340B Program Specialist

Geisinger • Work from home (Pennsylvania), PA

3d • Remote

About The Position

The 340B Third Party Administrator (TPA) Program Specialist works under the 340B Program Director to help ensure the 340B Program operates optimally and compliantly while maximizing 340B opportunities. The role routinely reviews systems and claims, monitors and analyzes program financials, creates and communicates processes, procedures, work plans, and training programs, and optimizes qualification processes by reviewing data feeds and supporting other 340B activities. The specialist monitors changes in program requirements and facilitates updates to Enterprise Pharmacy technology, processes, and policy while ensuring data integrity.

The position is work from home in Pennsylvania, with a day shift and 40 scheduled weekly hours. Work is typically performed in a non-clinical environment. The role is accountable for meeting job-specific obligations and following organizational policies and procedures.

Requirements

• Bachelor's degree.
• At least 5 years of related work experience.
• 340B ACE Certificate from Apexus within 1 year.
• Computer literacy.
• Financial analysis skills.
• Knowledge of the healthcare regulatory environment.
• Knowledge of the Waterfall Model.

Responsibilities

• Provide proactive support for the 340B program, identify potential process and methodology errors, and help ensure compliance with regulatory and auditing requirements.
• Develop new site assessments in conjunction with Finance and IT.
• Optimize purchasing opportunities in conjunction with the Pharmacy Procurement team.
• Serve as a subject matter expert on audits, support the auditing team, assist with remediation of findings, and provide feedback to auditors as needed.
• Assess opportunities for cost savings and system improvements that can increase compliance.
• Work with Channel Consultants to develop 340B strategies for external partners.
• Develop and maintain internal relationships with accounting, legal, and national teams, and external relationships with wholesalers, manufacturers, contract pharmacies, split-billing software vendors, employee benefit pharmacy benefit managers (PBMs), and third-party administrator (TPA) vendors.
• Engage with senior leadership and participate in decisions related to implementing new 340B processes.
• Ensure split-billing software integrity and review relevant reports to identify areas for improvement.
• Maintain current knowledge of pharmacy systems and understand interfaces between 340B split-billing and accumulation software and pharmacy systems.
• Routinely review systems and claims to confirm processes are working as expected.
• Monitor and analyze 340B program financials.
• Create and communicate 340B processes, procedures, work plans, and training programs.
• Review data feeds and support other 340B activities to optimize qualification process performance.
• Monitor program requirement changes and facilitate corresponding changes to Enterprise Pharmacy technology, processes, and policy while ensuring data integrity.

Benefits

• Healthcare benefits for full-time and part-time positions from day one, including vision, dental, and domestic partners.
• Collaborative, cooperative, and collegial atmosphere.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level