340B PHARMACY PROGRAM INTERGRATION MANAGER

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.



See Inside the Office of Yale New Haven Hospital

Yale New Haven Hospital provides diverse comprehensive care in over 100 medical specialties. As the primary teaching hospital of the Yale School of Medicine, YNHH provides around-the-clock coverage and insightful, research-supported patient care. In addition to providing quality medical care to patients and families, Yale New Haven Hospital is the second largest employer in the New Haven area, with more than 12,000 employees.


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