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Reporting to the Chief Quality Officer the Program Director will use data-driven methodology to ensure appropriate utilization and compliance with 340B regulations as well as financial optimization of the 340B program across all Covered Entities. They will act as the liaison with necessary affiliated departments to ensure 340B program integrity, assist the organization oversight operations management, contracting, project management, vendor management, and revenue and spend managements.

The Program Director will also actively engage with leadership and participate in decision-making processes related to the implementation of 340B initiatives. Develops and maintains internal relationships (Legal, Compliance, Finance, IT) and external relationships (wholesalers, manufactures, contract pharmacies, split-billing software vendors, pharmacy benefit managers, and third-party administrator (TPA)) as needed. Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements.

The Program Director will also be responsible for:

Compliance

• Ensure the 340B program maintains adherence to 340B Program regulations and guidelines.
• Assure ongoing maintenance of up-to-date policies and procedures and offer contributions and changes to ensure compliance.
• Administer systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.
• Perform review of all pertinent audits on a routine basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.
• Monitor and lead compliance to FIGHT’s 340B reoccurring calendar of responsibilities.
• Lead any 340B audits whether it is annual audit by 340B third party vendor or HRSA audit.
• Chair the quarterly 340B Governance Meeting.

Program Enhancement/Optimization:

• Perform financial analysis to recognize the value opportunity of the 340B Program.
• Assess and implement opportunities for cost savings, revenue generation, and system improvements including developing effective marketing strategies.
• Continue to build knowledge of the health care and pharmacy services industry and use that knowledge to identify ways and make recommendations to improve the 340B Program.
• Construct appropriate financial metrics to assess areas of improvement
• Monitor, report, and analyze all financial and compliance aspects of the 340B program.
• Manage purchasing, receiving, and inventory control processes.
• Monitor changes to the 340b program on a federal level and make recommendations for organizational response

The individual in this position must:

• Possess knowledge associated with 340B program and its associated regulations and requirements.
• Have experience in managing multiple covered entities and FQHC principles and practices.
• Ability to manage multiple Third-Party Administrators (TPA) and create/manage profitable financial structures within each TPA.
• Experience in preparation and execution of successful HRSA audits.
• Ability to manage and improve compliance with the use of internal and external auditors.
• Perform associated duties that are predominantly intellectual and varied in nature, requiring creative, analytical, evaluative, interpretive, and/or critical thinking
• Exercise discretion and independent judgment, requiring only general supervision for day-to-day tasks
• Serve as an operational resource for internal team members, especially the pharmacy team, for expedited problem identification and resolution, provision of project-specific updates, and team interactions and deadlines.

Requirements:

• Bachelor’s degree in a healthcare-related field, business management (finance, accounting), or information technology and,
• Three years of management experience in 340B operations (required).
• Working knowledge of analytics; and knowledgeable regarding analyzing and reporting data to identify issues, trends, or exceptions to drive improvement of results and find solutions (required)
• Experience and knowledge of IT, Business Analysis, Quality, and Project Management industry standards, best practices, and frameworks such as IIBA, PMI, and Six Sigma (preferred).
• Experience with multiple sites, EHRs or pharmacy systems (preferred)

Knowledgeable in:

• Knowledge of HRSA and Office of Pharmacy Affairs Guidelines.
• Knowledge in contracting, pharmaceutical purchasing, and inventory systems.
• Experience working in a 340B program in a multi-facility system.
• Accounting principles, cost analysis, budgeting, forecasting, market and supplier research and analysis.

Preferred Qualifications:

• Strong organizational skills, high attention to detail and creativity is essential
• Excellent writing and deductive reasoning skills
• Excellent communications, interpersonal skills and collaborative skills
• Flexible, self-motivated, organized, able to work well under pressure
• Requires reporting and presentation skills to communicate initiatives status at all levels of the organization
• Willingness to following universal precautions and maintain patient confidentiality is required.
• Experience/Competency with EMR systems (i.e. – eClinicalWorks) is preferred.
• Proficient in Microsoft Office Suite
• This employee is expected to represent Philadelphia FIGHT both onsite and, in the community, in a professional, efficient manner that reflects the high level of integrity and customer service mandated by Philadelphia FIGHT.

Certifications

Within 30 days of hire, complete training in HIPAA regulations.

Complete 340B Apexus Certification on a yearly basis.

Physical Demands:

• Occasional lifting of 10-20 lbs and pushing of 5-20 lbs
• Sitting approximately 80% of the time
• Normal accessibility and mobility required
• Ability to work at a computer screen for long periods of time
• Ability to continuously stand, walk or sit. Ability to squat occasionally.
• FIGHT requires proof of successful completion of COVID-19 Vaccination series for all new employees.

Work Environment:

• Generally works in a clinical office environment but may occasionally be required to perform job duties outside of the typical clinical setting.
• Local travel required between Philadelphia FIGHT Community Health Centers.

Other

• Initial probationary period is three months (90 days).
• Benefits including health benefits as per employee handbook begin on the first day of work.
• FIGHT is an EEO, Affirmative Action, LGBTQIA, and people living with HIV/AIDS and protected veterans institution.