Established in 1984, our client is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation’s largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) healthcare organizations. With 17 offices in 11 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives.
POSITION SUMMARY:
The Associate Director of 340b Operations oversees the monitoring process and verification steps for 340B eligibility determination, process expansion, and ongoing program oversight and plays a key role in ensuring that appropriate documentation is collected within databases and the electronic health record. When necessary, The Associate Director of 340b Operations will perform auditing duties as well. This individual works collaboratively with the pharmacy team, medical team, and case management to monitor required documentation and complete routine audits. The Associate Director of 340b Operations will collaborate with other directors on process improvements that will ensure compliance with the 340b program. The Associate Director of 340b Operations will regularly audit the 340b OPAIS database for accuracy and assist the Authorizing Official in recertifications.
ESSENTIAL JOB FUNCTIONS:
The Associate Director of 340b Operations is responsible for overseeing and developing processes for the effective and efficient eligibility determination processing of pharmacy claims and clinic administration and auditing of records. Essential functions of the job include, but are not limited to, traveling, driving, or having reliable transportation; written communication; utilizing a computer for typing and data analysis; attending meetings.
MAJOR AREAS OF RESPONSIBILITY:
Work closely with the Chief Pharmacy Officer, Market Director of Pharmacy Services, Director of Pharmacy Operations, and Director of Client Services to ensure compliance with the 340B program.
Collect and scan required medical documentation from external providers into the electronic medical record, as require ensuring program compliance
Oversee contract pharmacy prescription audits and maintain appropriate program documentation.
Oversee reconciliations of 340B medication purchases and drug utilization within the clinics.
Use the electronic health record and pharmacy data to track and audit eligibility for the 340B program.
Create and/or update 340B-related procedures for the organization and train staff accordingly.
Review HRSA website and advise team of changes that may affect the organization.
Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
Communicate with case management supervisors particularly regarding releases of information and ongoing client enrollment and closures.
Provide follow-up email and phone calls to the organization's staff, provider offices, or other professionals as needed.
Strive to consistently improve the overall efficacy, efficiency, value and compliance with the 340B Program.
Regularly communicate with staff members involved in the 340B program to ensure efficiency, as well as to address problems or concerns in a prompt manner.
Comply with the organization's Corporate Compliance Standards of Conduct and related policies and procedures.
Participate in other agency meetings as requested by supervisor including continuous quality improvement committee meetings and director committees.
Demonstrate unconditional positive regard to clients and conduct all aspects of job responsibilities.
Continuously grow and develop cultural competency, exhibiting an understanding, awareness, and respect for diversity.
Contribute to a positive work environment by demonstrating unconditional positive regard to the organization's employees, interns, etc. with an understanding, awareness, and respect for diversity.
Conduct special projects and perform any other related duties as assigned by the Chief Pharmacy Officer.
EDUCATION/LICENSURE:
Bachelor’s Degree and registered or certified pharmacy technician preferred.
KNOWLEDGE, SKILLS, ABILITIES AND OTHER QUALIFICATIONS:
Experience working in medical, or pharmacy setting preferred.
Experience with 340B program auditing preferred
Experience managing a 340b auditing team preferred Quality assurance experience such as medical chart reviews or auditing preferred.
Must be exceptionally organized and able to work independently.
Ability to supervise and offer guidance other individuals involved in the 340B Program.
Strong attention to detail, spelling, and numerical differences.
Comfort in creating and editing spreadsheets in Excel and/or other databases required.
Ability to be flexible in work hours.
Exemplary written and verbal communication skills.
Knowledge of healthcare terminology.
Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, sexual practices, chemical dependency, and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community.
Proficiency in all Microsoft Office applications (Excel, Word, Outlook, and PowerPoint), computers, email, web-based systems and electronic health records.
Reliable transportation, driver’s license and proof of auto insurance required.
This job description is designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this job.
Our client is an Equal Opportunity Employer and does not discriminate based on race, religion, gender, age, sexuality, or gender identification.
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