Providence Health & Services 340B Program Manager - Pharmaceutical Care Clinic in Olympia, Washington
Providence is calling a 340B Program Manager - Pharmaceutical Care Clinic (0.5 FTE, Days) to Providence St Peter Hospital in Olympia,WA.
Oversees all aspects of the 340B program for Providence Southwest
Washington Region. Leads and develops
strategies to maximize efficiency and ensure compliance with the 340B drug
discount program in its entirety; including comprehensive oversight for hospital
based programs and contract pharmacy, ensuring program integrity and
maintaining regulatory compliance across the Southwest Region. Oversees
integrity of the oncology billing practices. The coordinator maintains working
relationships with the Financial Officers, Pharmacy Leadership, Caregivers,
IT pharmacist, Compliance, Legal Affairs, Outsourcing 340B support
vendors and consultants.
In this position you will:
Stays Current with Regulatory andLegislative changes to the 340B program and OPPS billing, implements processesto assure compliance with these changes
Works with IT Pharmacist and PharmacyBuyers to ensure data integrity for the 340B Program, compliance and costsaving opportunities.
Increase revenue opportunity by workingwith revenue cycle to proactively identify write offs and claim denials.Implement process changes within the oncologyclinics to assure compliance with medication utilization and documentation.
Updates policies and procedures annuallyand as changes occur.
Oversees 340B purchasing activities.
Oversees regular 340B audit complianceinternal and external to assure “audit readiness”
340B Contract Pharmacy Contracts arecurrent and updated annually, assures internal audits of all contractpharmacies.
Assures corrective actions are taken inresponse to internal and external audits self-reporting to HRSA if required.
Conducts annual HRSA 340B programrecertification in the allowable time frame.
Annual review HRSA database for accuracyof all official contacts, addresses, Medicaid carve in or out, registeredsites, child sites and contract pharmacies.
Reviews Medicare Cost Report (MCR)annually to identify departments on the reimbursable lines of the report toassure HRSA database is correct, registering potential new child sites forregistration after the new MCR is filed with CMS.
Assures maintenance of the 340B splitbilling software integrity and reviews applicable reports to identify areas forimprovement.
Reviews Quarterly changes of HCPC codes,CMS documentation requirements for all oncology medications and identifiesareas to reduce denials other opportunities as identified.
Required qualifications for this position include:
NationallyCertified Pharmacy Technician and/or Pharmacist B.S or PharmD
Attended340B University within 3 months of hire
340BApexus Certification within 12 months of hire
General Understanding of CMS OPPS
Preferred qualifications for this position include:
- Minimum of 3 years’ experience with the 340Bprogram
About the hospital you will serve.
Providence St. Peter Hospital is a 390-bed, not-for-profit regional teaching
hospital. Located in Olympia, WA, St. Peter offers comprehensive
rehabilitation, medical, surgical and behavioral health services. We have been
ranked as one of the top 100 hospitals and as one of 10 premier healthcare
employers in the nation and have recently achieved the coveted Magnet®"
recognition from the American Nurses Credentialing Center®. Our hospital rests
on a 173-acre campus, much of which includes natural forest and preserved
wetlands that maintain a healing environment for patients and staff.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Pharmacy Support
Req ID: 192355