Company

Kph Healthcare ServicesSee more

addressAddressEast Syracuse, NY
type Form of workFull-Time
CategoryInformation Technology

Job description

Scope of Responsibilities: The 340B Program Manager is responsible for planning, implementing, supporting, and optimizing projects related to the 340B program. Participates in the policy and procedure development, maintains internal and external relationships (wholesalers, Covered Entities, and third-party administrator [TPA] vendors) as needed, 340B rules/guidance surveillance, assist in 340B off site audits as necessary, contract management/implementation, reporting/analyzing, and program enhancement/ optimization projects including annual budgeting.

 

Job Summary:  The 340B Program Manager engages with leadership and participates in decision-making processes related to the 340B Program. Responsible for working with teams/departments across all divisions to implement/optimize our 340B program. Responsible for interacting with internal and external stakeholders, estimating personnel needs, meeting completion dates, as it relates to areas of responsibilities.


Job Responsibilities:

 

  • Responsible for providing oversite for the 340B program across all divisions.
  • Responsible for maintaining all 340B contracts. In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B contracts and renegotiation of existing transaction fees.
  • Responsible for evaluating all current and future contract pharmacy opportunities, including contract language, fee structure, data setup.
  • Responsible for analyzing capture data and presenting to management for potential new 340B partnerships.
  • Responsible for managing all communications and relationships between KPH and all Covered Entities and their designated 340B TPA within the program.
  • Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement.
  • Assists in training staff as needed.
  • Continually monitors 340B regulations to ensure federal compliance, staying up to date on all rule changes, including HRSA/OPA, Medicaid and manufacturer changes. Shares all learnings and trends with management and staff.
  • Keeps abreast of trends and issues by attending 340B trainings, conferences, and networking with peers.
  • Develops, monitors, and presents reports on the 340B program that document utilization, transaction fee income, problem areas, exceptions, and/or discrepancies to executive leadership.
  • Routinely communicates any questions, issues, or discrepancies with the appropriate department/divisional team member.
  • Routinely communicates with management the key performance metrics, improvement actions and any outstanding issues.
  • Collaborates with Finance to understand problems, define business requirements necessary to resolve.
  • Complete budgets for the 340B program on an annual basis.
  • Develop and enhance, in collaboration with other departments, new and innovative methods for facilitating the operations and oversight of the 340B program.
  • Ensure that 340B-related policies and procedures follow state and federal guidelines and are reviewed annually and implemented.
  • Responsible for completing all mandatory and regulatory training programs.
  • Perform other duties as assigned.

 


Education:
  • Bachelor’s degree or higher. Preferably with a concentration in Business, Finance or Computer Science.

 

Experience: 

  • 2-3 or more years’ previous experience in related position
  • 340B experience preferred

 

Special Conditions of Employment:

  • Any and all additional eligibility requirements based on the specific position
  • Drug Test
  • Initial and continuous exclusion and sanction/disciplinary monitoring

Compensation:

 

$65,000=95,000  Annual

 

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.  

 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

 

Refer code: 8875632. Kph Healthcare Services - The previous day - 2024-04-04 08:05

Kph Healthcare Services

East Syracuse, NY
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