[Hiring] 340B Program Manager @Erlanger Health System

Role Description

The 340B Manager will provide oversight and leadership for Erlanger Health System's eligible entities within the 340B Drug Pricing Program. Responsibilities include:

• Management of split billing software/TPA(s)
• Contract pharmacy networks
• System compliance within 340B operational guidelines
• Collaborating with Pharmacy leadership for drug purchasing, inventory processes, and dispensing patterns
• Supervising the pharmacy analytics team regarding 340B responsibilities
• Leading and strategizing work processes of day-to-day auditing, maintenance, financial reporting, and other duties
• Collaborating with Pharmacy Revenue Cycle Specialist, Revenue Integrity, Patient Financial Services, and Epic teams
• Maintaining good working relationships with all contracted pharmacy partners

Strong interpersonal communication skills and organizational skills are essential. The individual must demonstrate the ability to respond to changing priorities and situations flexibly, manage and prioritize tasks with attention to detail, and work in a team environment using a computer for communication, writing, and research. Expertise with Microsoft Office including Word, Excel, PowerPoint, and Outlook is required.

Qualifications

• Minimum of a Bachelor's of Science Degree from an American Council on Pharmaceutical Education accredited program or a Master's in business in a Health-Related Fields
• 340B Apexus Advanced Certificate Program (will be required within 6 months of hire date)

Requirements

• 1 - 2 years of experience in purchasing, auditing, 340B compliance, and/or management
• 2 years of 340B experience within a DSH hospital (preferred)
• Experience in Pharmacy billing within Epic (preferred)
• Experience with CMS billing requirements within 340B Drug Pricing Program (preferred)
• Knowledge of health care accounting, finance, and reimbursement principles (preferred)

Position Requirements (Licensure/Certifications)

• Current and Valid license to practice pharmacy in the State of Tennessee or be eligible to be licensed as a pharmacist by reciprocation or examination (preferred)

Department Position Summary

The 340B Program Manager will serve as a member of the pharmacy administration team and report to the Director of Pharmacy Business and Analytics. Role responsibilities include:

• Providing expertise and serving as the primary contact for 340B program matters of compliance, operations, and regulations
• Overseeing the 340B team and directing responsibilities of auditing, reporting, financial analysis, billing/error work queues, and maintenance of the 340B third party vendors for all entities of Erlanger Health System
• Collaborating with Pharmacy Revenue Cycle Specialist and eChart/Epic teams for medication record builds, troubleshooting, and system changes impacting drug record codes and charging
• Partnering with Revenue Integrity and Payer Relations for quarterly, annual, and ad hoc updates to medication records in 340B compliance with CMS and various payers
• Working with Patient Financial Services, Coding Managers, and Clinic Managers in various aspects of patient medication charging regarding 340B regulations
• Collaborating with Pharmacy Leaders across multiple sites for optimal 340B purchasing, dispensing, and inventory management while upholding compliance
• Maintaining policy and procedures and implementing appropriate changes across different entities to adhere to 340B program compliance requirements
• Maintaining and optimizing internal relationships (finance, legal, pharmacy, etc.) and external relationships (wholesalers, manufacturers, contract pharmacies, vendors, etc.) as needed
• Capacity to solve problems and manage multiple assignments with critical deadlines
• Providing financial and regulatory reporting to Director of Pharmacy Business and Analytics and Sr Director of Pharmacy
• Leading the organization's 340B Oversight Committee which includes senior leadership within pharmacy, compliance, legal, and finance teams