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340B Program Manager
$121k-159k (estimate)
Full Time 1 Month Ago
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United Health Centers of the San Joaquin Valley is Hiring a 340B Program Manager Near Fresno, CA

Overview:
The 340B Program Manager is an exempt position and reports to the Contracting and Managed Care Officer. The 340B Pharmacy Manager is responsible for developing, implementing and overseeing innovative solutions to provide operational accountability, management and process development of the 340B program. This individual will work with the Contracting and Managed Care Officer to ensure that the 340B Program is compliant with organization policies and procedures.
Responsibilities:
PERFORMANCE AREA 1: Essential Functions and Major Responsibilities
  • Assist in the development, implementation and ongoing evaluation of the 340B Program.
  • Serve as the primary internal and external liaison for all 340B related matters, programs and information exchange to assure consistent system-wide performance.
  • Supervise 340B staff, such as 340B Program Coordinator (if applicable).
  • Provide oversight of the 340B program across the health system, assuring compliance and providing reporting to appropriate parties. Work with strategic partners to optimize the return of the program, including, but not limited to vendor oversight, reviewing performance reports, contractual monitoring, and regulation changes.
  • Develop and enhance, in collaboration with other departments, new and innovative methods for facilitating the Operations and oversight of the 340B program. Perform complex statistical, cost, and financial analysis of data regarding the 340B program, and identify and act upon reimbursement and revenue opportunities.
  • Develop, champion, and implement programs and procedures to assure effective and efficient use of pharmacy resources.
  • Develop and maintain compliance programs with HRSA and other regulatory bodies related to 340B, including internal and external audit processes, and perform audits.
  • Ensure that 340B-related policies and procedures are in compliance with state, federal and other regulatory guidelines.
  • Generate innovative ideas which are strategically sound and challenge the status quo. Define alternative/compromise solutions that address others’ fundamental concerns and impacts on long-term relationships and systematically convey pros and cons of alternative solutions and achieve consensus on direction/approach.
  • Develop and update documents, process, and policies and procedures for daily operations and monthly financial reporting and tracking.
  • Regularly navigate UHC’s EHR to verify 340B claims as well as process and document new 340B eligible referral claims while maintaining all files and records regarding referral claim processing.
  • Develop and maintain knowledge of current regulatory trends and issues within the 340B environment as well as track, trend, and report 340B pharmaceutical sales and purchases.
  • Develop and maintain relationships with wholesalers, manufacturers, and contract pharmacies as well as maintaining the accounting for the 340B and pharmacy services.
  • Work with the Contracting and Managed Care Officer to manage UHC’s Office of the Pharmacy Affairs (340B OPAIS) profile.
    Prevent duplicate discounts, reversal of duplicate discounts and diversions as needed, and submit data to 340B ESP.
General Corporate Expectations
  • Attend and actively participate in all meetings (e.g., department meetings, program meetings, employee staff meetings) and other activities as required or assigned.
  • Attend workshops/seminars as necessary to increase skills and knowledge to provide effective care, treatment, and/or leadership.
  • Support the overall needs of the health center by working flexible or extended hours when necessary.
  • Demonstrate awareness of, and compliance with, organizational mission and objective of UHC to provide health care access and support services for all members of the community.
  • Other work-related duties as assigned by supervisor. Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing.
  • Maintain confidentiality and respect for information regarding patients and other team members; abide by UHC Rules of Confidentiality and general HIPAA regulations regarding privacy.
  • Display a positive, professional and respectful demeanor at all times toward employees, peers, professional contacts, and patients served, maintaining a professional appearance and positive image for the health centers.
  • Contribute to the team by promoting positive staff interaction, maintains open communication with other programs/departments.
Qualifications:
EDUCATION:
  • Associates degree required
  • Bachelor’s degree preferred in business administration, finance, accounting or a similar field.
LICENSE/CERTIFICATION:
  • Possess a valid CA driver's license.
PRIOR EXPERIENCE:
  • Minimum of two years of financial experience preferred.
  • Two years of experience with 340B program preferred.
SKILLS:
  • Strong verbal and written communication skills
  • Possess strong business acumen and professionalism
  • Proficiency with the Microsoft Office, especially Microsoft Excel
  • Must be able to prioritize multiple responsibilities and manage a large workload within budget and timelines.
  • Must have excellent problem-solving skills and self-motivation.
  • Must have the ability to develop alternative solutions to problems.
  • Must be able to prepare clear, concise, thorough, meaningful, and grammatically correct written reports, letters, memos and other documents.
  • Must be able to independently plan, organize, prioritize, schedule, coordinate, and make decisions related to assigned responsibilities.
  • Must have a very strong customer service orientation, positive attitude, and be highly self-motivated, directed, and change oriented.
The pay range for this Exempt position starts at $66,560 a year. Our salaries are dependent on knowledge, skills, and experience.
In addition, our comprehensive benefits package for regular status employees includes:
  • Medical, Dental, and Vision insurance with low premium cost
  • Paid time off and paid holidays
  • 401k plan with matching contribution
  • Educational Assistance
  • Employee discounts and more!

Job Summary

JOB TYPE

Full Time

SALARY

$121k-159k (estimate)

POST DATE

03/16/2024

EXPIRATION DATE

04/03/2024

WEBSITE

unitedhealthcenters.org

HEADQUARTERS

MENDOTA, CA

SIZE

200 - 500

FOUNDED

1971

CEO

TOM BOWSER

REVENUE

$50M - $200M

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