Job Summary
Under the supervision of the Director 340B Program, assist in the completion of all tasks relevant to the maintenance of the Vandalia Health 340B program, including but not limited to completion of audits, program enhancement and optimization, reporting, purchasing, split-billing, and inventory maintenance for all Vandalia Health retail and mixed use pharmacy operations, contract pharmacy operations, and assist in other pharmacy regulatory functions as needed.
Education:
High School Diploma/GED -Required
Nonessential but preferred:
*Completion of Apexus Advanced 340B Operations Certificate
3+ years of 340B experience
associate degree or higher in business, healthcare, or related field
Responsibilities
•Produce data for any 340B audits on a scheduled basis. Present reconciliation issues as they arise.
•Monitor and audit state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates
•Analyze and filter non-eligible 340B pharmacy transactions
•Support the mission of 340B program integrity and compliance with tasks as assigned by the
Director 340B Program and/or 340B Analyst and Integrity Coordinator.
•Evaluate patient eligibility for qualified and non-qualified patients by reviewing medical records, insurance plans, and hospital status
•Ensure compliance with 340B Program requirements for all patients, drugs, and locations
•Assist the Director 340B Program with the update of the 340B policy to ensure accurate representation of the Health System’s 340B processes
· Monitors and maintains records of all audits and reviews completed. Uses audit findings to ensure compliance with 340B Drug Discount Program to include documentation of policies and procedures, tracking software, documenting cost savings, and appropriate safeguards/system integrity. Reports audit variances to Director 340B Compliance and Operations for Correction.
· Reports to Oversight Committee or as requested.
· Monitors, calculates, and reports 340B cost savings on a routine basis.
•Maintain 340B competency by attending 340B webinars, reading 340B e-mail , and attending 340B University
•Participate and provide representation in project teams, meetings and conference calls to improve and standardize 340B compliance system wide.
Knowledge, Skills & Abilities
Patient Group Knowledge (Only applies to positions with direct patient contact)
The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically, the employee must be able to demonstrate competency in 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.
Competency Statement
Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
Common Duties and Responsibilities
(Essential duties common to all positions)
1. Maintain and document all applicable required education.
2. Demonstrate positive customer service and co-worker relations.
3. Comply with the company’s attendance policy.
4. Participate in the continuous, quality improvement activities of the department and institution.
5. Perform work in a cost-effective manner.
6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.
7. Perform work in alignment with the overall mission and strategic plan of the organization.
8. Follow organizational and departmental policies and procedures, as applicable.
9. Perform related duties as assigned.
Education
• High School Diploma or GED (Required) Experience: None required. Hospital or pharmacy experience preferred. Certificate or experience in accounting or technical analysis preferred
Credentials
• No Certification, Competency or License Required
Work Schedule: Varies
Status: Full Time Regular 1.0
Location: General Hospital
Location of Job: US:WV:Charleston
Talent Acquisition Specialist: Lisa C. Skidmore lisa.skidmore@vandaliahealth.org