340bemployed.org

Responsible for leading the 340B Program and ensuring program alignment with organizational goals.  Provides clinical and operational direction and oversight. Ensures program meets legal, accreditation and certification requirements.  Assures analysts and staff have the human and fiscal resources to effectively achieve department and organizational goals.

While this is a remote position, you will be required to live within the 4 state footprint of SSM Health (OK, IL, MO, WI) to be eligible for employment.

PRIMARY RESPONSIBILITIES

• Development and execution of processes with finance department to identify changes in Medicare Cost Report values that impact eligibility of parent and/or child site locations
• Implementation of new child sites, shipping addresses and/or contract pharmacies
• Maintains OPA database changes and updates
• Regular review and, as needed, updating of 340B Policies and Procedure manual
• Monitor state- and federal-level changes in 340B Medicaid billing requirements; coordinate with finance and other departments on any modifications required to current practices
• Audits Medicaid quarterly invoices for all 340B facilities to ensure appropriate rebates are paid.
• Manages drug manufacturing accounts and ensures proper inventory flow related to the 340B Program.
• Develops, reviews and analyzes reporting mechanisms and TPA key performance indicators to compile operational results of the 340B Program to ensure optimal program performance.
• Recurring internal audits and oversight of 340B contract pharmacy programs
• Recurring internal audits and support for 340B inpatient pharmacy programs, child sites and entity-owned pharmacies
• Internal liaison in event of HRSA and/or manufacturer-driven 340B audit
• Develops, implements, and maintains processes that effectively manage the 340B Program and
• 340B representation during SSM Corporate events (calls, web conferences, meetings, etc.)
• Manage annual recertification process, including confirmation that database information is accurate, and that Authorizing Official has responded to HRSA attestation request within recertification window
• Coordinates with supporting departments (Pharmacy, Compliance, Supply Chain, Finance, Information Technology and Legal)
• Maintain 340B Education
• Manages department staff, including hiring, scheduling, training, evaluating performance and competency, and conducting disciplinary/counseling sessions as needed.
• Lead 340b Leadership Council by providing:
  • Updates regarding federal and state-level developments impacting 340B in the region.
  • Results of contract pharmacy oversight activities
  • Results of inpatient, child site and entity-owned pharmacy oversight activities
  • Gross and net savings from 340b participation
  • Recommendations for improvements in terms of compliance and capture of potential eligible savings opportunities