Manager 340B Program

Rhode Island Hospital; Rhode Island; On-site; USD 90,000 - 130,000; Full time

Job summary

Brown University Health seeks a leader to oversee the 340B Program operations and compliance across its Covered Entities. The role includes managing registrations, contract pharmacies, and ensuring adherence to HRSA rules and PHS Act provisions.

Collaborate with Finance, Information Services, and hospital leadership to maximize compliant growth and program integrity. You will develop policies, provide training, and report to the 340B Steering Committee, driving progress toward organizational

Responsibilities

• Ensures that annual HRSA recertification is completed within the allowable timeframe.
• Maintains HRSA/OPA information system accuracy for all covered entities.
• Monitors HRSA guidance and rule changes and assesses organizational impact on 340B requirements.

Job description

SUMMARY

Reports to the Director, Pharmacy Business Operations. Responsible for overall operations and compliance of the 340B Program for Brown University Health. Responsible for managing registration and participation in the 340B Program for all 340B Covered Entities within Brown University Health and ensuring that use of 340B throughout the organization is compliant with Section 340B, and related interpretations, of the Public Health Service Act (1992) as administered by the federal Health Resources and Services Administration (HRSA) in the Department of Health and Human Services (DHHS). Responsible for achieving maximum utilization of 340B pricing through full 340B Program participation in all areas of qualified use meeting objectives defined by hospital leadership. Responsible for ensuring participation qualifications are met and maintained. Responsible for compliant medication procurement, billing and inventory management, and for prevention of diversion of 340B drugs. Responsible for monitoring, and assessing the potential institutional impact, of new and proposed 340B regulations and changes to 340B rulings and interpretations. Responsible for adherence to and maintenance of 340B related policies and procedures. Responsible for providing 340B Compliance Program updates and recommendations to Brown University Health's 340B Steering Committee. Responsible for identifying new 340B Contract Pharmacy business development opportunities and leading implementation. Conducts regular business reviews, both with business partners, and utilizing internal data, to maximize financial revenues, while ensuring maintenance of program compliance and quality of care. This position will be the primary business contact for any vendors participating in the program including, but not limited to: pharmacies, third-party administrators (TPAs), business support providers. Responsible for collaboratively working with pharmacy and other department leaders and executives to maximize compliant growth plans. Responsible for working with Pharmacy Business Operations team members for utilizing and/or developing standardized and timely reporting of financial results to Director of Pharmacy Business Operations, Chief Pharmacy Officer, or other leader or department as requested. Responsible for developing and leading execution of strategic plan for 340B Contract Pharmacy Program, including regular reporting of progress and results. Responsible for producing and submitting an annual budget for 340B Contract Pharmacy program and held accountable for it.

CORE SUCCESS FACTORS

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

LEADERSHIP APTITUDES

• Ensure Accountability and Build Effective Teams
• Drive Vision and Purpose and Optimize Work Processes

RESPONSIBILITIES

PRINCIPAL DUTIES AND RESPONSIBILITIES

Ensures that annual HRSA recertification is completed within the allowable timeframe, that HRSA and the Office of Pharmacy Affairs (OPA) information system is accurate for all covered entities, and that any new child site is registered within the allowable timeframe. Maintains knowledge and expertise on Section 340B rulings and related interpretations, including new and proposed regulations, current trends and issues. Monitors 340B guidance and rule changes and assesses potential organizational impact of 340B changes. Ensures the 340B Program is continuously compliant with 340B federal regulations. Maintains knowledge of policy changes that effect the 340B Program, including, but not limited to, HRSA/OPA rules and Medicaid changes. Informs 340B Steering Committee of same. Develops and/or updates 340B policies and procedures whenever there is clarification to interpretation, or change in the rules, regulations, or guidelines to 340B requirements. Reviews 340B policies and procedures annually. Shares expertise and provides training, education, and communication to staff and Program participants regarding 340B Program compliance. Establishes understanding and relationships with Finance and Information Services departments to monitor changes that could affect 340B qualification including changes in the points of service position on the Medicare cost report, changes in institutional ownership or related relationships (i.e. joint ventures, etc.) and changes or negative trends in disproportionate patient percentage under the Medicare Disproportionate Share Hospital a