Director Remote Utilization Review Jobs in Minnesota

Description

ABOUT VISANTE
We are relentless in solving the most complex challenges in health system pharmacy-designing pharmacy footprints that meet our clients where they are today and position them to win tomorrow. Our work delivers measurable financial gains, operational excellence, and an elevated patient experience.

We set ambitious goals, move with urgency, and create extraordinary value. Obsessed with client impact, we thrive in a collaborative, innovative culture where deep expertise turns insight into action. We're proud of the results we deliver and the trust we earn-fueling sustained growth and exceptional client satisfaction.

Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives.

ABOUT THE POSITION  (Remote, work from home)

The 340B Program Director, Pharmacy Services will lead the strategic design, development, and management of Visante, Inc.'s 340B consulting services, specifically focusing on pharmacy-related aspects of the program. This role is responsible for ensuring compliance with all federal, state, and organizational regulations related to the 340B Program, including pharmacy utilization, purchasing, inventory management, and software integration. The Director will collaborate closely with clients to optimize their 340B program operations, ensuring that covered entities maintain program qualifications, implement best practices, and achieve the highest levels of efficiency and compliance. This position will also provide expert guidance to pharmacy staff, support audits, and manage reporting to ensure the accurate delivery of 340B services across various pharmacy settings, including mixed-use, retail-owned, and contract pharmacies.

Principle Duties and Responsibilities  

• Lead the design, implementation, and ongoing management of the 340B Program within pharmacy settings, ensuring   compliance with federal, state, and organizational regulations. Maintain up-to-date knowledge of 340B policies and best practices to guide program operations.
• Provide expert guidance and support to pharmacy teams in managing 340B operations, including purchasing, inventory   management, and claims adjudication. Ensure the accuracy and efficiency of pharmacy processes related to the 340B Program
• Oversee and conduct regular audits to assess 340B compliance across pharmacy settings. Ensure that all necessary reports, including utilization reports and inventory tracking, are generated accurately and timely for client review and regulatory compliance.
• Develop and deliver ongoing training and educational materials for pharmacy staff, ensuring they are well-versed in 340B regulations, software systems, and operational procedures to maintain compliance.
• Oversee the proper functioning of 340B software systems, including the integration and maintenance of the CDM/crosswalks for new products/NDCs and product changes. Ensure the accuracy and efficiency of system-generated utilization reports.
• Identify opportunities for cost savings and process improvements in 340B pharmacy utilization, inventory management, and   purchasing practices. Develop and implement strategies to enhance program performance.
• Stay   current on changes in 340B regulations and ensure that pharmacy practices   adapt to new requirements. Provide guidance to clients on how to align their operations with regulatory changes.
• Communicate clearly and effectively with clients, pharmacy teams, and internal stakeholders, both verbally and in writing. Maintain thorough and accurate documentation of program activities, audits, and compliance efforts.
• Proactively identify challenges within the 340B Program and implement solutions to resolve issues related to program   compliance, operational efficiency, and client satisfaction.
• Work closely with clients to troubleshoot issues, provide advice on program optimization, and ensure smooth integration of 340B processes. Maintain strong relationships to support long-term program success.

Requirements

Education

Required: Bachelor's degree in Pharmacy, Business or Healthcare   

Preferred:  

Experience

Required:  Minimum 5 years of work-related experience in a pharmacy setting.  Minimum of 4 years of managing 340B Programs 

Special Skills:  

• Skilled in Windows OS and Microsoft Office Suite (Word, Excel, PowerPoint), with familiarity in pharmacy dispensing and 340B split-billing software.
• Over 5 years of hands-on experience in hospital or retail pharmacy settings, with deep knowledge of 340B regulations, software integration, purchasing, billing, and contract pharmacy administration.
• Clear verbal and written communicator with the ability to lead, influence, and build long-term relationships across teams and clients.
• Demonstrates accuracy, timeliness, discretion, and professionalism in identifying and resolving operational issues independently.
• Personable and socially adept, with a flexible, cooperative attitude and a commitment to client satisfaction and team success.

Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried role.

Equal Opportunity Statement: Visante is an equal opportunity employer. Visante's people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations