U

University of Miami

Research university in Coral Gables, FL

Director Clinical Program

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeMiami, FL, USANo salary listedIn-person

About the Job

Requirements

  • A bachelor's degree is required; a master's degree is strongly preferred in Pharmacy, Healthcare Administration, Business Administration, Finance, Public Health, or a related field.
  • At least five years of progressive experience in 340B program management, pharmacy operations, healthcare compliance, revenue cycle, finance, or related healthcare administration is required.
  • Demonstrated knowledge of 340B Program requirements, HRSA guidance, covered entity eligibility, contract pharmacy operations, audit readiness, patient definition, diversion prevention, and duplicate discount prevention is required.
  • Experience leading audits, corrective action plans, policy development, reporting, data analysis, and cross-functional program initiatives is required.
  • A strong understanding of pharmacy purchasing, medication billing, reimbursement workflows, financial reconciliation, and healthcare regulatory requirements is required.
  • Strategic alignment skills are needed to align departmental goals with enterprise-wide strategy and develop comprehensive strategic plans.
  • Financial management skills are needed to ensure fiscal responsibility and optimize financial performance.
  • Resource management ability is needed to allocate resources and drive innovation and growth.
  • Adaptability is needed to adjust to change and lead transformational change.
  • Team leadership ability is needed to build and lead high-performing teams, manage complex projects, and ensure successful project delivery.
  • Understanding of technology, data analytics, and performance measurement is needed to drive strategic decisions and identify opportunities.
  • Communication ability is needed to influence others, articulate strategic vision, and communicate clearly and persuasively.

Responsibilities

  • Develop, plan, and coordinate the administrative activities of assigned facilities.
  • Plan, manage, and promote education and outreach activities, including classes, seminars, conferences, support groups, and special events.
  • Plan and execute community relations strategies and tactics to expand outreach for assigned-area patients and families and increase patient awareness and support.
  • Administer the center’s day-to-day operations and serve as the primary point of contact for administrative issues.
  • Lead the development and execution of initiatives aligned with center objectives to provide information, education, counseling, guidance, support, and resources.
  • Collaborate with senior administrators to solicit support for initiatives.
  • Develop initiatives to provide state-of-the-art, patient-centered resources.
  • Work collaboratively with staff to guide families in using the center, emphasizing a team approach to treatment, training, evaluation, and follow-up.
  • Develop and execute mentoring programs that foster collaborative relationships between past and current patients and their families.
  • Collaborate with the departmental liaison to develop newsletters, donor appeals, direct mail campaigns, websites, emails, blogs, online postings, and other publications.
  • Maintain regular communication with department leadership about center activity, operational plans, and budget expenditures.
  • Establish and continually assess internal controls within the unit and compliance with University policies and procedures; ensure employees are trained on applicable controls, policies, and procedures.
  • Provide strategic leadership and operational oversight for all aspects of the 340B Program across eligible covered entities, child sites, contract pharmacies, and applicable service areas.
  • Ensure ongoing compliance with HRSA requirements, 340B statute guidance, contract pharmacy requirements, Medicaid duplicate discount prevention, patient eligibility requirements, and organizational policies and procedures.
  • Lead annual HRSA recertification, covered entity registration, site maintenance, contract pharmacy registration, and ongoing validation of program eligibility.
  • Develop, review, and maintain 340B policies, procedures, internal controls, workflows, and standard operating practices for compliant and efficient program operations.
  • Monitor new and proposed 340B regulations, rulings, manufacturer restrictions, audit trends, and industry developments; assess organizational impact and recommend action plans.
  • Oversee internal and external audits, independent contract pharmacy audits, gap analyses, tracers, risk assessments, corrective action plans, and documentation readiness.
  • Partner with Pharmacy, Revenue Cycle, Finance, Compliance, Legal, Information Technology, and clinical teams on compliant medication procurement, charge capture, billing, reimbursement, inventory management, and reporting.
  • Manage buy-and-bill workflows with Revenue Cycle to improve reimbursement outcomes, reduce denials, reconcile payments, and ensure billing compliance.
  • Oversee 340B split-billing software, data analytics, accumulator activity, claims qualification logic, purchasing records, and reporting tools to ensure accurate program capture and performance monitoring.
  • Generate, review, and analyze Epic and other operational reports to reconcile service dates, drug utilization, monthly payments, program savings, and reimbursement activity.

About the Company

University of Miami

Research university in Coral Gables, FL

The University of Miami is a private research university focused on education, discovery, and service, with undergraduate, graduate, and professional programs.

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