Director of 340B Pharmacy Program

Core Job Functions

• Provide enterprise-wide oversight of the 340B program to ensure compliance with state and federal laws, HRSA requirements, accreditation standards, licensure requirements, and pharmacy regulatory standards across all applicable settings.
• Monitor and interpret evolving 340B and pharmacy regulatory requirements; develop policies, procedures, educational materials, and staff training programs to promote compliance, accountability, and best practices.
• Lead and coordinate 340B audits, gap analyses, tracers, risk assessments, and corrective action plans to ensure program integrity, accurate documentation, and operational readiness.
• Collaborate with pharmacy leadership, medical staff, patient care teams, HR, and other hospital departments to support medication management compliance, employee PBM/benefit coordination, and 340B optimization opportunities across the continuum of care.
• Maintain oversight of 340B program operations, analytics, records management, HRSA updates, ambulatory pharmacy supply chain support, and pharmacy informatics/data analysis to drive program performance and identify improvement opportunities.
• Support pharmacy financial and operational functions, including business planning, contract analysis, charge capture, financial controls, and departmental record systems, as assigned by the Chief Pharmacy Officer.
• Ensure pharmacy services and program initiatives are responsive to the needs of diverse patient populations, supporting safe, effective, and patient-centered care.
• Serve as the primary liaison for the 340B program, building strong relationships with internal and external stakeholders, representing the organization on committees and industry forums, and communicating program goals, risks, progress, and outcomes to senior leadership.
• Provide strategic leadership and oversight of the 340B team, including managers and coordinators, by setting direction, driving program execution, fostering a culture of accountability and collaboration, and supporting staff development and performance.
• Establish and continuously assess the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensure employees are trained on controls within the function and on University policy and procedures.

Education: Bachelor's in pharmacy or Pharm.

D. degree, Master's or MBA Preferred.

Certification and Licensing: Active Florida Pharmacist license obtained within 6 months of hire. 340b and Apexus certification.

Experience: Minimum 7 years of relevant experience.

Knowledge, Skills and Attitudes:

• Ability to work effectively with a multidisciplinary team and handle multiple responsibilities.
• Ability to execute and operationalize initiatives.
• Knowledge of healthcare safety, clinical, regulatory and operational management principles.
• Ability to execute and operationalize enterprise strategies set by executive leadership.
• Ability to direct, manage, and evaluate multi-site, multi-service pharmacy operations.
• Strong analytics, financial and operational management skills, with ability to balance budgets and optimize contracts.
• Ability to lead, motivate, and develop high-performing operational teams.
• Ability to leverage analytics, AI, and cohort insights to achieve measurable improvements in patient care and financial outcomes.

Unit-Specific Responsibilities

• Split‑Billing Software Maintenance
  • Resolves unmatched crosswalk items.
  • Reviews the activity of component CDMs and adjusts the accumulator as necessary.
  • Reviews autosub activity and adjusts the crosswalk and accumulators as necessary.
  • Reviews negative accumulators.
  • Reviews unusually large accumulators.
  • Reviews large purchases.
  • Enters non‑EDI activity.
• Rules/Guidance Surveillance
  • Monitors and assesses 340B guidance and/or rule changes.
  • Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
  • Develops knowledge and maintains awareness of current regulations, trends, and issues pertaining to the 340B program.
  • Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions.
  • Self‑Audits
    • Develops,…