Manager, BH 340B Pharmacy Compliance- Baystate Medical Center- Pharmacy
Baystate Health Careers
Department: Pharmacy Compliace
Location: Baystate Medical Center, Springfield MA
Job Type: Salary, full time
Make an Impact with Baystate Health
Baystate Health is seeking a Manager of BH340B to join our Pharmacy Compliance Team at Baystate Medical Center in Springfield, Massachusetts .
Schedule Details
Job Type: Full time
Hours: 40
Schedule: Days
Required Work Experience:
7+ years DSH/340B program experience
Required Education:
Bachelors Degree
Summary:
The BH Manager, 340B Pharmacy Compliance, is responsible for the compliance and administration of the Federal 340B Drug Pricing Program for all qualified entities throughout Baystate Health. The BH Manager is the institutional compliance expert and authority on 340B Program details and oversees all 340B Program Services. The BH Manager is the primary 340B Program contact, HRSA Primary Contact and liaison for all 340B subject matters.
This position manages regulatory adherence, develops all 340 B-related policies and procedures, and is responsible for the accuracy of the HRSA OPAIS Database.
The BH Manager is responsible for all Third Party Administrator oversight.
The BH Manager engages with leadership and participates in decision-making processes related to the 340B Program. The BH Manager leads the BH Executive Oversight Committee (for 340B) activities. The BH Manager is an integral leader reporting directly to the BH Director, Pharmacy Business Operations.
The BH Manager identifies and leads BH-wide financial process change opportunities at relevant hospital-based and clinical practice locations, while balancing compliance and savings maximization. The BH Manager performs continual audits of the ambulatory pharmacies and the hospital mixed-use areas to validate compliance with the Federal 340B program regulations and assure program optimization.
The BH Manager is responsible for training, auditing, monitoring systems, and establishing & implementing corrective action plans. The BH Manager maintains audit files, prepares reports, communicates results and continually makes recommendations for improvement. The BH Manager uses their in-depth knowledge of the 340B program and third-party-administration systems to push analytics that support optimization strategies focused on the growth of the 340B program.
Job Responsibilities:
1) Responsible for all points of service where 340B Drug Pricing Program participation occurs to ensure policies and procedures are followed accordingly and is accountable for being the institutional program expert about plan qualifications, policies, and procedures. Develop and implement a continual compliance plan so that evolving risks are addressed and resolved in a timely manner. Monitors access to pharmacy information systems to ensure proper controls are in place.
2) Manages a team of auditors and compliance analysts focused on performing routine, random, and targeted drug ordering, receiving, and dispensing audits for hospitals, ambulatory, and contract pharmacies. Serves as the primary contact for effectively reporting audit results and variances through appropriate channels.
3) Administered all third-party pharmacy administrative systems, including Macrohelix and CVS/WellPartner.
4) Maintains knowledge of the policy changes that affect the 340B Program, including, but not limited to, HRSA/OPA rules and Medicaid changes and audit requirements, and ensures BH policies, processes, and procedures reflect those programmatic requirements. Responsible for ensuring that the HRSA 340B OPAIS Database is accurate for all system-covered entities and the annual HRSA recertification is completed. Serves as the primary contact for the government (HRSA) audit of the DSH 340B program. Understands the intricate relationship between pharmacy transactions and systems. Coordinates external compliance assessments with outside firms, where appropriate, to validate…