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CORE JOB FUNCTIONS
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Bachelors in pharmacy or Pharm.D. degree, Masters or MBA Preferred.
Certification and Licensing:
Active Florida Pharmacist license obtained within 6 months of hire. 340b and Apexus certification
Experience:
Minimum 7 years of relevant experience
Knowledge, Skills and Attitudes:
DEPARTMENT ADDENDUM
Department Specific Functions
Unit-Specific Responsibilities
Essential Duties:
Split-Billing Software Maintenance:
Resolves unmatched crosswalk items.
Reviews the activity of component CDMs and adjusts the accumulator as necessary
Reviews autosub activity and adjusts the crosswalk and accumulators as necessary
Split-Billing Software Maintenance:
Resolves unmatched crosswalk items.
Reviews the activity of component CDMs and adjusts the accumulator as necessary
Reviews autosub activity and adjusts the crosswalk and accumulators as necessary
Reviews of negative accumulators
Reviews of unusually large accumulators
Reviews of large purchases
Enters non-EDI activity
Rules/Guidance Surveillance:
Monitors and assesses 340B guidance and/or rule changes.
Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
Develops knowledge and maintains awareness of current regulations, trends, and issues pertaining to the 340B program.
Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions.
Self-Audits:
Develops, executes, and documents self-audits of the 340B process. Coordinates and ensures remediation of findings.
Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and covered patient eligibility.
Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas by reviewing patient medical records, insurance plans, and hospital status.
340B Program Coordination:
Serves as the primary internal program coordinator and liaison for all 340B-related matters.
Serves as the institutional compliance expert on 340B regarding program details, policies, and procedures of the virtual inventory processes required for mixed-use areas.
Serves as primary internal liaison to key stakeholders to help ensure appropriate utilization of the 340B program and compliance with all program requirements.
Acts as the liaison with necessary departments to ensure 340B program integrity.
Collaborate with UHEALTH 340B Program Manager.
Collaborates with UHEALTH Legal and Finance.
External Audits:
Serves as the point person and coordinator for all audits.
Coordinates all requests and responses.
Maintains a current state of audit readiness.
Provides oversight for all audits performed by independent external auditors.
Reporting:
Assists in monitoring reports to ensure compliance with the program.
Reviews 340B cast savings reports
Routinely communicates any issues or concerns with pharmacy leadership.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff