Test Requisition for validation (Do not Apply)

Mount Sinai; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Mount Sinai is seeking a 340B Program Coordinator to manage day-to-day 340B operations, ensure compliance, and optimize hospital and contract pharmacy activities.

The role involves real-time claim audits, cross-department workflows, data interpretation, and reporting to improve program savings and accuracy. Requires bachelor's degree and at least 3 years of 340B or pharmacy experience.

Qualifications

• Bachelor's degree or equivalent experience in healthcare or pharmacy.
• 3 years of relevant 340B or pharmacy experience.
• Strong understanding of 340B program rules and compliance.

Responsibilities

• Performs real time audits of 340B claims in split-billing software and monitors prescriptions for eligibility and accuracy.
• Coordinates workflows with other departments to ensure smooth 340B operations.
• Develops processes to streamline documentation for 340B compliance per system policies.
• Identifies cost savings, optimization opportunities, and compliance risks.
• Reviews third party split billing software for data accuracy and integrity.
• Produces, analyzes and summarizes reports to improve 340B efficiency.
• Interprets data to improve operations and optimize program savings.
• Reviews pricing trends and updates purchasing strategy accordingly.
• Improves quality, efficiency, and compliance at system and entity levels.
• Prepares program content and presents information as needed.
• Communicates with wholesalers, pharmacists, and leaders.
• Attends trainings and conferences as necessary.
• Other duties as assigned.

Skills

340B knowledge

Audit proficiency

Cross-functional coordination

Data analysis

Communication

Education

Bachelor's degree

Tools

Split-billing software

Data reporting tools

Job description

The 340B Program Coordinator is responsible for the day to day management, compliance review, and operations of the 340B program including hospital-administered medications in 340B eligible locations, mixed use areas managed by split billing software, and outpatient prescriptions filled by at contract pharmacies.

1. Performs real time audits of 340B claims in split-billing software and closely monitors prescriptions for eligibility and accuracy
2. Coordinates workflows with other departments throughout the health system to ensure smooth 340B workflows
3. Develops processes to streamline documentation necessary for 340B compliance purposes per program rules and regulations established within system policies and procedures
4. Identifies cost savings, and optimization opportunities, and compliance risks
5. Regularly reviews third party split billing software to ensure the accuracy and integrity of data
6. Produces, analyzes and summarizes relevant reports to improve efficiency of 340B operations as requested
7. Interprets data to improve operations and optimize program savings
8. Reviews and participates in the analysis and interpretation of pricing trends, makes ongoing updates based on purchasing strategy
9. Strives to improve the quality, efficiency, consistency, and compliance at the system and covered-entity levels
10. Prepares program content and presents information and performs other tasks related to the 340B program as requested
11. Effectively communicates to wholesalers, pharmacists, leaders, and others as needed
12. Attends educational trainings including conferences, webinars, roundtables as necessary
13. Other duties as assigned

• Bachelors degree required, or combination of education and applicable work experience
• 3 years of relevant experience required 340B and/or pharmacy experience preferred