Director, 340B Pharmacy Operations

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🐊 Florida – Distant

🐊 Florida – Remote

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Coral Connect

Site WebLinkedInTous les Emplois

2 - 10 employés

Fondée en 2021

🤲 Charité

🌍 Impact social

Charity • Social Impact

Coral Connect est une plateforme innovante qui connecte les donateurs aux efforts de conservation des récifs coralliens. Elle met en avant la croissance, la santé et les progrès de chaque impact caritatif, augmentant ainsi la transparence et l'engagement des donateurs autour de la restauration et de la protection des récifs.

Description

• Design, implement, and maintain Coral’s internal 340B quality assurance and compliance framework • Oversee 340B eligibility validation, accumulator alignment, and financial integrity • Lead pre- and post-bill reviews to identify and resolve discrepancies • Conduct monthly and quarterly compliance audits and drive corrective action plans • Perform cross-entity workflow validation across partner sites • Develop and maintain KPI and quality reporting dashboards • Provide HRSA registration and regulatory oversight, including OPAIS validation and registration coordination • Advise hospital partners on Medicaid carve-in versus carve-out strategy • Confirm AIC sites are active in OPAIS before 340B dispensing and track approvals • Ensure compliance with HRSA patient eligibility requirements and infusion documentation standards • Lead end-to-end program onboarding and implementation across stakeholders and workstreams • Facilitate kickoff sessions with health system and infusion provider stakeholders, onsite and virtually • Develop and maintain SOPs for referral, eligibility, order processing, inventory, billing, and audit response • Direct training for clinical, pharmacy, billing, inventory, and 340B program staff • Manage pre-go-live testing, timelines, risks, and program launch • Oversee ongoing eligibility monitoring and TPA data reconciliation • Maintain records and coordinate audit cooperation • Lead issue resolution and corrective action processes • Produce operational reporting for health system and infusion provider leadership • Lead governance forums, performance reviews, medication review boards, compliance audit reviews, steering committees, and annual program reviews • Identify optimization opportunities, support leakage reanalysis and network expansion, and drive continuous improvement and scalability

🎯 Exigences

• Minimum 3–5 years of direct 340B program management experience, including covered entity operations, contract pharmacy oversight, and TPA administration • Knowledge of HRSA 340B program requirements, OPAIS registration, and Medicaid carve-in/carve-out strategies • Experience with 340B TPAs such as Verity Solutions or Macro Helix • Experience with dispensing platforms such as CareTend or WeInfuse • Strong understanding of infusion therapy workflows, specialty drug supply chains, and payer reimbursement models • Ability to develop SOPs, deliver staff training, and lead compliance audit programs • Ability to present 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 • Pharmacy degree (PharmD or RPh) strongly preferred • Board certification or advanced training in specialty pharmacy or managed care pharmacy preferred • Experience managing multi-site 340B programs across oncology, rheumatology, GI, or neurology service lines preferred • Familiarity with EHR integration workflows and data exchange between hospital and infusion center platforms preferred • Director-level candidates: 7+ years of 340B or specialty pharmacy operations leadership, including direct reports and cross-functional teams • Active pharmacist licensure in good standing preferred

🏖️ Avantages

• Health • Dental • Vision • Life insurance • 401k • Paid Time Off