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The 340B Program Manager/Auditor Support Specialist will develop expertise with the 340B program and may provide information to staff and participants regarding ongoing compliance. Develops and maintains internal relationships (accounting, legal, pharmacy) and external relationships (wholesalers, manufacturers, contract pharmacies, pharmacy benefits managers (PBMs), and third-party administrator (TPA) vendors) as needed.
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Participates in the policy and procedure development, maintains internal and external relationships (wholesalers, Covered Entities, and third-party administrator [TPA] vendors) as needed, 340B rules/guidance surveillance, assist in 340B off site audits as necessary, contract management/implementation, reporting/analyzing, and program enhancement/ optimization projects including annual budgeting.
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The Director of Risk Management & Compliance is a key role within the CFO's office and Finance Department, with responsibility for enterprise risk management, insurance/workers' compensation, contracts and assistance with legal affairs for Roberts Wesleyan University.
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TPA – should have hands on experience in the end to end process, from sending out the questionnaire to completing a review the received package (evidence, documents, and responses) Ability to articulate IT compliance requirements.
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Assist in improving efficiency in the administration of employee benefit programs in the U.S. - Manage Health Savings Account Funding Process with TPA. - Collaborate with managers, HR business partners, employees, and internal partners to ensure that all aspects of the leave of absence process are handled in an accurate, timely and organizationally consistent manner.
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Continually monitors 340B regulations to ensure federal compliance, staying up to date on all rule changes, including HRSA/OPA, Medicaid and manufacturer changes. Responsible for managing all communications and relationships between KPH and all Covered Entities and their designated 340B TPA within the program.
$65,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Reviews, analyzes, and makes recommendations regarding workers' compensation cases and/or employee benefits issues; may correspond directly with the employee, with the Department of Human Resources, or with the third-party administrator (TPA.
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In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B contracts and renegotiation of existing transaction fees. Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement.
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Provides administrative and technical support, which may include composing grant proposals and applications, managing compliance documents and reports for various programs, including but not limited to CDBG, MPO,and FDOT's TPA/LAP.
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Review Third Party Administrator's (TPA) handling of claims for accuracy and completeness. Assess deductibles, pursue subrogation opportunities with TPA, and recommend cost allocation strategies to improve program effectiveness.
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Manage auto insurance claims(Work with TPA) FLEET MAINTENANCE ADMINISTRATION. Manage, maintain & administer fleet maintenance contracts - ensure vendor compliance, schedules, etc. The Fleet Safety & Compliance Coordinator (FSCC) is responsible for supporting the Fleet Safety Manager in all motor-vehicle compliance and safety for the Company.
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Ability to oversee Insurance Carrier or Third-Party Administrator (TPA) staff to ensure best practices and contractual compliance. Maintain and document an accurate return to work history on each claim for OSHA log reporting and compliance.
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Scope of Responsibilities: The 340B Program Manager is responsible for planning, implementing, supporting, and optimizing projects related to the 340B program. Job Summary: The 340B Program Manager engages with leadership and participates in decision-making processes related to the 340B Program.
$65,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Work with Division HR managers to assure compliance with Parker and internal TPA standards and procedures for workers' compensation claims. Collect data and prepare reports for compliance with state regulations for workers compensation in self-insured and monopolistic states.
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Minimum 3 years with a third-party administrator (TPA) working as a Defined Benefit (DB) Plan Administrator OR minimum 1 year as a Defined Benefit (DB) Plan Administrator AND minimum 3 years as a Defined Contribution (DC) Plan Administrator position.
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