In this role, the Pharmacy 340B Program Coordinator is responsible for the compliance management and coordination of the pharmacy 340(b) program for all qualified entities within the organization and contracted pharmacies. Such compliance management (auditing) and coordination includes assuring qualifications for the program are met and maintained; the program is fully implemented in all areas of qualified use; related records are complete and accurate; and that it meets all primary objectives as defined by leadership.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Compliance - Assuring all use of 340(b) throughout the institution and contracted pharmacies is fully compliant with all federal regulations and related interpretations for the program. Evaluate qualified and non-qualified claim identification by reviewing patient medical records, prescription records, and other 340B eligibility criteria. Conduct monthly quality assurance audits to ensure compliance of the 340B/DSH federal drug pricing program. Evaluate 340B inventory replenishment for each pharmacy to confirm that accumulation, reduction, and reconciliation are occurring as expected. Evaluate patient eligibility for qualified and non-qualified patients in hospital-based mixed use areas and clinics by reviewing patient medical records, insurance plans and hospital status. Review 340B purchase history to ensure that drugs being purchased on 340B accounts are drugs used for outpatient use. Review GPO purchase history to ensure that drugs being purchased on GPO accounts are used for inpatient usage only consist with the GPO Prohibition Statute.
Maximum Participation - Assuring the institution is achieving maximum utilization of 340(b) pricing through full participation in all qualified areas with all applicable products, to insure greatest compliant cost savings returns throughout the institution. Review purchases made on the WAC account on a regular basis to research and analyze for areas of improvement in hospital drug-spend. Manages and tracks 340B drug inventory, including proper replenishment
Efficiency of 340(b) Processes - Assuring that all policies, procedures, and related approaches to 340(b) include the most efficient use of manpower, resources, and other costs of managing, monitoring, and fully participating in the program. Assists with maintaining the 340B crosswalk on a routine basis. Reviews split billing applicable reports to identify areas for improvement.
Analysis: Independently conducts data analysis, interpretation, process design, and formulates conclusions and recommendations for improvement of the 340B program. Assists with team efforts in developing solutions to difficult or complex situations identified to ensure that 340B goals and objectives are met. Prepare quality assurance reports for review by the organization’s 340B Program Oversight Committee. Routinely monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly.
Maintain a working knowledge of all aspects of the organization’s 340B program including extensive operational experience with third-party vendor 340B management systems. General knowledge of clinical and distribution work flow processes of pharmacist and technical support staff. Work with the Pharmacy Willow IT team to ensure the electronic medical record charging is accurately reflecting the medications being purchased and dispensed for purposes of 340B compliance. Assists with pharmacy charge work queues to validate accuracy of patient charges which impacts 340B. Assists with maintaining the 340B crosswalk on a routine basis. Reviews split billing applicable reports to identify areas for improvement, works with the organization’s clinical information system team to ensure compliant and consistent data feeds are working for the 340B program.
High school diploma
Current Registration with Kansas Board of Pharmacy
Current PTCB National Technician Certification
> 3 years of experience working as a pharmacy technician/ buyer in a health system setting.
> Two (2) years experience working with A 340b program
Working knowledge of Microsoft office.
Bachelor of Science in healthcare, business or a related field is highly desirable
Advanced degree such as MBA is preferred.
Certificates and Licenses:
340B Apexus certification
About Stormont Vail Health
Stormont Vail Health is a nonprofit integrated health system that has been serving the health care needs of Kansas for more than 130 years. It is comprised of Stormont Vail Hospital, a 586-bed acute care hospital, and Cotton O’Neil Clinic, a multi-specialty physician group with more than 260 physicians. Nearly 5,000 employees provide care and support services for patients in the hospital.
As a Magnet®-designated hospital, we offer superior access to specialty services that are not otherwise available in our service region.
Most notably, we were the first health system in Kansas to join the Mayo Clinic Care Network, which allows our providers to connect with Mayo Clinic’s experts for second opinions or specialty consults, offering world class care right here at home.