340(b) Program Compliance Specialist


ABOUT THE POSITION

The 340B Program Specialist will be responsible for maintaining good working relationships with all 340B contracted pharmacy partners, CHC/SEK’s in-house pharmacy and CHC/SEK clinics.  The primary function of the 340B Program/Compliance Specialist is to ensure compliance, through systematic monitoring and analysis, with all 340B program rules, regulations, and updates.  The position will also work closely with CHC/SEK’s General Counsel and will complete other duties as assigned with the overall goal of expanding access to affordable medications for CHC/SEK patients.

RESPONSIBILITIES

  • Serves as primary internal and external program coordinator and liaison for all 340B-related matters.
  • Serves as the institutional “compliance expert or authority” on 340B regarding program details, policies, and procedures; actively engages with CHC/SEK leadership and provides guidance in decision-making processes related to 340B program.
  • Develops and maintains internal relationships (accounting, legal, pharmacy) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers (PBMs), and third-party administrator (TPA) vendors) as needed.
  • With the general oversight of CHC/SEK’s General Counsel, develops, modifies, and ensures that policies, procedures, and manual(s) are developed and implemented according to organizational, regional, national, state, and federal requirements and guidelines.
  • Establishes consistent policies and procedures for 340B that ensure productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary costs.
  • Provides ongoing training, education, and communication required for the 340B program at CHC/SEK.
  • Manages health system education, training, awareness, and customer service for all 340B contract pharmacies.
  • Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure that CHC/SEK has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participation.
  • Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations, including, but not limited to, HRSA/OPA rules and Medicaid changes, thru knowledge and awareness of current regulations, trends, and issues pertaining to the 340B program.
  • Conducts and/or coordinates systematic audits of all contract pharmacies; documents results and follow-up on any findings to CHC/SEK leadership.
  • Evaluates covered entity compliance at the contract pharmacy, covered entity, and wholesaler levels; manages relationships, billing services, and compliance with 340B contract pharmacies.
  • Serves as the point person and coordinator for all audits. Coordinates all requests and responses; maintains a current state of “audit readiness.”
  • Oversees the 340B contract pharmacy marketing program to attract and retain qualified retail pharmacy contracts and serve eligible patients.
  • With oversight from CHC/SEK’s General Counsel, evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.
  • Assesses opportunities for cost savings, business improvements, and system improvements in 340B contract pharmacy utilization and yield higher compliance.
  • Participates in projects, councils, and special initiatives related to 340B, compliance, auditing functions, vendor selection, and medication management.
  • Develops action plans to close identified gaps in collaboration with CHC/SEK leadership.
  • Tracks and reports program savings on a regular basis; communicates to CHC/SEK’s leadership on an ongoing basis.
  • Routinely monitors 340B participation in a way that clearly documents utilization, savings, problem areas, and exceptions or discrepancies, to be passed on to CHC/SEK leadership.
  • Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program.

QUALIFICATIONS 

  • Bachelor’s Degree (Business, Communication, or Related Field).
  • Compliance and/or risk management experience preferred.
  • Must possess a valid driver’s license, as travel is a requirement of this position.