Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Work Location:

• Primarily remote with occasional travel to Duke University Hospital (Durham, NC 27710)
• Candidate must reside in the state of North Carolina

Working Hours: 

• Monday-Friday

• 8:00 am - 4:30 pm

Position Summary:  The primary role of this individual is to perform functions related to compliance and operations of Duke University Health System's (DUHS) 340B drug pricing program. Additional roles include performing internal program audits, information technology coordination, vendor account setup and maintenance, and pharmacy team member training. This position will primarily be a day shift position.

Specific duties include (but are not limited to):

340B Program Operations, Auditing, Compliance- Contract Pharmacy (70%)

• Serve as point person and subject matter expert for all 340B operational and compliance activities supporting contract pharmacy operations including:

  • Qualifying all 340B eligible prescriptions

  • Managing 340B data extracts, data transmission and accumulator accuracy

  • Coordinating replenishment of 340B purchased inventory and invoice reconciliation

  • Support all regularly-schedule internal audits

• Collaborate with contract pharmacy stakeholders to troubleshoot 340B inquiries requiring accumulator, electronic health record, and/or financial system review.

• Maintain all documentation for 340B eligible prescriptions transmitted through non-standard methods; ensure adequate organization of records and ability to retrieve records. 

• Serve as a project leader for implementation of new contract pharmacy arrangements.

• Perform analysis of dispensing, qualification and charge data to optimize 340B qualification.

• Participate in annual external audits; lead data retrieval and analysis functions.

• Use provided tools to monitor prescription data, patient data, hospital data, payer data, and site of care; summarize and report results to appropriate individuals.

• Monitor ordering processes and invoice reconciliation of wholesalers and other suppliers.

 340B Program Operations, Auditing, Compliance- DUH/DRH (20%)

• Optimize mixed use and retail pharmacy Verity v340B software by reporting to the Director: Pharmacy Business and Revenue Management. Verity v340B activities include, but are not limited to, the following:

  • Mapping unknown and custom NDCs

  • Reviewing multipliers

  • Performing WAC split analyses

  • Monitoring for appropriate transfer of files from DUHS to Verity software

• Support auditing activities as needed.

• Develop a thorough understanding of the Verity system and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance. 

• Develop a thorough understanding of the DUHS 340B drug pricing program. Strive to consistently improve the overall efficiency, value, and integrity of the DUHS 340B drug pricing program.

• Develop and foster working relationships with other internal working counterparts at DUHS (IT, finance, compliance, and others) to facilitate productive exchanges of information to improve program efficiency and promote program compliance. Provide data, information, and reports as needed for other business units within DUHS.

Other (10%)

• Perform other related duties incidental to the work described herein.

Required Qualifications at this Level

Education

Work requires analytical, communications and organizational skills generally acquired through completion of a bachelor's degree program with one year of experience in program administration or event production.

-OR-

Two years of postsecondary education with three years of experience in program administration or event production.

OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Experience

• Experience with the 340B drug pricing program, pharmaceutical procurement, and inventory management is strongly preferred.   

• Prior hospital or retail pharmacy experience preferred.

• Strong skills and prior experience with computer technology and programs including Excel preferred.

Degrees, Licensure, and/or Certification

• N/A

Knowledge, Skills, and Abilities

• Excellent communication skills; customer service experience; organizational skills.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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About Duke University Health System

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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