340B Specialist

Hawaii Island Community Health Center

Job Title: 340B Specialist

Supervised By: 340B Program Manager

POSITION FUNCTION SUMMARY:

Under the direction of the 340B Program Manager, the 340B Specialist is responsible for the day-to-day technical duties of the 340B Program at Hawai’i Island Community Health Center (HICHC)

ESSENTIAL DUTIES AND RESPONSIBILITIES:

340B Program

• Follows 340B Program regulations and policy to maintain program integrity and prevent duplicate discounts and diversion.
• Reviews contract pharmacy claims, then approves or denies these claims based on policy and 340B regulations.
• Routinely audits Third-Party Administrator (TPA) contract pharmacy claims for each pharmacy contract.
• Assists in reconciliation of 340B purchases and invoices for contract pharmacies.
• Conducts physical inventory of clinic 340B medications to maintain ‘quantity on hand’ accuracy and resolve inventory discrepancies
• Participates in monthly audits of all 340B-eligible locations to verify adherence with the 340B Program guidelines and policies.
• Assists with the routine operations of the 340B Discount Card including card activation, facilitating with orders, coordinating with retail pharmacy billing, and resolving rejected claims
• Maintains records related to job functions including, but not limited to, wholesaler invoices, inventories, TPA reports, and contract pharmacy claims.
• Reports to the 340B Program Manager routinely and as requested.

Access to Free Medications

• Coordinates applications and/or pick-up of medications provided via patient assistance programs.
• Utilizes financial information including income and insurance/Medicaid status to assist patients with qualification for medication assistance programs.

General Duties

• Uses sound judgement in handling calls, especially with upset patients.
• Demonstrates standard of performance (ownership, teamwork, communication, compassion) that supports patient satisfaction and principles of service excellence.
• Follows all health center specific, State and Federal guidelines and procedures.
• Maintains patient confidentiality at all times.
• Informs supervisor of problems, pending issues, and communications within the organization/other departments.
• Participates in cross-training for other roles within the pharmacy services department and provides coverage for PTO/unanticipated staffing needs as directed by supervisor.
• Performs other duties as requested by supervisor.

POSITION SPECIFICATIONS:

Requirements of the Position:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the education, experience, knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications:

Education and Experience:

• Required: High School diploma or GED certificate.
• Required: One-year experience as a pharmacy technician or in a related medical field required or any equivalent combination of experience, training and/or education approved by Human Resources.
• Required: Computer knowledge and skills
• Preferred: Knowledge of medical terminology

Certifications:

Must successfully complete 340B UNIVERISTY ON DEMAND within the first three months of employment.

Knowledge, Skills and Abilities:

• Entry level knowledge of the position with the desire to learn on the job and complete online 340B University training through Apexus.
• Basic mathematical skills including adding, subtracting, multiplying, and dividing
• Proficient in use of the electronic health record (electronic medical record) to record and retrieve patient health information, obtain reports, and evaluate documentation and associated charges
• Knowledge and understanding of data mining
• Ability to be flexible and work both independently and in a team environment.
• Interpersonal relations and customer service skills; facilitating interdepartmental, inter clinical operations.
• Good organizational and self-management skills, including time management, document handling and management, etc.
• Excellent computer skills, including word processing, spreadsheet, and database applications
• Understanding and proficiently use systems and programs to investigate and resolve inventory discrepancies, including running and analyzing reports.
• Demonstrated skill and knowledge of computer systems including but not limited to word processing, spreadsheet, database, and electronic communication software application
• Demonstrate willingness to learn new systems related to the position such as Trinet barcode scanning or any other inventory tracking system
• Physical ability to lift heavy loads as required for filling medication supply orders.
• Ability to pay attention to detail, maintain accurate records, and maintain confidentiality.

Language Skills:

• Ability to read and interpret documents such as government regulations and guidelines, patient records, operating and maintenance instructions, procedure manuals and so on.
• Ability to write at an above average level of competence and communicate effectively and efficiently with management
• Ability to communicate with diverse groups of people to include staff and providers and patients.
• Ability to communicate effectively with patients and their families to make their visit a pleasant experience.
• Sensitivity to the multicultural nature of the service area population

Personal Characteristics:

Being a team player, self-starter working well with minimal supervision, high integrity, good personal habits, regular work attendance, courteous and friendly, able to work well with diverse groups of people, organization of multiple tasks and projects, and gain and maintain respect of other, both inside and outside HICHC and the communities it serves.

Confidential and Sensitive Information:

Because the employee has access to personal and professional data regarding individual employees and their families, personal data regarding individual patients and the families, and/or sensitive company financial data, an essential job result is the maintenance of a high level of confidentiality of the information processed by the employee. Violation of this confidence may result in disciplinary action, up to and including termination of employment.

Physical Characteristics/Working Conditions

• This is a medical clinic environment, a multi-tasking-oriented position including direct patient care that may require sitting or standing for long periods of time. There is some bending, stooping and lifting (up to 50 lbs).
• Must interact with providers, patients and other clinic personnel.
• Must possess social-economic and cultural sensitivity.
• May involve contact with angry, upset or ill persons.
• Must have visual acuity and manual dexterity to interface with computers.
• Must have auditory acuity to handle phone calls and extensive patient interaction.
• Incumbent will be scheduled based on operational need (rotate shifts, standby, AA, on'call), and may require overtime.
• Work is mostly inside, and normal office worker safety precautions and practices are required.
• All employees are offered the opportunity to receive the Hepatitis B vaccination series, Tdap or Td vaccines, COVID vaccine and annual influenza vaccine. All employees are also required to have annual PPD testing.

Equipment Use:

Telephone system and office equipment including but not limited to computer, printer, facsimile machine, copier, and general office supplies.

Mental Demands:

Duties require attention to detail, alertness, problem solving, tolerance to stress and exercising sound judgement. Duties require high tolerance and adequate coping skills for dealing with loss, grief, and bereavement. Good stress reduction and management skills are essential.

REMARKS:

The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. To ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.