
- Provide Sr Technicians responsible for purchasing the information needed to place orders using appropriate accounts (e.g., WAC, Retail, 340B)
- Provide staff education to personnel involved in purchasing operations to ensure proper participation and program compliance including use of appropriate accounts (e.g. WAC, GPO, 340B, and non-340B) to replenish inventory in the mixed-use inventory setting.
- Develop proper 340B quality assurance training for employees as appropriate, including split billing and use of appropriate order accounts.
- Provide proactive education to staff on policies and procedures related to inventory management and 340B procedures.
- Manage existing vendor contracts and supplier relations.
- Provide data, information, and reports as needed for other business units within the organization.
Checking, Examining, and Recording
- Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations.
- In concert with Pharmacy, IT, and Finance develop and perform monthly self-audits of pharmacy 340B related operations
- Monitor and audit state Medicaid and MCO claims to ensure compliance to prevent potential duplicate discount rebates
- Perform monthly audits of contract pharmacies contract pharmacy arrangements and opportunities.
- Review and refine monthly 340B cost savings reports detailing purchasing and Replacement Practices as well as dispensing patterns.
- Monitor, report, and analyze contract pharmacy 340B activities and make recommendations to improve participation, outcomes, and future enrolments.
- Monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 codes. Summarize and report results to appropriate personnel.
- Monitor product par levels to effectively balance product availability and cost-efficient inventory control
- Ensure periodic physical inventory is conducted of all pharmacy merchandise and communicate inventory results to Pharmacy and Finance Leadership.
- Ensure periodic cycle counts are conducted to facilitate proper inventory control and management. Discrepancies, if any, shall be resolved per established procedures.
- Ensure that specialized dedicated inventories such as floor stock, emergency drug boxes are managed in compliance with the 340B program guidelines.
- Perform weekly audits (per specified check list) of inventory related processes.
- Daily perpetual physical inventory
- Monitor daily perpetual inventory count for identified medications.
- The daily inventory is conducted at 8 AM and the counts documented and reconciled on a tracking log. Discrepancies, if any, shall be resolved per established procedures.
Performs other duties as required
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