Are you ready to make a difference in the lives of individuals and families in our community? At NARA NW, we are dedicated to providing essential services and support to Native American and Alaska Native people, empowering them to lead healthy, fulfilling lives. As an organization rooted in cultural heritage and community values, we offer a unique and rewarding opportunity to be part of something meaningful.

At NARA NW, you'll find a supportive and inclusive work environment where every member of our team is valued and respected. Whether you're passionate about healthcare, behavioral health, education, or social services, there's a place for you to make a positive impact. With a wide range of programs and services, including medical and dental care, addiction treatment, housing assistance, and cultural enrichment programs, there are endless opportunities to grow and thrive in your career while making a difference in the lives of others.

If you are a motivated and dedicated Pharmacist looking for an opportunity to contribute to an organization making a positive impact, we want to hear from you! Join us at NARA NW and help us build a talented and diverse team dedicated to serving our community. Apply now to be part of our team!

Position Summary:

A member of pharmacy team who oversees NARA 340 Pharmacy program, with Pharmacy Director, to ensure program integrity and compliance with 340B, State and Federal regulations. Assist C.O.O in yearly recertification, conduct self- audits quarterly and yearly, generate required reports, monitors rules/guidance surveillance and update Pharmacy 340b policy and procedures, conduct 340B training to staff as well as keep them abreast of the changes, assist in 340B external audits. Introduces new ideas and implementation to increase revenue and compliance. Attends 340B conference annually, based on the availability of time and funding.

This is 50% staffing and 50% 340B duties

Essential Job Duties:

• 340B Program Coordinator General Duties
• Serves as the covered entity’s compliance expert on 340B Program details, policies, and procedures.
• Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity.
• Provides oversight and leadership from the department of pharmacy for the 340B Program.
• Leads the organization’s 340B oversight committee, which is part of Pharmacy P&T Committee.
• Provides expertise with the 340B Program to staff and participants regarding ongoing compliance.
• 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.
• Participates in decision-making processes related to the implementation of new 340B processes.

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1. Policy and Procedure Development

• 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.
• 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.

2. Education

• Provides ongoing training, education, and communication required for the 340B Program at the organization.
• Develops training/competency materials for all employees who work with the 340B Program.
• Acts as a preceptor to pharmacy students, residents, and others in training.
• 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.

3. Rules/Guidance Surveillance

• Monitors and assesses 340B guidance and/or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Attends regular 340B trainings and shares lessons and hot topics with staff.
• 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.
• Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
• Provides expertise on all 340B Program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams.
• Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions to determine the most appropriate use of the 340B Program staff.

4. Registration/Recertification

• Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame.
• Responsible for ensuring that the HRSA 340B OPAIS is accurate for all organization entities.
• Responsible for ensuring registration of any new associated sites are within the allowable time frame.

5. Self-Audits

• Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings.
• Conducts and/or coordinates an annual audit of all contract pharmacies. Documents results and follow-up on any findings.
• Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and “covered patient” eligibility.
• Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
• Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performing audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes.
• Monitors 340B compliance within workflow processes.
• Responsible for the day-to-day management, compliance review, and operations of clinic-administered medications in eligible locations, outpatient prescriptions fulfilled by an owned pharmacy, 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.
• Ensures compliance with all aspects of the 340B Program and implements all applicable aspects of HRSA’s Office of Pharmacy Affairs guidance, as well as organizational policies and procedures.
• Ensures that audits follow current regulatory compliance recommendations and are completed at the site level.
• Ensures evaluations are completed for gaps at the site level and assists in providing the tools necessary to be compliant with the 340B Program.
• Evaluates covered entity compliance at the covered entity and wholesaler levels.
• Performs annual independent compliance audits and reports findings to responsible representatives at the organization.
• Performs 340B purchasing and utilization audits or compliance assessments internally, as needed.
• Routinely audits all 340B programs to ensure compliance with regulations related to 340B purchasing.

6. External Audits

• Serves as the point person and coordinator for all audits. Coordinates all requests and responses.
• Maintains a current state of “audit readiness.”
• Provides oversight for all audits performed by independent external auditors.
• Coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes.

7. 340B Contract Management

• Reviews and negotiates any new 340B contracts. Maintains all 340B contracts.
• Manages relationships, billing services, and compliance with contracted 340B pharmacies.
• Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.

8. Program Enhancement/Optimization

• Assesses opportunities for cost savings and business improvements.
• Assesses opportunities for cost savings and system improvements to yield higher compliance.
• Analyzes 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.
• Works directly with manufacturers as well as wholesalers to develop strategies for appropriate use of the program.
• Develops action plans to close identified gaps in collaboration with organizational leadership.
• Implements business plans in coordination with organizational pharmacy leadership to help use 340B savings to expand and improve care provided to underserved and vulnerable populations.
• Provides oversight for the implementation of process improvement initiatives and creates an environment that places an emphasis on continuous monitoring and improvement.

9. Reporting

• Routinely monitors monthly and annual reports on 340B participation that clearly document utilization, savings, problem areas, and exceptions or discrepancies, to be passed on to pharmacy leadership and administration.
• Develops routine reports that are a by-product of the inventory process and software, allowing for concise information to be communicated to the leadership responsible for 340B inventory management.
• Constructs appropriate financial metrics to assess areas of improvement.
• Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program.
• Coordinates monthly financial reporting and analysis, including, but not limited to, metric reporting, scorecards, and variance analysis and reporting.
• Ensures that reporting meets organizational, regional, national, state, and federal requirements/guidelines.
• Maintains records related to job function and contributes to reports.
• Routinely communicates any questions, issues, or discrepancies with the appropriate authority.
• Reports monthly savings opportunities.
• Ensures appropriate documentation and audit trail across areas of responsibility.

10. Purchasing/Inventory Oversight

• Monitors purchasing records for each 340B participant; clearly documents utilization, savings, problem areas, and exceptions or discrepancies. Relays results to pharmacy leadership.
• Monitors for 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 and potential alternatives.
• 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.
• Continuously monitors product min/max levels to effectively balance product availability and cost- efficient inventory control.
• Maintains system databases to reflect changes in the drug formulary or product specifications.
• Ensures compliance with regulations related to 340B purchasing.
• Routinely monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly.
• Performs thorough quarterly reviews of the new 340B pricing list to search for and quickly address costly changes.
• Other duties as assigned.

• Doctor of Pharmacy (Pharm.D) degree from a program accredited by ACPE or have passed the appropriate U.S. sponsored foreign pharmacy graduate qualifying exam.
• Must have at least six months of verifiable clinical experience within the past year or successfully completed a one-year American Society of Health System Pharmacists accredited residency within the past year.
• Must have 340B Advanced Training Certificate by Apexus, or willing to take one within one year of employment.
• Have at least 3 years’ experience working in 340B Pharmacy.
• BLS CPR certification, ACLS preferred.
• Ability to lift up to 30 lbs
• Flexibility with work schedule and mobility
• Ability to pass a pre-employment or for cause drug tests.
• Ability to pass criminal background and DMV checks.
• Knowledge of policies and regulations pertaining to the disbursement of pharmaceutical drugs, especially as related to the 340b program.
• Knowledge of clinical operations and procedures.
• Ability to supervise and train assigned staff.
• Ability to perform basic patient assessments and referrals.
• Skill in the use of personal computers and related software applications. (PioneerRX, Athena, RPMS)
• Ability to maintain professional boundaries with clients, the community, and other staff members.
• Work collaboratively with clients, other NARA staff, team members, and to always treat everyone with respect and dignity.

Benefits: Employees (regular, permanent) working 20 hours or more are eligible for benefits. Benefits are effective the 1st of the month following date of hire.

• Affordable Medical and Dental Insurance through Kaiser Permanente
• 14 Federal Holidays ( Including your Birthday)
• 13 Days of Sick Time
• 13 Days of PTO
• $50,000 Life Insurance & AD&D
• Short Term and Long Term Disability
• Flexible Spending Account
• Health Spending Account
• 401(k) with 4% match
• Employee Assistance Program
• Inclement Weather Days (Snow Days)

Join us at NARA NW and become part of a team dedicated to serving our community with compassion, integrity, and respect. Visit our website at Naranorthwest.org to learn more about our organization and explore current career opportunities. Together, we can build a brighter future for our community! Apply today and be part of something bigger than yourself.

NARA NW is fully committed to supporting sobriety. All employees must agree to model sobriety, both on and off the job, including no alcohol drinking, no illicit drug use, no marijuana use, and no prescription drug abuse behavior. If in recovery, must have been sober/clean for a length of time sufficient to demonstrate that will be able to model sobriety.