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Program Coordinator, 340B
Program Coordinator, 340BCOMMUNITY CARE COOPERATIVE INC • Boston, MA, US
Program Coordinator, 340B

Program Coordinator, 340B

COMMUNITY CARE COOPERATIVE INC • Boston, MA, US
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Job Description

Job Description

Title : Program Coordinator, 340B

Reports to : Director, Pharmacy Business Management

Classification : Individual Contributor

Location : Remote

Job description revision number and date : V 2.0; 09 / 12 / 2024

Summary :

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHC). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

Job Summary :

The 340B Program Coordinator will be housed under C3’s subsidiary, Community Pharmacy Cooperative, LLC (CPC) and is a key member of CPC’s team. Working closely with the Director of Pharmacy Business Management, Senior Director of Pharmacy Operations, Director of Clinical Pharmacy Services, and other members of the CPC team, the 340B Program Coordinator will act as a remote 340B Coordinator for contracted client FQHCs.

The 340B Program Coordinator is responsible for oversight of the maintenance of the 340B program in compliance with organizational, manufacturer as well as state and federal requirements for all 340B activities.. The 340B Program Coordinator must also have a customer-service mentality, recognizing the importance of both internal and external customers. The 340B Program Coordinator will report directly to the Director, of Pharmacy Business Management of C3 / CPC.

Responsibilities :

340B Compliance Audits

  • Perform quarterly 340B Audits for client Health Centers to ensure compliance with the 340B Program. Coordinate and ensure remediation of findings
  • Review Accuracy of OPAIS database information for client Health Centers
  • Assist client health center with 340B policy and procedure development

340B Contract Pharmacy Implementation, Maintenance, and Optimization

  • Assist client Health Centers with 340B Contract Pharmacy Implementation and monitor monthly Contract Pharmacy Performance. Identify opportunities for improved performance in partnership with site leadership
  • Utilize Health Center-approved consultant access to TPA, EMR, and Wholesaler data to perform root cause analysis on lost program revenue, and correct program deficiencies
  • Navigate and monitor manufacturer restrictions and provide updates and analyses to client Health Centers
  • Monitor TPA Portals and Data to ensure correct setup, settings, and functionality
  • Submission of claims data as applicable for manufacturer and program requirements

    • Other Responsibilities :

  • Ensure program meets federal and state payer requirements with appropriate “carve-outs” and exclusions
  • Attends organizational 340B oversight committee meetings
  • Provides monthly program reports including any needed corrective action plan recommendations

    • Required Skills :

  • Familiarity and program fluency in the 340B program Ambulatory / Retail 340B program experience
  • Excellent oral, written, interpersonal and communication skills to effectively to interact with staff at all levels
  • Proficient with MS Office (Excel, PowerPoint, Teams, Word, Outlook) is required; familiarity with data query / data management, PowerBi an Excel preferred
  • Strong analytical and problem-solving skills
  • Works well with others, understanding different perspectives and finding collaborative ways to complete the task as required
  • Comfortable multi-tasking
  • Performs with great integrity and produces accurate work with close attention to detail, especially in the completion of final deliverables to internal and external stakeholders

    • Desired Other Skills :

  • Familiarity / expertise in using pharmaceutical data sets such as TPA data, Wholesaler data, patient-level data, and transactional claims data preferred
  • In-depth knowledge of the Pharmacy and Health Care Industry preferred
  • Familiarity with the MassHealth ACO program
  • Familiarity with Federally Qualified Health Centers
  • Experience with working on healthcare inequity & social justice with at-risk patients and underserved populations is preferred
  • Experience with anti-racism activities, and / or lived experience with racism is highly preferred

    • Qualifications :

  • Bachelor’s degree in Business, Finance, Data Analytics, Pharmacy, Healthcare, or equivalent Pharmacy experience. Pharmacy Technician experience is a plus
  • Two or more years experience in 340B Program Coordination with hands-on reporting & functional experience or 340B ACE certification is preferred
  • In compliance with Covid-19 Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law.
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