Program Administrator (Healthcare) - Fully Remote
About the position
Responsibilities
• Validate referral prescriptions to confirm patient eligibility under 340B guidelines.
• Collaborate with providers to obtain and store necessary documentation supporting referral claims.
• Maintain referral verification software and update system configurations as needed.
• Develop and present reports on referral prescription utilization, savings, and program performance.
• Track trends in referral capture efficiency and recommend process improvements.
• Work with IT teams to optimize data feeds and system integrations.
• Serve as a liaison between pharmacies, health systems, and internal teams to streamline referral capture.
• Work with interdepartmental teams to create processes, procedures, and enhancements.
• Provide training and guidance on referral documentation and best practices.
• Prepare and submit ESP data to manufacturers in accordance with program requirements.
• Monitor manufacturer restrictions and analyze trends to maximize revenue impact.
• Provide recommendations to optimize ESP submission strategies and improve processes.
• Support initiatives related to NDC exclusions and alternative distribution methods.
Requirements
• Associate or bachelor's degree in healthcare administration, business, or other directly related experience.
• 2-4 years of experience in 340B program management, pharmacy operations, or healthcare compliance.
• Familiarity with HRSA regulations, referral tracking systems, ESP submissions, and contract pharmacy relationships.
• Proficient in interacting with Electronic Health Records (EHR) across multiple healthcare systems.
• Strong analytical and problem-solving abilities.
• Excellent communication and collaboration skills.
• Proficiency in data management tools and reporting software.
• Strong organizational skills and attention to detail.
• Skilled in optimizing workflows and enhancing operational efficiency through structured processes.
Nice-to-haves
• 340B Apexus Certified Expert (ACE) or equivalent training in 340B program administration.
Benefits
• Medical, Dental and Vision Insurance - START DAY ONE!
• Life and Disability Insurance, Paid Parental Leave and Adoption Assistance
• Health Savings (HSA), Flexible Spending (FSA) and dependent care accounts
• Paid Training, Paid Time Off (PTO) and 11 Paid Federal Holidays
• 401(k) plan with company match, Profit Sharing, competitive compensation in line with work experience
• Mental health benefits including coaching and therapy sessions
• Tuition Reimbursement for qualifying employees
• Employee Ambassador preferred banking products
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