Direct oversight of the 340B Program to comply with HRSA/OPA regulations.
Drive improvement of the 340B prescription capture rate, targeting 60% by 2026.
Lead the implementation of the in-house pharmacy program, including necessary registrations.
Select and configure pharmacy management systems to integrate with EHR and billing software.
Manage staffing, including recruiting pharmacists and dispensing staff.
Expand and manage the contracted pharmacy network, focusing on Brooklyn access gaps.
Ensure compliance with evolving regulations affecting 340B eligibility and billing processes.
Maintain compliance frameworks and prepare reports for executive leadership.
Administer 340B systems, ensuring data integrity and efficient operations.
Develop and deliver training programs on 340B policies and compliance.
Benefits
Opportunities for professional development and certifications.
Supportive environment for innovative program implementation.
Access to a collaborative cross-functional team.
Dynamic work culture focused on patient-centered care.
Potential for leadership advancement within the organization.
Full Job Description
Description
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Direct strategic and operational oversight of the organization's 340B Program across all sites, ensuring full alignment with HRSA/OPA rules and regulations.
Own and drive improvement of the 340B prescription capture rate, with a defined target of 60% by the end of 2026, through policy design, workflow optimization, and pharmacy/vendor partnerships.
Lead the build-out and phased implementation of the organization's in-house pharmacy program, including: Site licensure, DEA registration, and payer/NCPDP enrollment.
Pharmacy management system selection, configuration, and integration with the EHR and 340B split-billing software.
Staffing, including recruitment of pharmacist-in-charge and dispensing staff.
Scaling dispensing operations across sites, with accountability for adoption, in-house capture share, and inventory/compliance validation.
Grow and manage the contracted pharmacy network, with a specific priority on expanding coverage and relationships in Brooklyn to close access gaps for our patients.
Monitor and ensure compliance with the Medicare Part D drug carve-out and other evolving regulatory changes affecting 340B eligibility, billing, and duplicate-discount prevention; update claims identification and billing processes as needed.
Institute and maintain audit frameworks, risk mitigation processes, and compliance reporting; prepare financial and compliance reports for executive leadership.
Administer 340B-related systems (split-billing software, inventory management, TPA platforms, reporting/analytics tools such as Sentry Data or equivalent), ensuring data integrity and efficient workflows.
Develop and deliver training and knowledge-sharing programs for staff on 340B policy, regulatory updates, and compliance protocols.
Serve as a trusted advisor to the CEO and executive leadership, providing financial insights and regulatory strategies that align with organizational goals.
Requirements
KNOWLEDGE, EDUCATION, SKILLS AND ABILITIES REQUIRED:
BA/BS Degree in Accounting, Finance or related field required.
Progressive leadership experience in 340B program management, ideally including experience at the Director or Senior Director level within a health system or FQHC network.
Demonstrated success improving 340B capture rate, managing contract pharmacy relationships, and/or standing up in-house or specialty pharmacy operations.
Strong working knowledge of HRSA/OPA compliance requirements, 340B split-billing, and audit frameworks.
Familiarity with Medicare Part D policy as it relates to 340B billing and duplicate discount prevention preferred.
Experience with 340B and pharmacy systems administration (e.g., split-billing platforms, inventory management, pharmacy management systems, TPA coordination).
