Pharmacy Manager, 340B Program

Pharmacy Manager, 340B Program

Location: Hybrid schedule, physically located at Tufts Medical Center, system-level compliance responsibilities for both Tufts Medical Center and Lowell General Hospital

Job Description

Minimum Qualifications:

1. Bachelor's degree in Pharmacy.

2. Pharmacist License.

3. Five (5) years of hospital pharmacy experience including supervisory responsibilities.

Preferred Qualifications:

1. PharmD.

2. Completion of a general pharmacy residency and a specialty residency.

3. Eight (8) years of hospital pharmacy experience including supervisory responsibilities.

4. Experience in drug utilization review and analysis.

5. Experience with Electronic Medical Records.

General Description and Goals

The 340B Program Manager is a member of the Department of Pharmacy's Leadership Team at Tufts Medical Center, with primary responsibility for assuring system-wide compliance with the 340B Drug Pricing Program and oversight of Contract Pharmacy agreements across both acute care and ambulatory settings at Tufts Medical Center and Lowell General Hospital. This role serves as the subject matter expert within the Department of Pharmacy and as the 340B Oversight Committee chair and liaison with Contract Pharmacy and third-party administrator representatives.

The Program Manager provides leadership for the development, implementation, and maintenance of policies and guidelines pertaining to the 340B Program, and maintains a broad-based, current knowledge of 340B regulations to safeguard ongoing, organization-wide compliance. The role includes delivering 340B education to Tufts Medicine employees on a yearly basis and serving as the go-to resource for all 340B-related issues, in coordination with pharmacy, compliance, legal, and finance stakeholders.

Responsibilities Include:

Program Leadership & Committee Oversight

1. Serve as the coordinator and leader of the 340B Oversight Committee, which includes members from senior leadership, pharmacy, compliance, legal, government affairs, reimbursement, supply chain, and finance.

2. Organize and lead weekly 340B meetings and quarterly 340B Oversight Committee meetings.

3. Serve as the primary program liaison and 340B compliance expert for the Department of Pharmacy, connecting with affiliated departments to ensure program integrity.

4. Actively engage with senior leadership and participate in decision-making related to the implementation of new 340B processes and initiatives.

Policy & Procedure Development

1. Provide leadership for implementing and maintaining policies and guidelines pertaining to the 340B Program.

2. Evaluate and document changes to 340B regulations; update policies and procedures to maintain ongoing compliance.

3. Ensure policies and procedures are developed, approved by Legal, and maintained in accordance with organizational, state, and federal requirements, without creating unnecessary operational cost or burden.

Regulatory Monitoring & HRSA Registration

1. Maintain a broad-based, current knowledge of 340B regulations to maintain system-wide compliance.

2. Assure that information on the HRSA website (OPAIS) is correct, and notify the primary contact and authorizing official of any changes needed.

3. Monitor 340B guidance and rule changes - including HRSA/OPA rules and Medicaid updates - and attend 340B trainings, sharing key updates and hot topics with staff.

4. Ensure the annual HRSA recertification and registration of any new child sites are completed within the required time frame.

Auditing & Compliance Monitoring

1. Assure claim audits are completed in a timely manner.

2. Develop, execute, and document self-audits of the 340B process, and coordinate remediation of any findings.

3. Conduct or coordinate annual audits of all contract pharmacies and monthly audits of 340B-eligible locations to verify adherence to program guidelines.

4. Serve as the point person for external and independent audits, coordinating all requests and responses and maintaining a continual state of audit readiness.

5. Evaluate patient eligibility for qualified and non-qualified patients across mixed-use, outpatient, and contract pharmacy settings by reviewing medical records, insurance plans, and hospital status.

Contract Pharmacy Management

1. Review the financial performance of Contract Pharmacy agreements and recommend or implement changes as needed.

2. Manage relationships, billing services, and compliance with contracted 340B pharmacies.

3. Review and negotiate new 340B contracts and maintain all existing contract pharmacy agreements.

4. Evaluate current and prospective contract pharmacy opportunities, including contract language, fee structure, data setup, and auditing requirements.

5. Manage data reporting requirements through 340B ESP and other manufacturer mandated platforms to maintain access to 340B pricing.

Purchasing & Inventory Oversight

1. Ensure the 340B crosswalk and accumulations are continually reviewed and updated.

2. Work closely with the Procurement team to ensure proper purchasing practices are followed for all pharmaceuticals.

3. Monitor purchasing records, utilization, and 340B purchasing accounts to ensure tools and software are working properly and to identify savings opportunities or discrepancies.

4. Oversee 340B regulatory aspects of the inventory purchasing process across outpatient, inpatient, and mixed-use areas.

Split-Billing / Third-Party Administrator Software

1. Maintain the integrity of the 340B split-billing software and review applicable reports to identify areas for improvement.

2. Integrate pharmacy chargemaster data into the 340B split-billing system to support auditable, compliant processes.

3. Coordinate with outpatient pharmacy and pharmacy informatics teams on electronic interfaces between the EMR, the virtual accumulator, and contract pharmacy providers/administrators.

Reporting

1. Report monthly financial performance of the Contract Pharmacy program to the Director of Pharmacy Business Operations.

2. Assure all 340B reporting is completed in accordance with policy and regulatory requirements.

3. Develop and present routine reports on 340B utilization, savings, problem areas, and discrepancies to pharmacy and administrative leadership.

Education & Precepting

1. Provide 340B education for all Tufts Medicine employees on a yearly basis, as required.

2. Precept PGY2 residents in the Health-System Pharmacy Administration and Leadership program at TMC.

3. Develop training and competency materials for staff involved in the 340B Program.

Quality & Regulatory Standards

1. Ensure ongoing compliance with quality and regulatory standards related to the 340B Program.

2. Collaborate with Tufts Medicine government affairs, legal, and external legal counsel to address changes or concerns including advocacy at a state and federal level.

Physical Requirements:

1. Frequent standing & walking, and lifting of 5-10 lbs.

2. May require lifting and carrying light loads, including boxes, equipment, and stooping or kneeling.

3. Requires manual dexterity using fine hand manipulation to operate prescription medications and computer keyboard.

4. Requires ability to see medications, computer screen and reports.

Skills & Abilities:

1. Ability to work independently with minimal supervision and as part of a team.

2. Superior verbal and written presentation skills.

3. Superior communication skills, including developing and giving presentations, both 1-1 and group.

4. Knowledge of integrated health networks.

5. Knowledge of health plan drug formularies.

6. Project and resource management skills.

7. Creative thinking and problem-solving skills.

8. Ability to understand the importance of and respect for the confidentiality of all patient information in accordance with applicable standards and regulations.

9. Knowledge of clinical best practices and standards for optimizing medication use.

10. Proficiency in Microsoft Office applications, including Access, Excel, PowerPoint and Word.

11. Ability to work with all ages, backgrounds, ethnicities, and life experiences.

12. A robust understanding of chronic health condition management and population management.

13. Motivational Interviewing proficiency.

14. Ability to prioritize and resolve critical issues efficiently and effectively.

15. Detail oriented, with strong organizational skills and multi-tasking abilities.

16. Very strong working knowledge and proficiency with technology and business software (Microsoft Office).

17. Willingness and ability to learn and utilize new technology and procedures that will continue to develop in their role and throughout the organization.

Job Profile Summary

This role focuses on providing pharmacy related services in a hospital or retail setting. In addition, this role focuses on performing the following Pharmacy Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Responsibilities also include long-term strategic planning, determining the policies of the organization, and allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that manages experienced professionals who exercise latitude and independence in assignments. Responsibilities typically include: policy and strategy implementation for short-term results (1 year or less), problems faced are difficult to moderately complex, and influences others outside of own job area regarding policies, practices and procedures.

Job Overview

This position works closely with other health practitioners to meet the various needs of our patients. Improves the health of patients by providing pharmaceutical care to individual patients and by coordinating the procurement, storage, preparation, and distribution of drugs to all patients. Provides leadership by facilitating the development, implementation, and maintenance of hospital and departmental systems that promote desirable patient outcomes. Educates students, interns, residents, nurses, and patients and participates in interdepartmental committees. Reviews and approves medication orders, monitors drug therapies, and provides drug information.

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth-one of the many ways we invest in you so you can thrive both at work and outside of it.

Pay Range:

based on full-time equivalent