Clinical Program Manager Jobs in Kentucky (NOW HIRING)

The University of Miami/UHealth Department of Medicine has an exciting opportunity for a Full Time Director, 340B Clinical Program to work in the UHealth Campus.

The Director, 340B Clinical Program develops, plans, and coordinates the administrative activities of the assigned facilities. In addition, the Director, Clinical Program plans, manages, and promotes all education and outreach activities, including classes, seminars, conferences, support groups, and special events. Plans and executes community relations strategies and tactics that pertain to expanding outreach for assigned area patients and their families to increase patient awareness and support.

Administers the day-to-day operations of the center, and functions as the primary point of contact for administrative issues. Leads the development and execution of initiatives in alignment with the center's objectives to provide information, education, counseling, guidance, support, and resources. Collaborates with senior administrators to solicit support for these initiatives. Develops initiatives to provide state-of-the-art, patient centered resources. Works collaboratively with other staff members to effectively guide families in utilizing the center while emphasizing a team approach to treatment, training, evaluation, and follow-up. Develops and executes mentoring programs that foster collaborative and meaningful relationships between past and current patients and their families. Collaborates with departmental liaison in the development of content for newsletters, donor appeals, direct mail campaigns, websites, e-mails, blogs, online postings, and other publications. Maintains open and regular communication with department leadership in all areas related to center activity, operational plans, and budgetary expenditures. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Bachelor's degree required; Master's degree strongly preferred in Pharmacy, Healthcare Administration, Business Administration, Finance, Public Health, or a related field. Experience: Minimum of five years of progressive experience in 340B program management, pharmacy operations, healthcare compliance, revenue cycle, finance, or related healthcare administration. Demonstrated knowledge of 340B Program requirements, HRSA guidance, covered entity eligibility, contract pharmacy operations, audit readiness, patient definition, diversion prevention, and duplicate discount prevention. Experience leading audits, corrective action plans, policy development, reporting, data analysis, and cross-functional program initiatives. Strong understanding of pharmacy purchasing, medication billing, reimbursement workflows, financial reconciliation, and healthcare regulatory Any relevant education, certifications and/or work experience may be considered.

The Program Director provides enterprise-wide leadership, oversight, and strategic direction for the organization’s 340B Drug Pricing Program. This role is responsible for ensuring full compliance with federal and state requirements, HRSA guidance, organizational policies, and pharmacy regulatory standards while optimizing program performance, financial stewardship, and operational integrity. The Director serves as the primary 340B subject matter expert and collaborates with Pharmacy, Finance, Revenue Cycle, Compliance, Information Technology, clinical leadership, vendors, and executive stakeholders to maintain audit readiness, prevent diversion and duplicate discounts, support accurate billing and purchasing practices, and advance program goals. 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 to support compliant and efficient program operations. Monitor new and proposed 340B regulations, rulings, manufacturer restrictions, audit trends, and industry developments; assess organizational impact and recommend appropriate 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 to ensure compliant medication procurement, charge capture, billing, reimbursement, inventory management, and reporting. Manage buy-and-bill workflows in collaboration 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.

Strategic Alignment: Skilled in aligning departmental goals with enterprise-wide strategy and develops comprehensive strategic plans. Financial Management: Ensures fiscal responsibility, and optimization of financial performance. Resource Management: Ability to allocate resources and drive innovation and growth. Adaptability: Proven ability to adjust to changes and leads/inspires transformational change. Team Leadership: Ability to build and lead high-performing teams, manage complex projects, and ensure successful project delivery. Technology & Analytics: Understanding of technology, data analytics, and performance measurement to drive strategic decisions and identify opportunities. Communication: Ability to influence others, articulate strategic vision, and ensure clear and persuasive communication.

#LI-EL1 The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.

As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status: Full time Employee Type: Staff

The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride. The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings. Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.