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340B Program Integrity Manager - Remote

Fairview Health Services

Minneapolis (MN)

Remote

USD 112,000 - 159,000

Full time

4 days ago
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Job summary

Join a forward-thinking healthcare organization as a 340B Program Integrity Manager, where you'll lead compliance efforts for a critical program. This fully remote role offers the opportunity to shape audit readiness and regulatory compliance initiatives. You will work closely with leadership to assess risks and implement improvements, ensuring the program's integrity. If you have a passion for healthcare and a strong background in compliance and management, this role is perfect for you. Enjoy a generous benefits package and the chance to make a significant impact in a dynamic team environment.

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short-term Disability Insurance
Long-term Disability Insurance
PTO and Sick Leave
Tuition Reimbursement
Retirement Plan
Early Access to Earned Wages

Qualifications

  • Bachelor's degree in business, healthcare, or related field required.
  • Experience in pharmacy, healthcare, and/or 340B is essential.

Responsibilities

  • Oversee compliance efforts for the 340B Program.
  • Develop and implement audit and monitoring programs.

Skills

Project Management
Data Analysis
Communication Skills
Regulatory Compliance
Supervisory Skills

Education

Bachelor’s Degree in Business or Healthcare
Master’s Degree or PharmD

Tools

EPIC Electronic Medical Record System
Microsoft Office Suite
340B Split Billing Software

Job description

Job Overview

Fairview is hiring for a 340B Program Integrity Manager! Come join a rewarding team - this role is a fully remote, 1.0 FTE (80 hrs/2 weeks) working Monday-Friday!

Under the direction of the Director 340B Program Integrity, the 340B Program Integrity Manager will oversee compliance efforts for M Health Fairview’s 340B Program, including serving as the lead for internal and external audit readiness. This role will lead initiatives involving regulatory compliance for the 340B Program and serve as a key member of the 340B leadership team. This position will establish and oversee ongoing analysis and audits of M Health Fairview’s 340B program. This position will assess and evaluate organizational risks related to the program and communicate recommendations to the Director 340B Program Integrity.

Job Expectations:

Responsible for compliance efforts of Fairview’s 340B Program

  • Develop and implement a comprehensive audit and monitoring program to evaluate for compliance with federal regulations. Establish variance thresholds, monitor activity with all key processes, investigate variances, recommend improvements and report results. Inform and advise Director 340B Program Integrity on audit results and material breaches.
  • Responsible for ensuring that the HRSA 340B OPAIS database is accurate and annual registrations and recertification is completed within the allowable time frame.
  • Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performs audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes.
  • Monitors and assesses 340B guidance and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes. Attends/Leads regular 340B trainings and shares lessons and hot topics with sta
  • Leads M Health Fairview’s 340B Program compliance efforts to ensure readiness for HRSA audits.

Supervises staff including hiring, orienting, coaching, evaluating and effectively managing performance to ensure staff possess the knowledge, skills and abilities needed to deliver high quality service to internal and external customers,

  • Creates onboarding and educational processes for new team member additions to the 340B program.
  • Creates individual staff developmental processes to ensure continuous growth of members of the 340B team and the 340B program.

Organization Expectations, as applicable:

  • Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
    • Communicates in a respectful manner.
    • Ensures a safe, secure environment.
    • Modifies clinical interventions based on population served.
    • Provides patient education based on an assessment of learning needs of patient/care giver.
    • Fulfills all organizational requirements.
      • Completes all required learning relevant to the role.
      • Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
    • Fosters a culture of improvement, efficiency and innovative thinking.
    • Performs other duties as assigned.

    Minimum Qualifications to Fulfill Job Responsibilities:

    Required

    Education

    • Bachelor’s Degree in business, health care, data/IT or related field or equivalent experience.

    Experience

    • Progressive experience in pharmacy, healthcare, and/or 340B
    • Project and/or Supervisory/Management experience
    • Working knowledge of EPIC electronic medical record system
    • Strong knowledge of the Microsoft Office suite of tools, including excel
    • Data analysis and presentation
    • Excellent oral, written, and interpersonal communication and presentation skills

    License/Certification/Registration

    • Advanced 340B Operations Certificate (340B ACE) required within 36 months

    Preferred

    Education

    • Master’s Degree or PharmD

    Experience

    • 5-7 years of Supervisory/Management experience
    • 3-5 years progressive experience in pharmacy, healthcare, and/or 340B
    • 340B split billing software knowledge
    • Experience collaborating with C-suite executives
    • Strong team and individual coaching and mentoring skills
    • Demonstrated competency or experience in process management
    • Demonstrated experience with 340B data, compliance and auditing practices
    • Demonstrated ability collaborating with all levels of employees, including senior leadership

    License/Certification/Registration

    • Advanced 340B Operations Certificate (340B ACE)

    Additional Requirements:

    • Strong knowledge of the Microsoft Office suite of tools, including excel
    • Data analysis and presentation
    • Excellent oral, written, and interpersonal communication and presentation skills
    • Strong team and individual coaching and mentoring skills

    Benefit Overview

    Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www..fairview.org/careers/benefits/noncontract


    Compensation Disclaimer

    The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical.


    EEO Statement

    EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

    $112632.00-$158995.20 Annual

    Fairview is hiring for a 340B Program Integrity Manager! Come join a rewarding team - this role is a fully remote, 1.0 FTE (80 hrs/2 weeks) working Monday-Friday!

    Under the direction of the Director 340B Program Integrity, the 340B Program Integrity Manager will oversee compliance efforts for M Health Fairview’s 340B Program, including serving as the lead for internal and external audit readiness. This role will lead initiatives involving regulatory compliance for the 340B Program and serve as a key member of the 340B leadership team. This position will establish and oversee ongoing analysis and audits of M Health Fairview’s 340B program. This position will assess and evaluate organizational risks related to the program and communicate recommendations to the Director 340B Program Integrity.

    Job Expectations:

    Responsible for compliance efforts of Fairview’s 340B Program

    • Develop and implement a comprehensive audit and monitoring program to evaluate for compliance with federal regulations. Establish variance thresholds, monitor activity with all key processes, investigate variances, recommend improvements and report results. Inform and advise Director 340B Program Integrity on audit results and material breaches.
    • Responsible for ensuring that the HRSA 340B OPAIS database is accurate and annual registrations and recertification is completed within the allowable time frame.
    • Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately, performs audits or compliance assessments internally as needed; coordinates external compliance assessments with outside firms, when appropriate, to validate internal processes.
    • Monitors and assesses 340B guidance and/or rule changes, including, but not limited to, HRSA/OPA rules and Medicaid changes. Attends/Leads regular 340B trainings and shares lessons and hot topics with sta
    • Leads M Health Fairview’s 340B Program compliance efforts to ensure readiness for HRSA audits.

    Supervises staff including hiring, orienting, coaching, evaluating and effectively managing performance to ensure staff possess the knowledge, skills and abilities needed to deliver high quality service to internal and external customers,

    • Creates onboarding and educational processes for new team member additions to the 340B program.
    • Creates individual staff developmental processes to ensure continuous growth of members of the 340B team and the 340B program.

    Organization Expectations, as applicable:

    • Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
      • Communicates in a respectful manner.
      • Ensures a safe, secure environment.
      • Modifies clinical interventions based on population served.
      • Provides patient education based on an assessment of learning needs of patient/care giver.
      • Fulfills all organizational requirements.
        • Completes all required learning relevant to the role.
        • Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
      • Fosters a culture of improvement, efficiency and innovative thinking.
      • Performs other duties as assigned.

      Minimum Qualifications to Fulfill Job Responsibilities:

      Required

      Education

      • Bachelor’s Degree in business, health care, data/IT or related field or equivalent experience.

      Experience

      • Progressive experience in pharmacy, healthcare, and/or 340B
      • Project and/or Supervisory/Management experience
      • Working knowledge of EPIC electronic medical record system
      • Strong knowledge of the Microsoft Office suite of tools, including excel
      • Data analysis and presentation
      • Excellent oral, written, and interpersonal communication and presentation skills

      License/Certification/Registration

      • Advanced 340B Operations Certificate (340B ACE) required within 36 months

      Preferred

      Education

      • Master’s Degree or PharmD

      Experience

      • 5-7 years of Supervisory/Management experience
      • 3-5 years progressive experience in pharmacy, healthcare, and/or 340B
      • 340B split billing software knowledge
      • Experience collaborating with C-suite executives
      • Strong team and individual coaching and mentoring skills
      • Demonstrated competency or experience in process management
      • Demonstrated experience with 340B data, compliance and auditing practices
      • Demonstrated ability collaborating with all levels of employees, including senior leadership

      License/Certification/Registration

      • Advanced 340B Operations Certificate (340B ACE)

      Additional Requirements:

      • Strong knowledge of the Microsoft Office suite of tools, including excel
      • Data analysis and presentation
      • Excellent oral, written, and interpersonal communication and presentation skills
      • Strong team and individual coaching and mentoring skills
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