Lucile Packard Children's Hospital Stanford Manager- Pharmacy Contracts & Compliance (1.0FTE, Days) in Palo Alto, California
1.0 FTE, 8 Hour Day Shift
At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.
This paragraph summarizes the general nature, level and purpose of the job.
The Manager- Pharmacy Contracts & Compliance will provide direct and encompassing oversight to the institution's participation in the 340B Drug Discount Program, a federal program that provides the institution access to 340B-discounted drugs. The Manager serves as the 340B Subject-Matter Expert and is responsible for preparation of the institution for HRSA and/or manufacturer audits. This includes reviewing and revising required policy and procedures, conducting internal audits, completing annual recertification, and leading the institution's 340B Oversight Committee, which includes representation from pharmacy, legal, compliance, finance, and senior administration.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the hospital’s policies and procedures, including its Service Standards and its Code of Conduct.
• Performs supervisory functions by interviewing, selecting, and providing training for new staff; by approving or disapproving recommendations from subordinate staff on personnel actions; by evaluation subordinates' performance; by hearing and resolving employee grievance; and by determining the need for and initiating disciplinary action in order to ensure adequate and competent staffing for the agency, program, division, or institution.
• Provides expertise on all 340B program legislation and policy changes from HRSA and OPA, informing and collaborating with legal and compliance teams. Coordinates and integrates program compliance within pharmacy department and with other departments. Responsible for responding to HRSA and manufacturer inquiries and developing/implementing Corrective Action Plans when necessary.
• Maintains a current state of audit-readiness and serves as the point person for all external audits conducted by HRSA and/or manufacturers. Responsible for annual recertification and ensuring that the HRSA 340B Database is accurate and up-to-date for all organization entities, child sites, and contract pharmacies.
• Actively engages with senior leadership and participates in decision-making processes related to the implementation of new 340B processes and/or software that address the needs of the department and institution. Leads quarterly meetings with the 340B Oversight Committee to discuss updates regarding the 340B Program and milestones/issues encountered.
• Develops and implements ongoing training, education, and communication required for all staff and leaders who work with the 340B program at the organization.
• Maintains 340B software integrity by troubleshooting software issues and reviewing/updating the 340B Drug Catalog, Eligible Prescriber List, Qualification Rules, and CDM-NDC crosswalk for new products and product changes. Monitors utilization records and 340B purchasing accounts to ensure that software or tools are working properly and accurately.
• Develops, monitors, and presents reports on 340B participation that clearly document utilization, savings, exceptions, and/or discrepancies.
• Develops, executes, and documents self-audits of the 340B process, including audits of all contract pharmacies.
• Evaluates all current and future pharmacy contracts, including contract language, fee structure, data setup, and internal/external auditing. Serves as point person for implementation of new contract pharmacy arrangements as well as for ongoing management, billing services, and compliance of contract pharmacy relationships.
• Participates in the development and implementation of operating budgets and management decision making of overall resource requirements (e.g. people, systems, and equipment).
• Responsible for revenue cycle, purchasing and receiving, and controlled substances supply chain.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: Bachelor's degree in a work-related discipline/field from an accredited college or university.
Experience: Five (5) years of progressively responsible and directly related work experience.
License/Certification: Pharmacy Technician License. 340B Apexus Expert Certification preferred.
Knowledge, Skills, & Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
• Ability to apply judgment and make sound decisions
• Ability to foster effective working relationships and build consensus
• Ability to maintain confidentiality of sensitive information
• Ability to plan, organize, prioritize, work independently and meet deadline.
• Ability to work effectively with individuals at all levels of the organization as well as external relationships (i.e., wholesalers, manufacturers, contract pharmacies, split-billing software vendors, and third-party administrator (TPA) vendors).
• Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility
• Knowledge of the Healthcare industry and the policies and practices of the hospital
• Knowledge of methods and procedures involved in proper handling and storing of pharmaceutical supplies.
• Knowledge of The 340B Drug Discount Program
• Analytic and data management skills required for analysis of program
• Leadership skills to manage small and multi-disciplinary teams
Equal Opportunity Employer
L ucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance. REQNUMBER: 13808-1A