Pharmacy Revenue Coordinator - (340B) - Full Time - 8 Hour - Days

Requirements

• Must demonstrate three to five years of experience performing in a 340B hospital oversight role with responsibility for policies, audits, data analysis, and compliance.
• Must possess good organizational, problem-solving, and analytical skills
• Must demonstrate effective oral and written communication skills
• Experience in managing 340B purchases in a mixed-use setting with a third-party administrator
• Experience with 340B purchasing
• Additional Experience:
• Must have advanced-level Microsoft Excel reporting and analysis skills. Expert-level preferred.
• Must have experience overseeing a third-party administrator (TPA) integrated with an electronic health record (e.g. Epic)
• Experience overseeing a 340B contract pharmacy program (preferred)
• Experience with chargemaster maintenance and updates (preferred)
• Experience with pharmacy revenue integrity program oversight (preferred)
• Certifications/Licensures:
• CPhT Pharmacy Technician - PTCB Pharmacy Technician Certification Board - Preferred
• Pharmacy Tech - California Board of Pharmacy - Preferred
• Apexus Advanced 340B Operations Certificate - Apexus - Required
• Essential Job Functions:
• Policy and Procedure Development/Training/Education Support
• Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved.
• Tracks organizational 340B training, policy compliance, and reports findings.
• Provides ongoing training, education, and communication required for the 340B Program at the organization.
• 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.
• Rules/Guidance Surveillance
• Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations and updates policies and procedures.
• Registration/Recertification
• Responsible for ensuring that the HRSA 340B OPAIS is accurate for all organization entities and ensuring that annual HRSA recertification is completed per established timelines, including any quarterly updates.
• Supports primary contact and authorized official to ensure proper registration and recertification are followed.
• Self-Audits
• Develops, executes, and documents comprehensive self-audits of the 340B process. Conducts regular audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies, including contract pharmacy locations.
• Coordinates and ensures remediat

Benefits

Additional Information

Job Description: The Pharmacy Revenue Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that the program is maximally and that related records are complete, accurate, auditable, and that primary objectives as defined are met. Responsible for day-to-day compliant medication procurement, billing, and inventory management to ensure compliance standards are being upheld and that cost savings returns are being realized. Assists with implementation of and adherence to 340B related policies and procedures. Oversees 340B internal audit program, and serves as the 340B analyst and assess data trends and reports as identified by the organization. Serves as primary point of contact for 340B compliance and audits, and coordinates JMH's 340B Executive Oversight Committee. Analyzes contracts to maximize cost savings and/or identify areas that could be standardized to take advantage of potential cost savings. Reviews and investigates all aspects of the pharmacy revenue cycle to maximize charge capture and ensure appropriate reimbursement for services. Works collaboratively with other departments to ensure appropriate pricing and reimbursement of Pharmacy Services. Develops and produces routine reports to ensure close monitoring of revenue cycle. Prepare management reports that provide Pharmacy leadership with timely and relevant information on all aspects of revenue, compliance and audit issues. E ducation: Bachelor of Science or Bachelor of Arts degree in business or health-related field - Required Master's degree in business administration, healthcare administration, or other relevant subject area - Preferred

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