Lead Pharmacist, Pharmacy Supply Chain

Responsibilities

• Assists in 340B compliance
• Maintains 340B Competency by attending 340B Webinars, reading 340B e-mails and attending 340B University and Apexus education courses.
• Affirms compliance with all regulatory requirements for 340B and GPO Prohibition.
• Maintains the integrity of the data shared between pharmacy, nursing and physician.
• Formularies in respective software to match drugs purchased on appropriate contract.
• Completes HRSA Self-assessment monthly.
• Participates in actual HRSA audits.
• Reviews monthly audits for completion and accuracy; and makes corrections to splitting software.
• Verifies that drugs ordered are purchased under the correct contract for hospitals.
• Requires extensive detailed review of data collection and analysis to detect deficient controls and to optimize compliance with 340B regulations, and policies and procedures.
• Ensures that drugs dispensed through the 340B program are replenished correctly.
• Adds NDC’s to pharmacy software to drugs in the “unknown item” table of splitting billing software and ensures that new drug is working correctly in the splitting software.
• Completes routine audits of drugs of drugs in splitting billing software to verify appropriate patient status.
• Identifies drugs that were ordered under the wrong contract and makes corrections to prevent repeat.
• Returns mistakes for credit and reorder under the correct contract for 340B software.
• Compares daily batch totals downloaded from HMM to total uploaded to split billing software to confirm data transfer is complete.
• Participates in actual HRSA audit and external independent audit.
• Operates computerized data systems.
• Interprets and performs order entry functions in accordance with departmental policies and procedures.
• Utilizes computers and related equipment to enter and retrieve information.
• Updates NDC numbers in pharmacy software to those purchased on a daily basis.
• Updates dispensing unit in pharmacy software to match purchased size using conversion table in splitting software.
• Operates computerized data systems.
• Interprets and performs order entry functions in accordance with departmental policies and procedures.
• Utilizes computers and related equipment to enter and retrieve information.
• Receives, transports and stores necessary pharmacy-related items to and from pharmacy areas as well as to and from other hospital pharmacies and nursing units assigned.
• Orders stock rotation and return of outdated medications.
• Maintains perpetual inventory of pharmaceuticals and supplies in the dispensing areas assigned and stores the drugs appropriately.
• Restocks nursing units and ancillary departments; checks for outdated, deteriorated or contaminated drugs, overstock, and proper storage products.
• Reviews drug usage records to examine for unusual or high usage.
• Orders supplies and stocks under proper conditions.
• Maintains a safe and orderly arrangement of pharmaceuticals and supplies in the pharmacy and nursing areas and maintains a clean and neat work area.
• Utilizes supplies in a cost-effective manner.
• Maintains confidentiality in matters relating to patient/family, department and hospital information.
• Adheres to established department and organization policies (i.e. HIPAA, Confidentiality, and Compliance Policies).
• Completes required continuous training and education, including department specific requirements.
• Responds to problems/opportunities to improve work environment and participates in unit-based performance improvement activities.
• Provides support to pharmacy and other ancillary personnel to provide clinical assistance as needed.
• Assists in the orientation and supervision of students when they provide patient care, treatment and services as part of their training.
• Provides coverage for relief and absences.
• Demonstrates flexibility to work night, weekend and holiday to provide continuous pharmacy coverage as required.
• Collaborates with other departments to ensure efficient operations.
• Coordinates and audits cashiering functions.
• SUBMIT AND AUDITS CLAIM SUBMISSIONS TO THIRD PARTY PAYORS.
• Instructs/Counsels patients in the use of medications, assistance program, side effects, special precautions, missed doses, etc. when indicated.
• Contacts providers concerning prior authorization and medical necessity drugs for third party insurers and nonformulary medication orders.
• Checks patient identification and issues filled medication to outpatients.
• Provides assistance to customers/patient in the purchase of over-the-counter items.
• Maintains knowledge of insurance plans, medication assistance program drugs and guidelines to promptly process prescriptions.
• Responds to customer/patient inquiries.

Qualifications

Required:

• Bachelor's degree in Pharmacy, Business Administration, Healthcare Management or related field.
• Minimum of 2 years of relevant experience in pharmacy or healthcare administration.
• Knowledge of 340B regulations and compliance.
• Experience with computerized data systems and inventory management.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite.

Preferred:

• Master's degree in Pharmacy, Business Administration, Healthcare Management or related field.
• Experience with 340B University and Apexus education courses.
• Experience with HRSA Self-assessment and audits.
• Experience with computerized data systems and inventory management.
• Experience with formulary management and drug utilization review.
• Experience with claims processing and reimbursement.