Pharmacy 340-B Coordinator

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Position Summary

• Responsible for coordinating and performing all duties associated with administering the 340B program at Southern Illinois Hospital Services, including child sites and contract pharmacies, in alignment with the organization’s policy and procedures, Health Resources and Services Administration (HRSA), and Office of Pharmacy Affairs (OPA).    

Principal Accountabilities

• Standards of Performance:  Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality

Education

• High School Diploma or equivalent (Minimum)
• Associates / technical degree in physical science, business, finance or healthcare or specific certification related to the position (preferred).

Licenses and Certification

• Illinois Pharmacy Technician License (Required).
• Advanced Certified Pharmacy Technician (CPhT-Adv) from PTCB (Preferred).
• Apexus ACE Certification within 12-18 months of hire

Experience and Skills

Technical:  5 years acute care pharmacy experience or similar environment with a 340-B program.

Required:

• Strong verbal and written communication, organizational, problem-solving, and customer service skills.
• Flexibility and willingness to adapt to changes as necessary.
• Ability to interact constructively with supervisors, peers, and external customers.
• Ability to follow direction from formal management personnel and work independently.
• Must be able to read, write, and speak conversational English.
• Basic computer skills and knowledge of Microsoft office (Word, Excel & PowerPoint).

Preferred:

• Pharmacy buying experience with 340-B purchasing knowledge/terminology.
• Ability to identify, mitigate, and assist in resolving 340-B pharmacy operational or program issues.

Role Specific Responsibilities

• Ensure collaboration with the compliance department on policy and procedure development and implementation per HRSA guidelines.
• Provides periodic training/competency education, and communication to all staff, including leaders involved in the 340B program.
• Reviews and monitors 340B guidance/HRSA/OPA rules, and Medicaid changes.
• Attends 340B educational and training program(s) and shares lessons and hot topics with staff for learning and improvement.
• Routinely monitors industry publications, websites, media, and literature for changes in the 340B environment and communicates updates.
• Engage peers outside the organization to ensure the institution has the latest information regarding interpretations, rulings, suggestions, and ideas for improving program participation.
• Responsible for ensuring the annual HRSA recertification completion within the allowable time frame and that the HRSA 340B OPAIS is accurate for all organization entities including child sites.
• Documents periodic/annual audits of all contract pharmacies with results and follow-up on any findings.
• Reviews and monitors all service points in locations with 340B participation to ensure eligibility and compliance with policy and procedures.
• Collaborates with key stakeholders in troubleshooting pharmacy billing issues and ensuring adequate systems checks are reviewed to prevent billing issues.
• Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working correctly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes.
• Assist in evaluating 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.
• Reviews and monitors clinic-administered medications in eligible locations, mixed-use areas managed by split-billing software, and outpatient prescriptions fulfilled by a contract 340B pharmacy.
• Conducts monthly audits of all participating locations to ensure adherence to the policy.
• Ensures that audits follow current regulatory compliance recommendations and are completed at the facility level.
• Ensures evaluation of gaps at the site level and provides the tools necessary to comply with the 340B Program.
• Evaluates compliance at the contract pharmacy, covered entity, and wholesaler levels.
• Perform 340B purchasing and utilization audits or internal compliance assessments as needed.
• Serves as the point of contact for all external