Pharmacy 340B Coordinator

Southern Ohio Medical Center; Portsmouth (OH); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive pay

Retirement plan (403(b))

Medical, dental and vision coverage

Paid time off

Tuition and certification assistance

Employee discounts

Job summary

Southern Ohio Medical Center is seeking a Pharmacy 340B Coordinator to lead the 340B program across SOMC facilities. You will maintain the 340B database, analyze purchases for cost savings, and generate reports for leadership while ensuring compliance with 340B regulations.

The role requires education in business, accounting, finance or pharmacy, with knowledge of healthcare accounting and finance. Pharmacy experience is preferred.

Qualifications

• High School Diploma or equivalent required.
• Bachelor's degree in Business, Accounting, Finance or Pharmacy-related field or equivalent experience required.
• Knowledge of health care accounting, finance and reimbursement principles required.
• Prior Pharmacy work related experience preferred.

Responsibilities

• Maintains 340B database to ensure entries are complete, accurate, and auditable.
• Analyzes purchases by account type for 340B, GPO, and WAC to identify cost saving opportunities and maintain program compliance.
• Runs regular reports in 340B databases to determine net revenue possibilities.
• Interfaces with pharmacist and staff to build relationships with contract pharmacies and ensure customer satisfaction.
• Audits Contract Pharmacy claims and drugs in outpatient departments to ensure program integrity.
• Reviews CDM dictionary for correct linking of CDM numbers, HCPCS codes, and modifiers.
• Reviews accumulations to identify billing issues, maintenance issues, or split billing issues.
• Maintains 340B databases to ensure CDM numbers link to correct NDC and billing units.
• Completes Medicaid FFS, Medicaid MCO, or other rebills to identify 340B claims and bill correctly.
• Reviews 340B Monitor Eligibility Counts to ensure proper utilization.
• Performs manual uploads in 340B databases to correct charges and add direct purchase orders.
• Collects and analyzes data on medication purchases to identify trends and savings opportunities.
• Forecasts future needs using purchasing trends and inventory management data.
• Prepares reports and presentations for leadership highlighting insights and recommendations.
• Collaborates with suppliers to negotiate pricing and terms to optimize purchasing.
• Ensures compliance with regulatory requirements and internal policies.
• Collaborates with staff, finance, and stakeholders to streamline processes and improve efficiency.
• Stays informed about industry trends and new technologies to enhance skills.
• Assists with Alternative Delivery Orders.
• Performs other duties as assigned.

Education

High School Diploma or equivalent

Bachelor's Degree in Business, Accounting, Finance or Pharmacy related field or equivalent experience

Job description

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process.

Department: Pharmacy 340B Program

Shift/schedule: Full Time (Salaried)

GENERAL SUMMARY

Works under the supervision of the Manager of 340B Program. The Pharmacy 340B Coordinator's primary job function is the overall management and coordination of the pharmacy 340B program for all qualified entities within Southern Ohio Medical Center. Coordination will include assuring qualifications for participation in the program are met and maintained. The Pharmacy 340B Coordinator is also responsible for collecting, analyzing, and interpreting data related to community pharmacy medication purchases and making data-driven recommendations to the Pharmacy Supervisors and Community Pharmacy Lead Technicians on what needs purchased to maximize 340B savings. Performs other duties as assigned.

QUALIFICATIONS

Education:

• High School Diploma or successful completion of an equivalent High School Exam Required
• Bachelors Degree in Business, Accounting, Finance or Pharmacy related field or equivalent experience required

Licensure:

• None

Experience:

• Knowledge of health care accounting, finance and reimbursement principles required.
• Prior Pharmacy work related experience preferred.

JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS

1. 1. Maintains 340B database to ensure database entries are complete, accurate, and auditable.
2. 2. Analyzes purchases by account type for 340B, GPO, and WAC in order to identify cost saving opportunities and maintain program compliance.
3. 3. Runs regular reports in 340B databases to determine net revenue possibilities.
4. 4. Interfaces with pharmacist and staff personnel with contract pharmacies to build relationships and ensure customer satisfaction.
5. 5. Audits Contract Pharmacy claims and drugs administered in all outpatient departments of the Hospital including SOMC Family Health Centers, Provider Based Clinics, the Ambulatory Infusion Clinic (AIC), and the Cancer Center according to 340B regulations to ensure program integrity.
6. 6. Reviews the Meditech Charge Description Master Dictionary to verify CDM numbers are linked correctly in 340B databases, verify the HCPCS codes are accurate, and Modifiers are listed correctly for each state and payer.
7. 7. Reviews accumulations in 340B databases focusing on extremely high or negative accumulations in an effort to identify billing issues, maintenance issues, or split billing issues.
8. 8. Performs maintenance in 340B databases to ensure CDM numbers are linked to the correct NDC number and the billing units per package are correct based on SOMC's billing practices.
9. 9. Completes Medicaid FFS, Medicaid MCO, or other rebills in RX30 to identify retail pharmacy claims as 340B claims and bill at the correct cost.
10. 10. Reviews the 340B Monitor Eligibility Counts in 340B databases daily to make sure that utilization is flowing into the correct PIDs.
11. 11. Completes manual uploads in 340B databases to correct patient charges, adds direct purchase orders, and manual adjustments.
12. 12. Collects, organizes, and analyzes data on medication purchases, including quantities, prices, and suppliers to identify trends, patterns, and opportunities for cost savings.
13. 13. Utilizes purchasing trends and works with the pharmacy management system's inventory management suite to forecast future needs based on historical data.
14. 14. Prepares reports and presentations to communicate findings to pharmacy leadership team, highlighting key insights and recommendations.
15. 15. Works closely with suppliers to negotiate pricing, terms, and agreements to optimize purchasing processes and evaluates supplier performance to ensure quality and cost-effectiveness.
16. 16. Ensures compliance with regulatory requirements and internal policies related to medication purchasing, data management, and inventory management.
17. 17. Collaborates with pharmacy staff, finance teams, and other key stakeholders to streamline purchasing processes and improve efficiency by implementing data-driven solutions and monitoring outcomes.
18. 18. Stays informed about industry trends, best practices, and new technologies in pharmacy purchasing and inventory management to enhance skills and knowledge.
19. 19. Assists with Alternative Delivery Orders.
20. 20. Performs other duties as assigned.

Why SOMC? You Care for Our Patients, We Care for You

At Southern Ohio Medical Center, our mission is to make a difference in the community we serve. We're committed to delivering exceptional care and that starts with our team members. When you join SOMC, you're not just starting a job. You're joining a mission.

Compensation & Benefits

• Competitive pay with quarterly market analysis
• Performance-based annual increase and bonus eligibility
• Up to 4% employer contributions to retirement plans (403(b) and Cash Balance Pension)
• Comprehensive medical, dental, and vision coverage*
• Medical and dependent care flexible spending accounts*
• Earned Wage Access - get paid before payday
• Paid Time Off bank with 3 annual sick days
• Life insurance and disability coverage*
• Tuition and certification assistance
• Club LC - discounted/free gym membership
• Employee discount and payroll deduct programs
• And many other benefit offerings!

*Available only to Full-Time and/or Part-Time Employees

Compensation & benefit eligibility is determined by employment status, position type, and hours worked. Offerings are subject to change and governed by SOMC's current plan documents and policies. Specific details will be reviewed upon hire as part of the onboarding process.

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position in accordance with applicable law. A full job description is available upon request.

Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status

Southern Ohio Medical Center is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, gender expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.