Program Administrator (Healthcare) - Fully Remote

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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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