Manager, 340B Solutions

Explore opportunities with CPS, part of the Optum family of businesses. We’re dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you’ll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together.

The Manager, 340B Solutions serves as a key resource and consultant on standards and compliance with the 340B program providing 340B Drug Pricing Program support to all CPS clients.  Serves as an independent consultant and liaison to key stakeholders to help ensure appropriate utilization and compliance with 340B Program requirements.  Assists the 340B team to review and analyze data for current CPS 340B agreements, consulting engagements and prospective clients.   Provides 340B program assistance and trains client staff on 340B oversight processes. Regularly communicates with all staff involved with the 340B program  ensure that processes remain efficient and to address any problems or suggestions for improvement.  Oversees 340B Referral Capture services. Travels to and performs work at client sites up to 50%25 of work time.

Position is fully remote. 40 hours per week, Monday -Friday with some nights and weekends possible.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Oversee and participate in consulting opportunities related to 340B compliance and quality improvement to include project management, active participation in assessments, evaluation, analysis, reporting and presenting of findings, recommendations, corrective action plans and other deliverables
• Analyze Data Request List (DRL) elements from clients for compliance with all regulatory aspects of the 340B program, including pharmacy purchasing, Program registration, contract pharmacy arrangements, Medicaid Exclusion File (MEF), policies and procedures, and processes in place to prevent diversion and duplicate discounts
• Analyze WAC/GPO/340B purchasing to optimize program savings
• Develop processes for, and assists with implementation and training for 340B self-audits
• Provide oversight of the 340B Referral Capture services
• Maintain expertise in pharmacy practice, 340B compliance and regulatory issues, and quality improvement by staying current with emerging pharmacy practice, 340B and  health care related compliance and regulatory issues
• Investigate, analyze and resolve potential and/or actual 340B compliance, and/or quality related risk events
• Assist in the provision of the educational needs of the company by maintaining complete and current content of resources and tools that promote 340B compliance, including template policies, performance standards, monitoring and auditing tools
• Maintain proficiency in developing and delivering effective presentations and written materials to a variety of audiences, including C-suite consulting clients, client administrators, Regional Vice Presidents, and Directors of Pharmacy, speaking engagements and publishing through key professional conferences and organizations
• Support ongoing development and execution of company and division-specific strategies
• Promote a culture of customer satisfaction with internal and external clients
• Represent CPS in a professional and friendly manner at all times
• Demonstrate the values and behaviors described by the CPS mission statement
• Maintain knowledge of state and federal pharmacy and applicable health care regulations and professional standards as they relate to this job description.
• Adhere to requirements of state and federal pharmacy laws and regulations in the performance of duties
• Adhere to applicable hospital policies and procedures
• Understands their responsibility under the HIPAA Privacy and Security Rules as they relate to this job description
• Performs other related duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma and relevant work experience
• 3+ years of 340B operational work experience
• Knowledge of state, and federal laws and regulations related to 340B and associated billing practices 
• 340B split billing software
• 340B Third Party Administrative software with varied electronic medical record system
• 340B purchasing activities and analysis
• Able to meet company standards for a Motor Vehicle Report (MVR) background check
• Able to travel up to 25%25 of work time away from home location by air or car

Preferred Qualifications:

• Bachelors’ degree
• Advanced degree that supports 340B Solutions preferred (i.e. MBA, MA)
• Apexus certified Expert  --  340B ACE
• 5+ years of 340b work experience

• 2+ years of work experience in a 340B related management position

   

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.