340B Program Manager at RiverStone Health

Billings, Montana, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Jul, 26

Salary

74294.0

Posted On

04 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

340B Program compliance, Program management, Quality improvement, Audit management, Policy development, Pharmacy operations, Regulatory compliance, Data analysis, Communication, Leadership, Systems thinking, Cultural competency, Financial metrics, Contract management, Risk management

Industry

Wellness and Fitness Services

Description

Working title: 340B Program Manager Classification title: Program Manager 1 Division: Community Health Center Program: Pharmacy Reports to: Pharmacy Manager FLSA status: Exempt: Full Time Schedule: Monday-Friday Wage Range: $54, 913 to $74, 294 annually; depending on number of years of transferrable experience and internal equity ORGANIZATIONAL OVERVIEW Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection – HELP is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all of the communities we serve. JOB SUMMARY: The 340 Program Coordinator Serves as compliance expert on 340B Program details, policies, and procedures. The incumbent brings content expertise and knowledge surrounding the program elements, deliverables and metrics, including focus on compliance and quality improvement initiatives. ESSENTIAL FUNCTIONS/MAJOR DUTIES AND RESPONSIBILITIES: A. Program Management 50% * Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity. * Provides oversight and leadership from the Pharmacy department for the 340B Program. * Leads the organization’s 340B oversight committee, which includes members from senior leadership, pharmacy, compliance, legal, and finance. * Provides expertise with the 340B Program to staff and participants regarding ongoing compliance * Develops and maintains internal relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers [PBMs], and third-party administrator [TPA] vendors) as * Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes. B. Program-Specific Duties 45% * Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s legal department. * Ensures ongoing training, education, and communication required for the 340B Program at the organization * Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient and to address any problems or suggestions for improvement * Monitors and assesses 340B guidance and/or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Attends regular 340B trainings and shares lessons and hot topics with staff. * Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participate * Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame * Responsible for ensuring that the HRSA 340B OPAIS is accurate for all organization entity * Responsible for ensuring registration of any new associated sites are within the allowable time frame. * Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings * Conducts and/or coordinates an annual audit of all contract pharmacies. * Reviews any new 340B contracts in coordination with the Senior Director Compliance & Risk Management and legal counsel. Maintains all 340B contract * Ensures that reporting meets organizational, regional, national, state, and federal requirements/guidelines. * Utilizes appropriate financial metrics to assess areas of improvement. * Routinely communicates any questions, issues, or discrepancies with the appropriate authority. NON-ESSENTIAL FUNCTIONS/OTHER DUTIES AS ASSIGNED ≥5% * Perform other duties as assigned in support of the RiverStone’s mission and goals. EDUCATION AND EXPERIENCE: Minimum Qualifications * High School diploma or equivalent * Experience in a medical setting * Program/Project leadership experience * Quality Improvement * Experience with policy and procedure process * Experience with managing an audit process Preferred Qualifications: * Familiarity with HRSA and the 340B program * Experience in community health or with underserved population CERTIFICATES, LICENSES, REGISTRATIONS: * Valid State of Montana Driver’s License in good standing * Current Montana Pharmacy Technician license and/or PTCB certification preferred KNOWLEDGE, SKILLS, AND ABILITIES: * Analytical/Assessment Skills * Policy Development/Program Planning Skills * Communication Skills * Cultural Competency Skills * Leadership and Systems Thinking Skills CUSTOMER SERVICE EXCELLENCE: * Doing things right the first time * Making people feel welcome * Showing respect for each customer * Anticipating customer needs and concerns * Keeping customers informed * Helping and going the extra mile * Responding quickly * Protecting privacy and confidentiality * Demonstrating proper telephone etiquette * Taking responsibility for handling complaints * Being professional * Taking ownership of your attitude toward Service Excellence. SUPERVISION: * NA PHYSICAL DEMANDS AND WORKING CONDITIONS: * Standing, bending, sitting, lifting required * Required to travel to different clinic locations * Ability to travel and use own personal vehicle. Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, other vehicles, etc. Travel occurs in all weather conditions, including extreme heat and cold. * Work is mainly performed on a computer up to 8 hours per day. * Use of repetitive motion * Standing, bending, sitting, lifting required * Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards. Must have the ability to lift and carry a laptop and other small items, to walk short distances, and drive a vehicle to satellite locations and conferences. * Ability to see details near and far, recognize color differences, and focus on fine details like small print and/or instruments required. * Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices. FREEDOM TO ACT & DECISION MAKING: * Works under the supervision of the Pharmacy Manager. Work is structured by established pharmaceutical processes. COMMUNICATIONS & NETWORKING: * Involves regular contacts with the public in-person and on the phone to provide readily available information. May involve contact with upset or unreasonable individuals. Responds to questions, complaints, and comments in a courteous, professional, and timely manner. BUDGET & RESOURCE MANAGEMENT: * None

Responsibilities

The 340B Program Manager serves as the compliance expert, overseeing program integrity, quality improvement initiatives, and internal/external relationships. They are responsible for managing audits, ensuring regulatory compliance, and leading the organization's 340B oversight committee.