Manager, 340B Solutions

UnitedHealth Group•Dublin, OH
•$72,800 - $130,000•Remote

About The Position

The Manager, 340B Solutions serves as a key resource and consultant on 340B Program standards and compliance, providing program support to CPS clients. The role acts as an independent consultant and liaison to stakeholders, helping ensure appropriate program utilization and compliance. It supports review and analysis of data for existing agreements, consulting engagements, and prospective clients; assists with client training and oversight processes; and oversees 340B Referral Capture services. The position is fully remote within the United States and involves work at client sites and travel. The stated schedule is 40 hours per week, Monday through Friday, with some nights and weekends possible. The manager conducts and participates in compliance and quality-improvement consulting, including project management, assessments, analysis, reporting, presentations, recommendations, and corrective action plans. The role evaluates client data and 340B purchasing activity, supports self-audits, investigates compliance and quality risks, maintains educational resources, and communicates with internal and external stakeholders. It also supports company and division strategies, promotes customer satisfaction, and follows applicable pharmacy, health care, hospital, privacy, and security requirements.

Requirements

  • High school diploma and relevant work experience.
  • At least 3 years of 340B operational work experience.
  • Knowledge of state and federal laws and regulations related to 340B and associated billing practices.
  • Experience with 340B split-billing software.
  • Experience with 340B third-party administrative software and varied electronic medical record systems.
  • Experience with 340B purchasing activities and analysis.
  • Ability to meet company standards for a Motor Vehicle Report background check.
  • Ability to travel away from home by air or car; the posting gives travel expectations of up to 50% of work time for client-site work and up to 25% of work time in the travel qualification.

Nice To Haves

  • Bachelor’s degree.
  • Advanced degree supporting 340B Solutions, such as an MBA or MA.
  • Apexus certified Expert — 340B ACE.
  • At least 5 years of 340B work experience.
  • At least 2 years of work experience in a 340B-related management position.

Responsibilities

  • Oversee and participate in consulting opportunities related to 340B compliance and quality improvement, including project management, assessments, evaluation, analysis, reporting, presentations, recommendations, corrective action plans, and other deliverables.
  • Analyze client Data Request List elements for compliance with 340B regulatory requirements, including pharmacy purchasing, program registration, contract pharmacy arrangements, the Medicaid Exclusion File, policies and procedures, and processes to prevent diversion and duplicate discounts.
  • Analyze WAC, GPO, and 340B purchasing to optimize program savings.
  • Develop processes for 340B self-audits and assist with implementation and training.
  • Provide oversight of 340B Referral Capture services.
  • Maintain expertise in pharmacy practice, 340B compliance, regulatory issues, and quality improvement.
  • Investigate, analyze, and resolve potential or actual 340B compliance or quality-related risk events.
  • Maintain current educational resources and tools that promote 340B compliance, including template policies, performance standards, and monitoring and auditing tools.
  • Develop and deliver effective presentations and written materials to varied audiences, including consulting clients, client administrators, Regional Vice Presidents, and Directors of Pharmacy; participate in speaking engagements and publishing through professional conferences and organizations.
  • Support development and execution of company- and division-specific strategies.
  • Promote customer satisfaction with internal and external clients and represent CPS professionally and in a friendly manner.
  • Demonstrate the values and behaviors described by the CPS mission statement.
  • Maintain knowledge of applicable state and federal pharmacy and health care regulations and professional standards.
  • Follow state and federal pharmacy laws and regulations, applicable hospital policies and procedures, and HIPAA Privacy and Security Rule responsibilities.
  • Perform other related duties as assigned.

Benefits

  • Comprehensive benefits package, subject to eligibility requirements.
  • Incentive and recognition programs.
  • Equity stock purchase plan.
  • 401(k) contribution, subject to eligibility requirements.
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