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Responsible for the day to day management, compliance review, and operations of clinic administered medications in eligible locations, mixed-use area managed by split-billing software, and outpatient prescriptions fulfilled by a contract 340B pharmacy.

• Must have current Pharmacy Technician license for State of Idaho

• Responsible for the day to day management, compliance review, and operations of clinic administered medications in eligible locations, mixed-use area managed by split-billing software, and outpatient prescriptions fulfilled by a contract 340B pharmacy.

• Conducts monthly audits of all 340B eligible locations to verify adherence with the 340B program guidelines and policies.

• Serves as primary internal and external program technician and liaison for all 340B related matters

• Serves as subject matter expert on 340B program details reflected in policies and procedures of the virtual inventory processes required for mixed-use areas.

• Serves as primary internal liaison to pharmacy coordinator and director including key stakeholders to optimize appropriate utilization of the 340B program and compliance with all program requirements

• Acts as a liaison with necessary affiliated departments for 340B integrity

• Provides 340B program status reports and data to the pharmacy coordinator and director.  Participates in the 340B Steering Committee, which will include representation from pharmacy, information services, compliance, finance and senior leadership.

• Develops and maintains internal relationships (accounting, admissions, and administration) and external relationships (wholesalers, manufactures, contract pharmacies, split-billing software vendors) as needed.

• Actively engages with pharmacy and senior leadership in decision-making processes related to the implementation of new 340B processes.

• Reviews any new 340B contracts.  Maintains all 340B contracts.

• Evaluates all current and future contract pharmacy opportunities, including contract languet, fee structure, data setup, and internal and independent external auditing.

2. Policy and Procedure Development:

• Validates policies and procedures are developed and implemented according to Gritman Medical Center, state, and federal requirements and guidelines.

• Assists leadership to develop a regular compliance audit program

• Establishes consistent policies and procedures for 340B that optimize productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary cost.

• Maintain and modify 340B policies in accordance with state, federal and system program requirements.

3. Education:

• Participate in ongoing training, education, and communication required for the 340B program at Gritman Medical Center.  Enroll and complete the 340B University annually.

• Manages health system education, training, awareness, and customer service for all 340B covered entities.

• Acts as a preceptor for staff and others in training and provides ongoing 340B program training for staff

• Regularly communicates with all staff involved regarding the 340B program processes remain efficient and to address any problems or suggestions for improvement.  Establishes a clear way for staff to communicate concerns to the coordinator.

4. Rules /Guidance Surveillance

• Monitors and assesses 340B guidance and or rule changes.  Attends regular 340B trainings and shares learnings.

• Validates the 340B pharmacy program is continuously compliant with 340B federal regulations.

• Maintains knowledge of policy changes that affect the 340B program.

• Develops knowledge and maintains awareness of current regulations, trends, and issues pertains to the 340B program and relays application and interpretations to assist departments.

5.  Registration/Recertification

• Responsible for assisting with the annual HRSA recertification and validate its completion within the allowable time frame.

• Responsible for validating the HRSA 340B Database is accurate for all Gritman Medical Center Entities.

• Responsible for assisting with registration of any new child site within the allowable time frame.

6.  Self-Audits

• Develops, executes, and documents self-audits of the 340B process.  Coordinates and documents remediation of findings.

• Conducts and/ or coordinates an annual audit of all contract pharmacies.  Documents results and follow up on findings

• Reviews and monitors all points of service where 340B participation occurs for policy and procedure compliance, covered entity eligibility, and “covered patient”, eligibility.

• Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed- use areas and clinics by reviewing patient medical records, insurance plans and hospital status.

• Responsible for managing and troubleshooting pharmacy billing issues and validates adequate systems checks are reviewed to prevent billing issues.

• Performs 340B purchasing and utilization audits or compliance assessments internally, as needed.

• Validates compliance with all aspects of the 340B program and implements all applicable aspects of HRSA’s Office of Pharmacy Affairs guidance, as well as Gritman Medical Center policies and procedures.

7.  External Audits

• Serves as the point person and coordinator for all audits.  Coordinates all request and responses.  Maintains a current state of “Audit readiness.”

• Provides assistance with all audits performed by independent externa auditors.

8. Reporting

• Tracks and reports program savings on a regular basis; communicates to the pharmacy director, coordinator and senior leadership team on an ongoing basis

• Prepares and assist in the monitoring and various tracking and reporting measurements for compliance with the program

• Routinely monitors monthly and annual reports on 340B participation that clearly document utilization, savings, problem areas, and exception or discrepancies, to be passed on to pharmacy leadership and administration.

• Maintains records related to 340B 

• Reports monthly on saving opportunities

• Provides appropriate documentation and audit trail across areas of responsibility

9. Purchasing/Inventory Oversight

• Participates with the prime vendor and routinely reviews 340B formulary pricing, potential alternatives, and possible additional savings as a result of GPO formulary.

• Manages and tracks 340B drug inventory, including proper replenishment.

• Monitors compliance with regulation related to 340B purchasing.

• Manages purchasing, receiving and inventory control processes for 340B purchases

• Monitors for 340B pricing exclusions or shortages and establishes appropriate alternative products that are included where possible, including work with medical staff and formulary for proper position and related use.

• Oversees 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient , and mixed areas

10.  Split-billing software maintenance

• Develops  a good knowledge base of Gritman Medical Center’s split software

• Is responsible for maintenance and testing of tracking software

• Maintains 340B split-billing software integrity and reviews applicable reports to identify areas for improvement.

• Assists in implementing new software packages and other changes in business practice based on a changing regulations and policies

• Establishes a routine approach to updating the crosswalk for new products and product changes for both the accuracy of the utilization report and efficiency and accuracy for the charge process.

Functional Demands:

Occasional lifting/carrying of supplies and equipment weighing up to 15 pounds.  Occasional pushing/pulling of equipment and filing cabinet drawers weighing up to 15 pounds.  Occasional climbing of stairs to other levels of the building.  Occasional stooping, kneeling, and crouching to access documents and supplies in lower cabinets.  Frequent reaching, handling, and fingering to complete paperwork, to use the telephone and computer.  Talking, hearing and seeing to interact with Medical Staff, Allied Health Professional Staff and hospital staff.

Location:  Location: Inside.  Minimal risk of injury due to proximity of moving parts on office equipment and furnishings Minimal exposure to biohazardous materials.

About Gritman Medical Center

The Gritman story dates back to the turn of the 20th century. Dr. Charles Gritman first arrived in Moscow in 1893 and he immediately began providing dedicated care by horse and buggy to people throughout the community. Four years later, the original Gritman Hospital opened in the former McGregor House Hotel at the corner of Seventh and Main streets. The hospital would go on to set the bar for exemplary health care services on the Palouse. Dr. Gritman practiced medicine in the region surrounding Moscow for 41 years until his death in 1933, traveling through town and to remote farms both on horseback, via horse and buggy and eventually via car—in addition to his practice at Gritman Hospital. Following Dr. Gritman’s death, Mrs. Bertie Gritman, his wife and a hospital nurse, gave the hospital to the community under the condition that it always bear Dr. Gritman’s name. Led by his example, our organization has continued to uphold the Gritman values over the past 125 years, setting in motion a vision that has advanced the health and wellness of people throughout the region. Through generations of service to the community, our name changed from Gritman Memorial Hospital to Gritma...n Medical Center in 1991 to better represent our growing breadth of hospital services. While the original building is no longer in use, that first hospital gave way to the existing campus that originally opened in 1940 and has expanded many times over the years—most recently to include our main patient care wing that opened in 2004 and our newest Medical Office Building in 2017, directly across the street from the hospital. An expanded Gritman hospital and clinic network also includes primary and specialty clinics throughout Moscow, Potlatch, Kendrick and Troy, all while staying true to Dr. Gritman’s roots of providing exceptional care that’s close to home. Today our facilities, nurses, providers and staff represent a vital presence in the community. As our region has grown, Gritman has adapted with advanced technology and modern treatments to meet the rapidly changing health care landscape while maintaining a high bar for compassionate care. True to the spirit of our founder—Gritman remains committed to making the region a vibrant, healthy place to live and work-today, and for generations to come.

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