Company

Reedsburg Area Medical CenterSee more

addressAddressReedsburg, WI
type Form of workFull-Time
CategoryInformation Technology

Job description

JOB SUMMARY:

Join our team and be part of the exceptional pharmacy talent that makes RAMC a great place to work.


Under the general supervision of the Lead Pharmacist, the 340B Pharmacy Specialist is responsible for providing ongoing program oversight, integrity, financial optimization, maintenance, development, and coordination for the RAMC hospital mixed-use, retail, and contracted pharmacies. 340B Program responsibilities will include but are not be limited to, oversight of 340B drug purchasing, inventory processes, monthly reporting, split billing software maintenance, audits, contract pharmacy programs, and all areas of regulatory compliance.The incumbent will also assist in Medicare Part B documentation, compliance, and auditing under the direction of the Lead Pharmacist in charge as well as other areas of the pharmacy when needed.Miscellaneous duties as assigned.

Work Schedule: 100% FTE, 40 hours per week.Shifts scheduled between 0700-1900, Monday-Friday, 0800-1700 Weekends. Hours may vary based on operational needs.

RAMC offers a competitive compensation and benefits package. Relevant work experience for this position will be taken into consideration when determiningthestartingbase pay.

We are an Equal Employment Opportunity, Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with a disability.


PRINCIPAL DUTIES AND RESPONSIBILITIES (under the general supervision of the lead pharmacist):

  • Serves as the primary internal and external program specialist and liaison for all 340B-related matters.
  • Ensures that policies and procedures are developed, implemented, and followed according to organizational, state, and federal regulations.
  • Lead, organize, and communicate all 340B audits including but not limited to Medicaid claims, qualified patients, drugs, providers, and locations
  • Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame
  • Monitors and assesses 340B guidance and/or rule changes. Attends regular 340B training, and shares learnings and hot topics with staff
  • Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers
  • Evaluate patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and hospital status
  • Through financial analysis, strive to recognize the value opportunity of the 340B program, and develop an annual report
  • Assess opportunities for cost savings and system improvements to yield higher compliance
  • Communicate the value of the 340B program via the annual report
  • Develop reports to educate staff and assist management in tracking the overall financial impact on the organization. Build other reports, as appropriate, to monitor and improve 340B program compliance and performance
  • Maintain copies of reports for compliance and audit purposes
  • Collaborate with the Pharmacy, Compliance, and 340B Oversight committee to develop monthly, quarterly, and yearly audit metrics
  • Construct appropriate financial metrics to assess areas of improvement
  • Procure supplies, equipment, services, and merchandise; request price quotes; facilitate purchasing proposals and contract negotiations
  • Manage drug selection, procurement, and inventory control
  • Develop a thorough understanding of the split-billing system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance
  • Develop and foster working relationships with internal working counterparts to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within the organization
  • Complete (or within 6 months of hire) 340B University and Operations program online certificate
  • Assist retail pharmacies in obtaining the proper documentation for Medicare Part B Billing and compliance. Audit and maintain files according to accreditation standards.
  • Teach and train pharmacy teams on Medicare Part B documentation standards


SKILLS/ABILITIES/COMPETENCIES REQUIRED:

  • Excellent verbal and written communication skills
  • Proficiency with Excel is required; familiarity with data query/data management, PowerPoint, and Access is helpful
  • Conceptual, analytical, and problem-solving skills with the ability to create forecasts are required
  • Tact, diplomacy, and ability to interact and work with individuals at all levels of hospital and medical staff
  • Ability to work with confidential information
  • 1 year of 340B program management or similar experience required. 3-5 years of experience preferred

Qualifications:

Education
340B ACE or BS (accounting, supply chain, business, finance, Information Technology/Analytics) required.


Work Experience

Minimum Qualifications.
Pharmacy Technician experience in a healthcare and /or Retail setting. Exceptional data and spreadsheet knowledge. Proficient with MS Office (excel, outlook, PowerPoint, word). Experience with analyzing and reporting data in order to identify trends, issues, or exceptions to drive improvement/results. Experience with 340B program regulatory and billing/compliance.

Licensure/Certifications:
Preferred: 340B University Certificate and 340B ACE

Refer code: 7558405. Reedsburg Area Medical Center - The previous day - 2024-01-01 22:47

Reedsburg Area Medical Center

Reedsburg, WI
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