Exit this survey Call for Speakers | 340B Coalition Winter Conference 2019 January 30 to February 1, 2019 | San Diego, CA The 340B Coalition is committed to providing high quality educational content for the more than 1500 attendees who attend each of our conferences. We are currently seeking speakers for various subjects related to the 340B Drug Pricing Program. If you are a subject matter expert and are interested in applying to speak at the 15th Annual 340B Coalition Winter Conference, please complete the Call for Speaker form by August 1, 2018 for consideration.The conference will take place from January 30 to February 1 at the Hilton San Diego Bayfront in San Diego, CA. Required Information: (Note: Incomplete speaker applications will not be considered) Contact information: Please include your name, title, organization, address, city, state, zip code, office phone number, cell phone number, and email address. Subject you plan to address Content overview: Please include four to six detailed bullet points that outline the content and specific issues you would like to cover. Biography: Please send a resume/biography or curriculum vitae that includes a list of previous presentations you have conducted, especially any related to the 340B program. Feel free to include any slides, videos, or audio recordings of your previous speaking engagements. Please send your biography and any additional materials to Matt Buechner at matt.buechner@340bhealth.org. Description of 340B Experience: Please include a description of your experience with the 340B program, such as: Specific projects (e.g., work on 340B compliance matters, assist patients with pharmaceutical access and education, etc.); Duties (e.g., sit on compliance team or clinical committee, involved in charity care policies or programs, etc.); and How long you have been working on 340B issues. Qualifications & Eligibility: Preference will be given to proposals from 340B covered entities, pharmacies, attorneys, and pharmaceutical manufacturers. Please understand that we will not be able to select all candidates. If you are a vendor or 340B service provider looking to speak to the 340B Coalition Winter Conference audience, please fill out our Vendor Call for Speakers. If selected to be a speaker at the 340B Coalition Winter Conference, you will be required to submit the following: Speaker Confirmation Agreement Two (2) continuing education forms for the CE provider Current resume or CV for the CE provider Your bio and photo for the conference app Cell phone number (to be used only for contact on-site during the conference) Slide deck no less than 3 weeks prior to the event (if applicable) Benefits of Speaking:Speaking at this conference will demonstrate your expertise with regard to the 340B program and connect you to other 340B experts. By presenting, you will: Receive one (1) free conference registration which will grant you access to all educational sessions, reception, and the exhibit hall; Advance your reputation as a leader in the industry and as an expert in your field; Network with other experts in the 340B program. If you’re interested in speaking, please submit your proposal below, no later than Wednesday, August 1. Question Title * 1. 340B Stakeholder Type (Choose all that apply) Children's Hospital (PED) Critical Access Hospital (CAH) Disproportionate Share Hospital (DSH) Free Standing Cancer Hospital (CAN) Rural Referral Center (RRC) Sole Community Hospital (SCH) Ryan White HIV/AIDS Program Grantee (RWC) Federally Qualified Health Center (FQHC) Federally Qualified Health Center Look-Alike (FQHC-LA) Native Hawaiian Health Center (NHHC) Tribal/Urban Indian Health Center (TUIHC) Black Lung Clinic (BLC) Comprehensive Hemophilia Diagnostic Treatment Center (HTC) Title X Family Planning Clinic (FPC) Sexually Transmitted Disease Clinic (STD) Tuberculosis Clinic (TBC) Attorney/Consultant Pharmaceutical Manufacturer Vendor Other (please specify) Next