MGB Enterprise 340B Program Director

The Opportunity

The Director is responsible for leading the operational and compliance aspects of the pharmacy business services, including financial management and compliance with the 340B Drug Pricing Program. This role ensures the efficient delivery of pharmacy services across all care settings, maximizes cost savings, and maintains adherence to regulatory requirements.

Reporting to the Enterprise Director of Pharmacy Strategy and Business Development, The Enterprise 340B Program Director is responsible for planning, implementing, supporting, and optimizing projects related to the 340B program at Mass General Brigham health system. The incumbent participates in the policy and procedure development, education to internal and external stakeholders, rules/guidance surveillance, registration/recertification, self and external audits, contract management, and reporting and program enhancement/optimization projects.

The incumbent serves as the subject matter expert for all matters regarding the 340B Program.

Additionally, the director will oversee all uses of the split billing and financial software. The Enterprise 340B Program Director serves as the institutional compliance expert and authority on 340B program details and oversees all 340B Program Services. This position functions as the primary 340B program contact, HRSA Primary Contact and liaison for all 340B subject matters.

Assists and leads the various System 340B oversight committees. Develops relationships and works with leadership, staff and external vendors as related to the 340B program. Prepares/Manages Budget and Human Resource matters.

• Training and Education
  • Develops training and competency materials for all staff who work with the 340B program.
  • Conducts ongoing 340B program training for staff.
  • Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement.
• Policies and Procedures
  • Develops, implements, and modifies consistent policies and procedures according to all applicable guidelines as approved by the legal department.
  • Ensures that policies and procedures support maximum productivity and efficiency to avoid any unnecessary costs or operational barriers.
• Compliance
  • Continually monitors 340B regulations to ensure federal compliance, staying up-to-date on all rule changes, including HRSA/OPA and Medicaid. Shares all learnings and hot topics with management and staff.
  • Keeps abreast of trends and issues by attending 340B trainings, monitoring industry publications and websites, professional media, literature, and peers.
  • Determines the best use of 340B program staff by collaborating with Prime Vendor Program, Pharmacy Leadership, and other 340B institutions.
• Registration/Recertification
  • Ensures that the annual HRSA recertification is completed within the allowable time frame.
  • Ensures that the HRSA 340B Database is accurate for all organization entities.
  • Ensures registration of any new child site within the allowable time frame.
• Auditing
  • Is responsible for the oversight of required 340B audits, both internally and externally.
  • Maintains a current state of “audit readiness.”
  • Serves as the point person and coordinator for all audits.
  • Coordinates all requests and responses.
  • Coordinates external compliance assessments with outside firms, where appropriate.
  • Leads 340B purchasing and utilization audits or compliance assessments internally, as needed.
  • Routinely reviews data and related reports from all points of service at which 340B participation occurs.
  • Works with medical auditors on third‑party payer audits.
  • Leads and implements automation software such as Robotic Process Automation, RPAs, and 340B ESP submissions.
• 340B Contract Management
  • Manages relationships, billing services, and compliance with contracted 340B pharmacies.
  • Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.
• Program Enhancement/Optimization
  • Develops strategies for appropriate use of the program working directly with manufacturers and wholesalers.
  • Assesses…