Overview
The Pharmacy Revenue Coordinator serves as the subject matter expert for the 340B Program, providing oversight to all Covered Entities to ensure the program is optimized, compliant, and auditable. This role manages day-to-day medication procurement, billing, and inventory to uphold compliance standards and maximize cost savings. The coordinator assists with policy implementation, oversees internal audits, analyzes data trends, and acts as the primary contact for 340B compliance and audits. Additionally, this position coordinates the 340B Executive Oversight Committee and works collaboratively across departments to ensure appropriate pricing and reimbursement.
Responsibilities
- Develop, implement, and maintain 340B policies and procedures in compliance with organizational and regulatory requirements.
- Track training and policy compliance related to the 340B Program and report findings.
- Provide ongoing education and communication to staff involved in the 340B Program.
- Monitor and assess 340B guidance, rule changes, and industry publications to keep the organization informed.
- Maintain open communication with staff and management regarding program changes and quality improvement activities.
- Ensure continuous compliance with federal 340B regulations and update policies accordingly.
- Manage HRSA 340B OPAIS registration and recertification processes for all entities.
- Develop and execute comprehensive self-audits of the 340B process, including contract pharmacy locations.
- Coordinate remediation of audit findings and manage pharmacy billing issues.
- Monitor utilization records and purchasing accounts to ensure accuracy and compliance.
- Evaluate patient eligibility in hospital-based mixed-use areas and clinics.
- Oversee day-to-day management and compliance of clinic-administered medications and outpatient prescriptions.
- Evaluate covered entity compliance at contract pharmacy, entity, and wholesaler levels.
- Serve as the primary coordinator for all external audits and maintain audit readiness.
- Manage relationships and compliance with contracted 340B pharmacies.
- Identify opportunities for cost savings and business improvements; develop and implement action plans.
- Prepare and monitor reports on 340B participation, savings, compliance, and discrepancies for leadership and oversight committees.
- Monitor purchasing records, drug inventory, and pricing exclusions or shortages.
- Participate in formulary enhancement and wholesaler credit reviews.
- Ensure compliance with 340B purchasing regulations, including prevention of GPO pricing violations.
Requirements
- Bachelor of Science or Bachelor of Arts degree in business or a health-related field (required).
- Three to five years of experience in a 340B hospital oversight role, including responsibility for policies, audits, data analysis, and compliance.
- Strong organizational, problem-solving, and analytical skills.
- Effective oral and written communication skills.
- Experience managing 340B purchases in a mixed-use setting with a third-party administrator.
- Advanced Microsoft Excel reporting and analysis skills; expert-level preferred.
- Experience overseeing a third-party administrator integrated with an electronic health record system (e.g., Epic).
- Apexus Advanced 340B Operations Certificate (required).
Preferred Qualifications
- Master's degree in business administration, healthcare administration, or a related field.
- Experience overseeing a 340B contract pharmacy program.
- Experience with chargemaster maintenance and updates.
- Experience with pharmacy revenue integrity program oversight.
- Pharmacy Technician Certification Board (PTCB) Pharmacy Technician (CPhT) certification.
- Pharmacy Technician licensure from the California Board of Pharmacy.
Compensation & Benefits
Details regarding compensation and benefits are not provided in this description.
Location
Location details are not specified in this description.