Director, Clinical Program- Division of Infectious Diseases
On-siteMiami, Florida, United States
Job Summary
Administer the day-to-day operations of the center and function as the primary point of contact for administrative issues. Lead the development and execution of initiatives in alignment with the center's objectives to provide information, education, counseling, guidance, support, and resources. Collaborate with senior administrators to solicit support for these initiatives and develop state-of-the-art, patient-centered resources. Establish and continuously assess the effectiveness of internal controls within the unit and ensure compliance with University policies and procedures. Ensure employees are trained on controls and University policy. Lead annual HRSA recertification, covered entity registration, site maintenance, and contract pharmacy registration. Oversee internal and external audits, gap analyses, tracers, risk assessments, and corrective action plans. Partner with Pharmacy, Revenue Cycle, Finance, Compliance, Legal, Information Technology, and clinical teams to ensure compliant medication procurement, charge capture, billing, reimbursement, and reporting. Manage buy-and-bill workflows to improve reimbursement outcomes and reconcile payments. Generate and analyze operational reports to reconcile service dates, drug utilization, monthly payments, and program savings.
Required Qualifications
- Bachelor's degree
- 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
Desired Qualifications
- Master's degree strongly preferred in Pharmacy, Healthcare Administration, Business Administration, Finance, Public Health, or a related field
- Any relevant education, certifications and/or work experience
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