340B Pharmacy Prgm Integ Mgr

NEW HAVEN, CT
Dec 12, 2019

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Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Under the direction of the Director of Pharmaceutical Procurement and Business Practices the 340B Program Integrity Manager is responsible for leading and deveoping strategies to maximize efficiency and ensure compliance with the 340B Program in its entirety including comprehensive oversight for both contract and hospital based programs. Coordination of system pharmacy activities related to 340B Program across all delivery networks. Strategic planning for future growth and quality assurance of existing business. The Manager will lead the 340B Program Integrity team including billing, contract pharmacy and auditing to ensure compliance with the program regulations The 340B Program Integrity Manager will foster working relationships with corporate partners leadership (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance

EEO/AA/Disability/Veteran

Responsibilities

  • 1. Compliance & Auditing Coordinate audits of the 340B Program as appropriate and oversee corrective action plans /monitoring system where necessary. Mitigate obstacles and unresolved issues as appropriate to Corporate Pharmacy Leadership. Oversee monitoring of utilization records, purchasing accounts, 340B software creating compliance metrics to ensure program integrity. Communicates key metrics,improvement actions, and pertinent details to senior management . Ensures appropriate documentation and audit trail across areas of responsibility.
  • 2. 340B Purchasing Program Oversees the 340B program reviewing and negotiating any new 340B related contracts. Oversee all 340B contracts managing relationships, billing services, and compliance. Evaluates all current and future opportunities, including contract language, fee structure, data setup ,and internal and independent external auditing.
  • 3. Pharmacy Supply Chain Procurement Oversee maintenance of system databases to reflect changes in the drug formulary or product specifications. Oversee routine monitoring of utilization records and 340B purchasing accounts to ensure that software or tools are working properly. Lead 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient, and mixed-use areas. Coordinates monitoring of 340B purchasing activity and compliance with established protocols
  • 4. Education Oversee development of proper 340B quality assurance training for employees as appropriate. Coordinate proactive education to administration and staff on policies and procedures related to 340B Program procedures. Create holistic professional development through related classes and seminars, current publications, and regional /national association membership participation
  • 5. Leadership: Serve as primary liaison and subject matter expert of 340B Program regulations and all related matters. Oversee vendor requests related to service agreements, account set up, 340B split software integration needs, Information System extract creation and file transfer process. Oversight of hospital replenishment, segregated inventory,contract pharmacy activities and monitoring to ensure program integrity. Foster working relationships with corporate partner leadership (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance
  • 6. Information Systems: Expert understanding of the split -billing system and the functions to be performed. Coordinate education involved in the purchasing process to ensure proper operation and compliance as it pertains to 340B Program. Oversee system databases updates and maintenance. Create/Oversee monitoring of prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-9 codes. Communicate information system results and/or barriers to Corporate Leadership
  • 7. Oversee and lead departmental, organizational and/or health system committees related to pharmacy services , medication procurment, finance and other hospital initatives as appropriate.

Qualifications

EDUCATION


Graduation from an accredited College of Business or Pharmacy with a B.S., M.S.in healthcare finance, reimbursement, revenue cycle, or Pharm. D. degree. Completion of a finance or administrative fellowship or residency in hospital pharmacy administration from a accredited program is highly desired but not required.


EXPERIENCE


A minimum of five (5) to ten (10) years of Controller, Reimbursement or Hospital/ Retail Specialty pharmacy administration and/or related experience. in hospital 340B pharmacy management. Demonstrated skills in project management, experience in coordinating committees and application of quality improvement techniques is required . Experience in Reimbursement or 340B Pharmacy Program is required


LICENSURE


Connecticut state pharmacy liscence required for pharmacist applicants


SPECIAL SKILLS


Experience in data analysis, excellent written and verbal presentation skills are required. Must posses process improvement and change management skills. Expert working knowledge of electronic spreadsheet applications (e.g. Microsoft Excel), electronic data manipulation, expert math-analytical skills, excellent communication skills, and ability to train employees. Strategic planning and coordination of corporate objectives.


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Job Info

Job: 13655

Department: System Pharmacy Bus Practices
Category: PHARMACY
Sub Category: 1ST LEVEL MGR (MGR/SUP)
Status: Full Time Benefits Eligible
Shift: D
Hours: 40

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