System Pharmacy Coordinator -340B Program – Part-Time Position Available In East Baton Rouge, Louisiana

System Pharmacy Coordinator

• 340B Program
• Part-Time Baton Rouge General
• 3.

8

Baton Rouge, LA Job Details Part-time Estimated:

$36.9K

• $45.

1K a year 2 days ago Qualifications Microsoft Excel Software troubleshooting Pharmacy Technician License HIPAA Mid-level Microsoft Office PTCB Certification Master’s degree ICD-10 Clinical information systems 1 year Business Associate’s degree Hospital experience Full Job Description

JOB PURPOSE OR MISSION

Audits, reviews, and monitors utilization records and 340B purchasing accounts to ensure software or tools are working properly and accurately. Ensures 340B drug purchasing program follows all regulations and related interpretations. Ensures program is fully implemented in all areas of qualified use. Oversees quality assurance and audits for 340B participating areas. Ensure standard operating procedures are being followed and monitor all drug purchases on the GPO, WAC, and 340B accounts. Serves as the liaison for 340B software vendors and wholesale distributors. Responsible for maintaining a collaborative relationship with split billing software vendor and wholesaler and provides timely resolution and/or communication of any issues.

PERFORMANCE CRITERIA CRITERIA A

Everyday Excellence Values

• Employee demonstrates the Everyday Excellence values in the day-to-day performance of their job.

PERFORMANCE STANDARDS

Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community. Takes initiative in living our Everyday Excellence values and vital signs. Takes initiative in identifying customer needs before the customer asks. Participates in teamwork willingly and with enthusiasm. Demonstrates respect for the dignity and privacy needs of customers through personal action and attention t the environment of care. Keeps customers informed, answers customer questions and anticipates information needs of customers.

CRITERIA B

Corporate Compliance

• Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines, and the GHS Corporate Compliance Guidelines.

PERFORMANCE STANDARDS

Practices diligence in fulfilling the regulatory and legal requirements of the position and department. Maintains accurate and reliable patient/organizational records. Maintains professional relationships with appropriate officials; communicates honesty and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.

CRITERIA C

Personal Achievement

• Employee demonstrates initiative in achieving work goals and meeting personal objectives.

PERFORMANCE STANDARDS

Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high. Adheres to high moral principles of honesty, loyalty, sincerity, and fairness. Upholds the ethical standards of the organization.

CRITERIA D

Performance Improvement

• Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.

PERFORMANCE STANDARDS

Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations. Initiates or redesigns to continuously improve work processes. Contributes ideas and suggestions to improve approaches to work processes. Willingly participates in organization and/or department quality initiatives.

CRITERIA E

Cost Management

• Employee demonstrates effective cost management practices.

PERFORMANCE STANDARDS

Effectively manages time and resources Makes conscious effort to effectively utilize the resources of the organization — material, human, and financial. Consistently looks for and uses resource saving processes.

CRITERIA F

Patient & Employee Safety

• Employee actively participates in and demonstrates effective patient and employee safety practices.

PERFORMANCE STANDARDS

Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety. Employee proactively reports errors, potential errors, injuries or potential injuries. Employee demonstrates departmental specific patient and employee safety standards at all times. Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.

JOB FUNCTIONS ESSENTIAL JOB FUNCTIONS

include, but are not limited to: 1. 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.

PERFORMANCE STANDARDS

Implements all applicable aspects of HRSA’s Office of Pharmacy Affairs guidance, as well as organizational policies and procedures Provides expertise with the 340B Program to staff and participants regarding ongoing compliance Establishes consistent policies and procedures for 340B that ensure productivity and efficiency so that long-term management of the program does not hamper operations or create unnecessary costs Reviews 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance Maintains up-to-date policies and procedures on 340B purchasing processes Monitors 340B compliance within workflow processes 2. Utilizes resources and educates staff to optimize advantages of inclusion in program.

PERFROMANCE STANDARDS

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 needed May assist in the development, implementation, or promotion of programmatic resources/tools to support staff 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 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 participation Develop and foster working relationships with internal working counterparts (IT, internal audit, results, accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within the organization Analyze utilization of the program and existing software to identify ways to compliantly use the 340B Program to its fullest extent to meet the needs of underserved patients Participates in projects, councils, and special initiatives related to 340B, compliance, auditing functions, vendor selection, and medication management Assist with monitoring all outpatient points of service to continually check for new areas that may qualify for the 340B Program Maintains 340B split-billing software integrity and reviews applicable reports to identify areas for improvement 3. Oversees day-to-day operation of 430B program.

PERFORMANCE STANDARDS

Assist in managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues. Develops systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion 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 Ensures evaluations of gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates Using Excel or a comparable data management program, filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers Ensures appropriate documentation and audit trail across areas of responsibility Develop and update 340B Program reporting packages detailing volume, financial value, and other reporting metrics as needed Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-10 codes. Summarize and report results to the appropriate individuals Review and refine monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns Monitors purchasing records for each 340B participant; clearly documents utilization, savings, problem areas, and exceptions or discrepancies. Relays results to pharmacy leadership and administration Assists in monitoring 340B pricing exclusions or shortages and establishes appropriate alternative products that are included when possible, including work with medical staff and formulary to ensure proper position and related use 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 Tracks, trends, and reports 340B pharmaceutical sales and purchases data to ensure provider/physician and patient eligibility Assist in overseeing 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient, and mixed-use areas Establishes a routine approach to updating the CDM/crosswalk for new products and product changes to ensure both the accuracy of the utilization report and the efficiency and accuracy of the charge process Works with outpatient pharmacy management and pharmacy informatics teams to ensure that the organization’s clinical information system is coordinated and integrated into the work with the 340B Program. This shall include the electronic interfaces between the EMR and the virtual accumulator and any interfaces between the organization and contract pharmacy providers and/or administrators Creates and maintains our health system’s “340B Success Story” Perform WAC expenditure Analysis Monitor our DSH adjustment percentage quarterly Analyzing “Not a Winner Reports” from Split Bill Software 4. Conducts quality checks and actively seeks quality improvement opportunities.

PERFORMANCE STANDARDS

Conducts and/or coordinates an annual audit of all contract pharmacies. Documents results and follow-up on any findings Conducts monthly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies Ensures that audits follow current regulatory compliance recommendations and are completed at the facility level Performs 340B purchasing and utilization audits or compliance assessments internally, as needed Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process Perform monthly self-audits of 340B pharmacy operations Collaborates with the Pharmacy, Compliance, and 340B Oversight Council to develop monthly, quarterly, and yearly audit metrics Monitor, report, and analyze contract pharmacy 340B activities; provide financial reports to hospitals or other covered entities relative to financial impact and liabilities; make recommendations that would improve efficiency Routinely monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly Periodically performs spot audits or compliance assessments in specific areas and specific products to ensure that the CDM is accurate, charges are coming across accurately, and the utilization numbers are translating accurately into report for 340B reorders. Performs external audits of 340B Contract Pharmacies monthly and compares to internal audits performed by retail pharmacy team 5. Conducts on-going maintenance of contract 340B pharmacy and compliance Assist in managing relationships, billing services, and compliance with contracted 340B pharmacies Assesses opportunities for cost savings and business improvements in 340B contract pharmacy utilization Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program 6. Performs all other duties as required.

SPECIFIC EXPERIENCE REQUIREMENTS

One (1) year of technician experience in a hospital setting/health system required

SPECIFIC EDUCATIONAL REQUIREMENTS

Associates in Business, Healthcare or related field Master’s in Business, Healthcare or related field

• preferred

SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS PTCB

Licensure. State of Louisiana Pharmacy Technician Licensure. 340B ACE

• required Must possess the knowledge, skills and abilities to deliver services in a manner that is appropriate to all patient populations.

Excellence in communicating with peers, supervisors, team members, interdisciplinary colleagues, and external stakeholders Familiarity with 340B federal regulations. Ability to use platforms within Microsoft Office.

HIPAA REQUIREMENTS

Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Patient demographics, patient related complaints, and information related to patient location.

SAFETY REQUIREMENTS

Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, handling of wastes, sharps and linen, PPE, exposure control plans, hand washing, environment of care, patient identification, and transporting medications

SPECIFIC EXPERIENCE REQUIREMENTS

One (1) year of technician experience in a hospital setting/health system required

SPECIFIC EDUCATIONAL REQUIREMENTS

Associate’s in business, Healthcare or related field Master’s in business, Healthcare or related field

• preferred

SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS PTCB

Licensure. State of Louisiana Pharmacy Technician Licensure. 340B ACE

• required Must possess the knowledge, skills and abilities to deliver services in a manner that is appropriate to all patient populations.

Excellence in communicating with peers, supervisors, team members, interdisciplinary colleagues, and external stakeholders Familiarity with 340B federal regulations. Ability to use platforms within Microsoft Office.