Case Manager- 340B Program

About Company:

Since 1978, Hispanic Health Council has been championing health equity promotion and social justice in Connecticut through groundbreaking research and innovative health and human services. Our dynamic, culturally competent team creates lasting change in vulnerable communities through evidence-based programs and advocacy. Through our transformative initiatives, we're making an internationally recognized impact while offering meaningful careers with real growth opportunities. If you're passionate about making a difference, there's a place for you here!

About the Role:

The Case Manager for the 340B Program plays a critical role in ensuring eligible patients receive access to discounted medications through the federally mandated 340B Drug Pricing Program. This position involves coordinating with healthcare providers, pharmacies, and patients to facilitate enrollment, eligibility verification, and medication access while maintaining compliance with program regulations. The Case Manager will analyze patient data and program requirements to optimize resource utilization and support the financial sustainability of the 340B program within the healthcare organization. They will serve as a liaison between internal departments and external partners to resolve issues and improve patient outcomes. Ultimately, this role contributes to expanding access to affordable medications for underserved populations, enhancing both patient care and organizational efficiency.

Minimum Qualifications:

• Bachelor’s degree in healthcare administration, social work, nursing, or a related field.
• Minimum of 2 years experience in case management, patient advocacy, or healthcare program coordination.
• Knowledge of the 340B Drug Pricing Program regulations and compliance requirements.
• Strong organizational skills with the ability to manage multiple cases and deadlines simultaneously.
• Proficiency in electronic health records (EHR) systems and Microsoft Office Suite.

Preferred Qualifications:

• Certification in Case Management (CCM) or equivalent credential.
• Experience working within a hospital or outpatient pharmacy setting.
• Familiarity with healthcare insurance processes and patient assistance programs.
• Advanced knowledge of data analysis tools and reporting software.
• Excellent interpersonal and communication skills tailored to diverse patient populations.

Responsibilities:

• Manage patient enrollment and eligibility verification processes for the 340B Program to ensure compliance with federal guidelines.
• Coordinate communication between healthcare providers, pharmacies, and patients to facilitate medication access and resolve any barriers.
• Maintain accurate and up-to-date records of patient data, program participation, and medication distribution in accordance with regulatory requirements.
• Monitor program compliance and assist in internal audits to ensure adherence to 340B program policies and procedures.
• Provide education and support to patients and staff regarding the benefits and requirements of the 340B Program.
• Collaborate with pharmacy and finance teams to optimize program utilization and identify opportunities for process improvement.
• Prepare reports and documentation for program oversight and regulatory agencies as needed.

The hours of work are 35 per week.

This is a grant-funded position. Position is contingent on grant funding.

Skills:

The Case Manager will utilize their knowledge of 340B program regulations daily to ensure patient eligibility and program compliance, which is essential for maintaining the integrity of the program. Strong organizational and communication skills are employed to coordinate effectively between patients, healthcare providers, and pharmacies, ensuring smooth medication access and problem resolution. Proficiency with electronic health records and data management tools supports accurate documentation and reporting, which are critical for audits and regulatory adherence. Analytical skills help identify trends and opportunities for improving program efficiency and patient outcomes. Additionally, interpersonal skills facilitate patient education and advocacy, empowering patients to understand and benefit from the 340B program.