Director Of 340b And Systems Administration

Brief Description

• 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.

• 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.

• 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).
• Advanced 340B certification (e.g., Apexus 340B University) preferred.
• Excellent analytical, financial reporting, and cross-functional communication skills.

The Director of 340B and Systems Administration leads the organization's enterprise-wide 340B Drug Pricing Program, including compliance, procurement, contract…