Program Coordinator, 340B

Location: Remote

Job Summary:

Community Care Cooperative (C3) is a 501(c)(3) non-profit multi-service organization governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We fulfill two primary business functions for the FQHCs we work with. First, we are an FQHC-led accountable care organization (ACO); second, we are a Management Services Organization (MSO) for FQHCs. As an ACO, we negotiate value-based payor contracts on behalf of our FQHCs, hold and operate those contracts (including fulfilling many compliance, financial management, and population health management functions), and maximize the return to FQHCs of any incentive dollars earned. We are proud to be the market leader in the MassHealth ACO Program. We are the largest Medicaid ACO in Massachusetts, and we operate a variety of business offerings nationwide. As an MSO, we (along with our subsidiary companies, which are also FQHC-led non-profits) provide several financial, operational, and technological services to groups of FQHCs. These services include Epic EHR licensing and implementation; pharmacy operations consulting as well as the building and direct operation of on-site retail pharmacies; billing and credentialing; employer-sponsored insurance; and others. We are a fast-growing, dynamic 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 Manager of 340B Program, Director of 340B Program and 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, 340B Programs and Services 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, wholesaler, and others as applicable 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
• Participates in 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, Power BI and 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 justices with at risk patient 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 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. **