Yale New Haven Health System

  • 340B CONTRACT SR. PHARM SPEC

    Job Locations US-CT-Hamden
    Job ID
    62892
    Department
    SYTEM PHARMACY BUS PRACTICES
    Category
    PHARMACY
    Position Type
    Full Time Benefits Eligible
    Scheduled Hours
    40
    Work Schedule
    DAYS
    Work Days
    MONDAYS - FRIDAYS
    Work Hours
    TYPICALLY 8-4:30 HOWEVER MAY FLEX DEPENDING UPON PROJECTS/TASKS
    Work Shift
    HOURS MAY FLEX DEPENDING UPON PROJECTS/TASKS
    Requisition ID
    2018-17653
  • Overview

    To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.

    Under the direction of the 340B Program Integrity Manager the 340B Contract Pharmacy Sr. Specialist is responsibile for leading and deveoping strategies to maximize efficiency and ensure compliance with the 340B Contract Pharmacy Program. Coordination of system pharmacy activities related to 340B Contract Pharmacy Program across all delivery networks

    EEO/AA/Disability/Veteran

    Responsibilities

    • 1. Compliance & Auditing Perform audits of contract pharmacies as appropriate and develop corrective action plans /monitoring system where necessary. Review aging inventory, contract pharmacy billing and invoices for accuracy . Escalate obstacles and unresolved issues as appropriate to Corporate Pharmacy Leadership. Routine monitoring of utilization records and 340B purchasing accounts to ensure that software or tools are working properly. Prepares and assists in the monitoring and various tracking and reporting measurements to ensure compliance with the program. Monitors reports on 340B participation that clearly document utilization, savings, problem areas, exceptions, and/or discrepancies to pharmacy and administrative leadership. Communicates key metrics and improvement actions to management. Ensures appropriate documentation and audit trail across areas of responsibility.
    • 2. 340B Purchasing Program a.Serve as a project liaison for the 340B Contract pharmacy program functions. Oversees the 340B contract pharmacy marketing program to attract and retain qualified retail pharmacy contracts and serve eligible patients Reviews and negotiates any new 340B contracts. Maintains all 340B contracts. Manages relationships, billing services, and compliance with contracted 340B pharmacies. Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup , and internal and independent external auditing.
    • 3. Pharmacy Supply Chain Procurement Coordinates maintenance of system databases to reflect changes in the drug formulary or product specifications. Coordinates routine monitoring of utilization records and 340B purchasing accounts to ensure that software or tools are working properly. Oversees 340B regulatory aspects of the inventory purchasing process for outpatient, inpatient, and mixed-use areas. Regularly monitors 340B purchasing activity and compliance with established protocols
    • 4. Education Develop proper 340B quality assurance training for employees as appropriate Provide proactive education to staff on policies and procedures related to 340B Contract Pharmacy procedures. Expand professional development through related classes and seminars, current publications, and regional /national association membership participation.
    • 5. Leadership: Serve as primary point of contact for all 340B contract pharmacy vendors. Coordinate vendor requests related to service agreements, account set up, 340B split software integration needs, Information System extract creation and file transfer process. Proactive oversight of contract pharmacy activities and continuous monitoring to ensure program integrity. Foster working relationships with internal working counterparts (IT, Internal Audit, Results, Accounting, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance
    • 6. Information Systems: Develop a thorough understanding of the split -billing system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance as it pertains to 340B contract pharmacy network. Maintain system databases to reflect changes in the drug formulary or product specifications. Use provided tools to monitor prescription data, patient data, hospital data, payer data, site of care, and, if required, ICD-9 codes. Summarize and report results to Corporate Pharmacy Leadership
    • 7. Participates in departmental, organizational and/or health system committees related to pharmacy services , medication procurment, finance and other hospital initatives as appropriate.

    Qualifications

    EDUCATION

     

    Graduation from an accredited College of Pharmacy with a Pharm. D. degree. Completion of a residency in hospital

    pharmacy administration from a program accredited by the American Society of Hospital Pharmacists is highly

    desired but not required. A minimum of three(3) to five (5) years of retail/specialty pharmacy and/or related

    experience in hospital 340B pharmacy management or Master's degree in Healthcare Administration, Public Health,

    Finance, Accounting or Business Administration or

    Pharm. D. degree. Completion of a financial, administrative fellowship or pharmacy practice residency from a

    accredited program is highly desired but not required.

     

    EXPERIENCE

     

    A minimum of three(3) to five (5) years of administrative leadership, project management, data analysis, financial

    forecasting, inventory management and/or related experience in healthcare, retail/specialty pharmacy settings.

    Demonstrated skills in coordinating committees and application of quality improvement techniques is required .

    Fluency in database management and data analytics is required.

     

    SPECIAL SKILLS:

     

    Experience in data analysis, excellent written and verbal presentation skills are required. Must posses process

    improvement and change management skills. Strong working knowledge of electronic spreadsheet applications (e.g.

    Microsoft Excel), electronic data manipulation, strong math-analytical skills, excellent communication skills, and

    ability to train other employees.

     

    ACCOUNTABILITY

     

    The individual in the position is held accountable for maintaining the highest professional standards, promoting

    rational and compliant 340B Contract Pharmacy Program practices as well as related regulations .The 340B

    Contract Pharmacy Specialist will be responsible for assisting to meet regulatory and other governing body

    standards. Additionally they will be responsible for fostering a satisfying and challenging work environment. They will

    serve as the primary contact for all 340B Contract Pharmacy relationships and vendors. Employee will be held

    accountable for oversite of all control systems and processes related to 340B Contract Pharmacy Program.

    Employee must be self -motivated and goal oriented.

    COMPLEXITY (describe planning, problem solving, decision making, creative activity, or other special factors

    inherent in the responsibilities of this position):

    In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right

    thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences),

    accountability (being responsible and taking action), and compassion (being empathetic).

    The position requires leadership qualities and the ability to effectively communicate, both written and verbal. This

    individual requires a high degree of planning and exercising discretion in technical decisions. Must apply new ideas ,

    knowledge and skill gained from experience and education to current situations; and should possess a superior

    knowledge of current standards of 340B Contract Pharmacy practice. Excellent analytical skill required to determine

    trends in patient, provider, hospital location and medication purchases as well as any other relevant metrics .

    Spearhead process/pratice change to ensure efficiency and 340B Contract Pharmacy compliance. Ensure 340B

    software system database integrity. Employee must have excellent decision making skills and strong ability to

    problem solve. Employee responsible for creating/fostering a satisfying and challenging work environment for

    employees and training new staff member and facilitates orientation to the department on related 340B Contract

    Pharmacy topics. Primary liaison to service areas, facilitates all 340B Contract Pharmacy related needs and

    responsible for process resolution/escalation of issues

     

     

    LICENSURE/CERTIFICATION:

    For pharmacist applicants Connecticut state pharmacy license required

     *cb*

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