Full Time

　　Day Shift

　　York Hospital In-Patient Pharmacy

　　Must be a Certified Pharmacy Tech with two to three years of experience

　　Must be proficient with Excel

　　Job Description:

　　Under general supervision, performs a variety of duties to ensure that the organization remains compliant with the 340B Drug Pricing Program requirements. Performs regularly scheduled audits of contract pharmacies (if applicable) and 340B pharmacy operations to ensure compliance with 340B Program requirements for qualified patients, drugs and locations. Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates. Evaluates patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans, and, if applicable, hospital status. Develops and maintains reports to monitor and improve 340B Program compliance and performance and for compliance and audit purposes. Maintains up-to-date policies and procedures on 340B purchasing processes. Provides proactive education to staff on policies and procedures related to inventory management and 340B procedures.

　　Duties and Responsibilities

　　Policy and Procedure Development

　　Maintains up-to-date policies and procedures on 340B purchasing processes.

　　Develops systems and processes to limit program liabilities and provide proper audits to identify risk and prevent duplicate discounts and diversion.

　　Reviews 340B Program policies and procedures on an ongoing basis and offer contributions and changes to ensure 340B compliance.Education

　　Develops proper 340B quality assurance training for employees as appropriate.

　　Provides proactive education to staff on policies and procedures related to inventory management and 340B procedures.

　　Expands professional development through related classes and seminars, current publications, and regional/national association membership participation.Audits

　　Perform audits on a scheduled basis; may involve presenting and resolving reconciliation issues as they arise during the monitoring and reconciliation process.

　　Performs monthly audits of contract pharmacies, if applicable and self-audits of 340B pharmacy operations.

　　Ensures compliance with 340B Program requirements for qualified patients, drugs, and locations.

　　Monitors and audits state Medicaid claims to ensure compliance to prevent potential duplicate discount rebates.

　　Uses Excel or a comparable data management program to filter out non-eligible transactions, including, but not limited to, drugs used to treat patients during inpatient care, Medicaid patients, drugs provided free by manufacturers, those provided at non-eligible locations, or prescriptions written by non-eligible providers.

　　Evaluates patient eligibility for qualified and non-qualified patients in mixed-use areas and clinics by reviewing patient medical records, insurance plans and, if applicable, hospital status.

　　Ensures that facilities maintain adherence to 340B Program regulations and guidelines.

　　Develops and fosters working relationships with internal working counterparts (e.g., IT, internal audit, accounting, etc.) to facilitate productive exchanges of information, to improve program efficiency and promote program compliance. Provides data, information and reports as needed for other business units within the organization.Program Enhancement/Optimization

　　Develops a thorough understanding of the 340B Program and improves its overall efficiency, value and internal support.

　　Assesses opportunities for cost savings and system improvements to yield higher compliance. Evaluates and implements cost savings opportunities.

　　Continues to build knowledge of the health care and pharmacy services industry. Uses that knowledge to identify ways and make recommendations to improve the 340B Program.

　　Provides assistance to all customers to clarify requirements and propose sourcing options. Evaluates and recommends the best sourcing solution.Reporting

　　Develops reports that can be used to educate staff and assist management in tracking the overall financial impact to the organization. Builds other reports, as appropriate, to monitor and improve 340B Program compliance and performance.

　　Maintains copies of reports for compliance and audit purposes.

　　Collaborates with the Pharmacy, Compliance and 340B governing board to develop monthly, quarterly and yearly audit metrics.

　　Constructs appropriate financial metrics to assess areas of improvement.

　　Develops and updates 340B Program reporting packages detailing volume, financial value and other reporting metrics as needed.

　　Uses provided tools to monitor prescription data, patient data, hospital data, payer data, site of care and, if required, ICD-10 codes. Summarizes and reports results to the appropriate individuals.

　　Monitors, reports, and analyzes contract pharmacy 340B activities. Provides financial reports to hospitals or other covered entities relative to financial impact and liabilities. Makes recommendations that would improve efficiency.

　　Performs covered entity-specific gross financial analysis and makes recommendations to improve program performance. Tracks financial impact over time, identifies root causes of adverse trends and makes recommendations to improve the program’s financial stability.

　　Reviews and refines monthly 340B cost savings reports detailing purchasing and replacement practices, as well as dispensing patterns.Purchasing/Inventory/Split-Billing Duties

　　Provides coverage for the Pharmacy Buyer as necessary.

　　Analyzes and audits invoices, shipping and inventory processes. Makes recommendations for purchasing practices as needed.

　　Develops a thorough understanding of the split-billing/third party administrator systems and the functions to be performed.

　　Qualifications

　　Minimum Experience:

　　2 - 3 years, including at least 1 year working with healthcare applications or technologies

　　Minimum Education:

　　High School Diploma or GED

　　Required Courses:

　　National Pharmacy Technician (CPhT) through the Pharmacy Technician Certification Board (PTCB). (Required upon hire or within 6 months of employment).

　　Skills:

　　Ability to learn new technologies and software programs. Excellent communications skills, excellent interpersonal skills, proficiency in Microsoft Excel, general computer skills including accurate and efficient entry and navigation in multiple software systems, organizing and managing multiple priorities.

　　#Hybrid position

　　Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

　　WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.