Director of 340B Pharmacy Program

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CORE JOB FUNCTIONS

• Provide enterprise-wide oversight of the 340B program to ensure compliance with state and federal laws HRSA requirements accreditation standards licensure requirements and pharmacy regulatory standards across all applicable settings.
• Monitor and interpret evolving 340B and pharmacy regulatory requirements; develop policies procedures educational materials and staff training programs to promote compliance accountability and best practices.
• Lead and coordinate 340B audits gap analyses tracers risk assessments and corrective action plans to ensure program integrity accurate documentation and operational readiness.
• Collaborate with pharmacy leadership medical staff patient care teams HR and other hospital departments to support medication management compliance employee PBM/benefit coordination and 340B optimization opportunities across the continuum of care.
• Maintain oversight of 340B program operations analytics records management HRSA updates ambulatory pharmacy supply chain support and pharmacy informatics/data analysis to drive program performance and identify improvement opportunities.
• Support pharmacy financial and operational functions including business planning contract analysis charge capture financial controls and departmental record systems as assigned by the Chief Pharmacy Officer.
• Ensure pharmacy services and program initiatives are responsive to the needs of diverse patient populations supporting safe effective and patient-centered care.
• Serve as the primary liaison for the 340B program building strong relationships with internal and external stakeholders representing the organization on committees and industry forums and communicating program goals risks progress and outcomes to senior leadership.
• Provide strategic leadership and oversight of the 340B team including managers and coordinators by setting direction driving program execution fostering a culture of accountability and collaboration and supporting staff development and performance.
• Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

Bachelors in pharmacy or Pharm.D. degree Masters or MBA Preferred.

Certification and Licensing:

Active Florida Pharmacist license obtained within 6 months of hire. 340b and Apexus certification

Experience:

Minimum 7 years of relevant experience

Knowledge Skills and Attitudes:

• Ability to work effectively with a multidisciplinary team and handle multiple responsibilities.
• Ability to execute and operationalize initiatives.
• Knowledge of healthcare safety clinical regulatory and operational management principles.
• Ability to execute and operationalize enterprise strategies set by executive leadership.
• Ability to direct manage and evaluate multi-site multi-service pharmacy operations.
• Strong analytics financial and operational management skills with ability to balance budgets and optimize contracts.
• Ability to lead motivate and develop high-performing operational teams.
• Ability to leverage analytics AI and cohort insights to achieve measurable improvements in patient care and financial outcomes.

DEPARTMENT ADDENDUM

Department Specific Functions

Unit-Specific Responsibilities

Essential Duties:

• Split-Billing Software Maintenance:
  • Resolves unmatched crosswalk items.
  • Reviews the activity of component CDMs and adjusts the accumulator as necessary
  • Reviews autosub activity and adjusts the crosswalk and accumulators as necessary
  • Split-Billing Software Maintenance:
  • Resolves unmatched crosswalk items.
  • Reviews the activity of component CDMs and adjusts the accumulator as necessary
  • Reviews autosub activity and adjusts the crosswalk and accumulators as necessary
  • Reviews of negative accumulators
  • Reviews of unusually large accumulators
  • Reviews of large purchases
  • Enters non-EDI activity
• Rules/Guidance Surveillance:
  • Monitors and assesses 340B guidance and/or rule changes.
  • Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
  • Develops knowledge and maintains awareness of current regulations trends and issues pertaining to the 340B program.
  • Collaborates with the Prime Vendor Program pharmacy leadership and other 340B institutions.
  • Self-Audits:
  • Develops executes and documents self-audits of the 340B process. Coordinates and ensures remediation of findings.
  • Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance covered entity eligibility and covered patient eligibility.

• Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
• Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas by reviewing patient medical records insurance plans and hospital status.

• 340B Program Coordination:
  • Serves as the primary internal program coordinator and liaison for all 340B-related matters.
  • Serves as the institutional compliance expert on 340B regarding program details policies and procedures of the virtual inventory processes required for mixed-use areas.
  • Serves as primary internal liaison to key stakeholders to help ensure appropriate utilization of the 340B program and compliance with all program requirements.
  • Acts as the liaison with necessary departments to ensure 340B program integrity.
  • Collaborate with UHEALTH 340B Program Manager.
  • Collaborates with UHEALTH Legal and Finance.
• External Audits:
  • Serves as the point person and coordinator for all audits.
  • Coordinates all requests and responses.
  • Maintains a current state of audit readiness.
  • Provides oversight for all audits performed by independent external auditors.
• Reporting:
  • Assists in monitoring reports to ensure compliance with the program.
  • Reviews 340B cast savings reports

Routinely communicates any issues or concerns with pharmacy leadership.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.

UHealth-University of Miami Health System South Floridas only university-based health system provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center we are proud to serve South Florida Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching research and patient care. Were the challenge youve been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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