Durham, North Carolina
New Mexico
Newark, Delaware
Syracuse, New York
Olympia, Washington
Olympia, Washington
Renton, Washington
Posted: 11-Jan-23
Location: Providence, Rhode Island
Type: Full Time
Categories:
Sector:
Preferred Education:
Additional Information:
Internal Number: 31720
The initial focus of this position will be submitting and monitoring data to a third-party platform, following up with wholesalers for pricing restoration and, when necessary, escalation to drug manufacturers. Other duties within the job description will be assigned as workflow allows.
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.
Lifespan employees are expected to embrace Lifespan's mission of "Delivering health with care" and successfully role model Lifespan's values of Compassion, Accountability, Respect, and Excellence as this guides our everyday actions with patients, customers and one another.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Responsible for knowing and acting in accordance with the principles of the Lifespan Corporate Compliance Program and Code of Conduct.
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 verbal 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.
Performs other duties as required.
BASIC KNOWLEDGE:
Bachelor of Science or Bachelor of Arts degree in business or health related field or current unrestricted licensure as a Pharmacy Technician in the State of Rhode Island and nationally recognized pharmacy technician certification (CPhT).
Excellent interpersonal and presentation skills. Ability to provide targeted communication, both verbal and written, to internal and external constituents
Proficient in the use of computers and a variety of spreadsheet and database applications, including Microsoft Office Word, Excel and PowerPoint. Knowledge and ability to download, import, and merge information from a variety of sources, platforms, and programs.
EXPERIENCE:
One year of 340B Drug Pricing Program, pharmacy purchasing, or related experience in healthcare or with a healthcare provider.
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 Lifespan 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.
Lifespan is an Equal Opportunity / Affirmative Action 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. Lifespan is a VEVRAA Federal Contractor.
Location: Rhode Island Hospital, USA:RI:Providence
Work Type: Full Time
Shift: Shift 1
Union: Non-Union
