Pharmacy 340B Specialist

Summary:

Reports to the Manager, 340B Program. Serves as a member of the 340B Team to effectively achieve and optimize 340B program goals in assigned areas, while ensuring that related records are complete, accurate, auditable, and that primary objectives as defined by hospital leadership are met. Responsibilities relate to the day-to-day operations of compliant medication procurement, billing, auditing, and inventory management to ensure compliance standards are being upheld. Monitors adherence to 340B related policies and procedures. Assists in multiple areas of 340B program compliance including mixed use, grantees, and contract pharmacy, as needed.

Responsibilities:

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Actively utilizes computerized systems, including but not limited to electronic medical records, third party vendor portals, and specialized equipment and technologies to monitor activity related to the 340B Program.

Audits pharmacy claims data where 340B participation occurs to ensure compliance with 340B program statute requisites for patient definition, diversion, and duplicate discounts as delineated in existing hospital and pharmacy department policies and procedures. Maintains auditable records on a common shared drive. Inputs audit results into applicable Third Party Administrators (TPA) portal systems and internal 340B Artificial Intelligence (AI) dashboards.

Reports claims eligibility corrections to 340B TPAs and tracks status in reversal data sheet(s). Monitors subsequent refills are not captured in error and requests corrections as needed.

Reviews drug accumulations and 340B purchasing records to ensure TPA software systems are correctly reflecting all purchase orders and shipped drug quantities. Communicates issues to the applicable TPA for correction.

Works with members of the 340B Team to identify and communicate compliance risks in their assigned areas to Manager, 340B Program, assists with implementation of corrective action plans to address 340B compliance deficiencies, as needed. Identifies trends and opportunities to improve program design, information system/software functionality, and compliance automation.

Attends 340B vendor calls, providing updates on program operations for their assigned areas.

Effectively and continually maintains open lines of communication with staff and management involved with the 340B program. Provides timely and accurate communication, both written and verbally as appropriate, regarding changes and continuous quality improvement activities, including goals and objectives of the 340B program. Reports identified compliance deficiencies in a timely manner to facilitate appropriate follow-up and resolution in accordance with established policies and procedures.

Participates in continuous quality assessment and performance improvement (QAPI) initiatives.

Other information:

BASIC KNOWLEDGE:

Bachelor of Science or Bachelor of Arts degree in business or health related field or holds an active nationally recognized pharmacy technician certification (CPhT) and either a current unrestricted licensure as a Pharmacy Technician II in the State of Rhode Island or a Certified Pharmacy Technician in the Commonwealth of Massachusetts.

Excellent interpersonal and presentation skills. Ability to provide targeted communication, both verbal and written to internal and external constituents

EXPERIENCE:

One year of 340B Drug Pricing Program, pharmacy purchasing, or related experience in healthcare or with a healthcare provider.

Extended periods of time spent sitting. Requires the visual and manual dexterity to operate a computer.

Remote work possible as authorized by Brown University Health and outlined within Flexible Work Arrangements.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Extended periods of time spent sitting. Requires the visual and manual dexterity to operate a computer.

Remote work possible as authorized by Brown University Health and outlined within Flexible Work Arrangements.

INDEPENDENT ACTION:

Performs independently within department policies and practices.

Refers specific complex problems to Manager where clarification of departmental policies and procedures may be required.

SUPERVISORY RESPONSIBILITY:

None.

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Rhode Island Hospital, USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union