Director, 340B Pharmacy Operations (Remote)
RemoteUnited States
Job Summary
Design and maintain the internal 340B quality assurance and compliance framework, overseeing eligibility validation, accumulator alignment, and financial integrity. Lead pre- and post-bill reviews to resolve discrepancies, conduct monthly and quarterly compliance audits, and drive corrective action plans across covered entity and infusion provider sites. Validate HRSA OPAIS registration steps, confirm AIC site activity, and advise partners on Medicaid carve-in versus carve-out strategies. Develop SOP libraries, train clinical and pharmacy staff, and manage end-to-end program onboarding including pre-go-live testing and stakeholder alignment. Oversee ongoing eligibility monitoring, TPA data reconciliation, and issue resolution while producing operational reporting for leadership. Facilitate joint performance reviews, New Medication Review Board meetings, and Steering Committee sessions to monitor program governance and drive optimization opportunities.
Required Qualifications
- Minimum 3–5 years of direct 340B program management experience, including covered entity operations, contract pharmacy oversight, and TPA administration.
- Demonstrated knowledge of HRSA 340B program requirements, OPAIS registration, and Medicaid carve-in/carve-out strategies.
- Experience with 340B TPAs (e.g., Verity Solutions, Macro Helix) and dispensing platforms (e.g., CareTend, WeInfuse).
- Strong understanding of infusion therapy workflows, specialty drug supply chains, and payer reimbursement models.
- Proven ability to develop SOPs, deliver staff training, and lead compliance audit programs.
- Excellent communication and stakeholder management skills; comfortable presenting to hospital leadership and executive teams.
- Bachelor's or Master's degree in Healthcare Administration, Health Informatics, Public Health, Business Administration, or a related field required.
Desired Qualifications
- Board certification or advanced training in specialty pharmacy or managed care pharmacy.
- Experience managing multi-site 340B programs across oncology, rheumatology, GI, or neurology service lines.
- Familiarity with EHR integration workflows and data exchange between hospital and infusion center platforms.
- Director-level candidates: 7+ years of 340B or specialty pharmacy operations leadership; experience managing direct reports and cross-functional teams.
- Pharmacy degree (PharmD or RPh) strongly preferred.
- Active pharmacist licensure in good standing preferred.
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