340B Program Manager

RiverStone Health•Billings, MT

About The Position

Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection – HELP is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all of the communities we serve. The 340 Program Coordinator Serves as compliance expert on 340B Program details, policies, and procedures. The incumbent brings content expertise and knowledge surrounding the program elements, deliverables and metrics, including focus on compliance and quality improvement initiatives.

Requirements

High School diploma or equivalent
Experience in a medical setting
Program/Project leadership experience
Quality Improvement
Experience with policy and procedure process
Experience with managing an audit process
Valid State of Montana Driver’s License in good standing

Nice To Haves

Familiarity with HRSA and the 340B program
Experience in community health or with underserved population
Current Montana Pharmacy Technician license and/or PTCB certification preferred

Responsibilities

Acts as the liaison with necessary affiliated departments to ensure 340B Program integrity.
Provides oversight and leadership from the Pharmacy department for the 340B Program.
Leads the organization’s 340B oversight committee, which includes members from senior leadership, pharmacy, compliance, legal, and finance.
Provides expertise with the 340B Program to staff and participants regarding ongoing compliance
Develops and maintains internal relationships (accounting, legal, national) and external relationships (wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefits managers [PBMs], and third-party administrator [TPA] vendors) as
Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes.
Ensures that policies and procedures are developed, implemented, and maintained according to organizational, regional, national, state, and federal requirements and guidelines and are approved by the institution’s legal department.
Ensures ongoing training, education, and communication required for the 340B Program at the organization
Regularly communicates with all staff involved with the 340B Program to be sure that processes remain efficient and to address any problems or suggestions for improvement
Monitors and assesses 340B guidance and/or rule changes, including, but not limited to HRSA/OPA rules and Medicaid changes. Attends regular 340B trainings and shares lessons and hot topics with staff.
Routinely monitors industry publications and websites as well as the professional media, literature, and peers to ensure that the institution has the latest information regarding interpretations, rulings, suggestions, and advanced ideas for improving participate
Responsible for ensuring that the annual HRSA recertification is completed within the allowable time frame
Responsible for ensuring that the HRSA 340B OPAIS is accurate for all organization entity
Responsible for ensuring registration of any new associated sites are within the allowable time frame.
Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings
Conducts and/or coordinates an annual audit of all contract pharmacies.
Reviews any new 340B contracts in coordination with the Senior Director Compliance & Risk Management and legal counsel. Maintains all 340B contract
Ensures that reporting meets organizational, regional, national, state, and federal requirements/guidelines.
Utilizes appropriate financial metrics to assess areas of improvement.
Routinely communicates any questions, issues, or discrepancies with the appropriate authority.
Perform other duties as assigned in support of the RiverStone’s mission and goals.