Director, Clinical Program

Current Employees:

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

• →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.

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

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.