Manager, 340B Pharmacy Operations

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🔥 13 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Coral Connect

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2021

🤲 Charity

🌍 Social Impact

Charity • Social Impact

Coral Connect is an innovative platform that connects donors to coral reef conservation efforts. It showcases the growth, health, and progress of each charitable impact, increasing transparency and donor engagement around reef restoration and protection.

📋 Description

• Design, implement, and maintain Coral’s internal 340B quality assurance and compliance framework across all program workflows, including but not limited to: 340B eligibility validation, accumulator alignment, and financial integrity oversight. • Lead pre- and post-bill reviews to identify and resolve discrepancies before and after claim submission. • Conduct monthly and quarterly compliance audits across covered entity and infusion provider sites; document findings and drive corrective action plans. • Perform cross-entity workflow validation, reinforcing consistency, and ongoing oversight across all partner sites. • Develop and maintain KPI and quality reporting dashboards for internal leadership and covered entity partners. • Provide HRSA registration and regulatory oversight including but not limited to: Validate all covered entity HRSA OPAIS registration steps prior to 340B dispensing, including infusion provider contract pharmacy site linkage and quarterly registration window coordination. • Advise hospital partners on Medicaid carve-in vs. carve-out strategy for infusion provider sites. • Confirm AIC sites are live and active in OPAIS before any 340B dispensing commences; track registration approvals and flag delays affecting go-live timing. • Ensure compliance with all foundational HRSA patient eligibility requirements: established patient status, hospital-employed or contracted provider, hospital-written infusion orders, and infusion documentation incorporated into the hospital EHR. • Lead end-to-end program onboarding and implementation, including planning, stakeholder alignment, and execution across all workstreams, including but not limited to: Facilitate joint kickoff sessions with health system and infusion provider stakeholders (both onsite and virtual), clearly outlining financial models, implementation plans, roles, and accountability. • Develop and maintain a comprehensive SOP library ensuring standardization across key workflows (referral/eligibility, order processing, inventory controls, billing, and audit response). • Direct training strategy and delivery across all stakeholder groups (clinical, pharmacy, billing, inventory, and 340B program staff), ensuring readiness and adherence to program requirements. • Manage pre-go-live testing and implementation execution, proactively identifying risks, managing timelines, and ensuring successful program launch. • Provide ongoing managed services, including but not limited to: Oversee ongoing 340B eligibility integrity monitoring and TPA data reconciliation. • Maintain record-keeping systems and coordinate audit cooperation for covered entity compliance audits. • Lead issue resolution and corrective action processes when compliance gaps are identified. • Produce operational reporting for health system and infusion provider leadership on program performance. • Maintain and update program policies and SOPs as regulatory guidance and operational needs evolve. • Lead ongoing program governance across all partner entities, establishing structured forums to monitor performance, compliance, and strategic alignment including but not limited to: Facilitate joint monthly performance reviews covering financial, clinical, and compliance metrics, and driving action plans where needed. • Lead New Medication Review Board meetings (biweekly) and Covered Entity compliance audit reviews (quarterly), ensuring appropriate oversight, documentation, and decision-making. • Oversee and coordinate Steering Committee meetings (quarterly) and Annual Program Reviews, aligning executive stakeholders on program performance, risks, and strategic priorities. • Identify and drive optimization opportunities through ongoing performance reviews, expanding program impact across financial, operational, and clinical dimensions, including but not limited to: Participate in monthly performance reviews to identify optimization opportunities and expand program impact. • Support leakage reanalysis initiatives and network expansion efforts in collaboration with Operations and Business Development teams. • Oversee long-term program performance and governance, driving continuous improvement and scalability across the Coral network.

🎯 Requirements

• 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. • Board certification or advanced training in specialty pharmacy or managed care pharmacy is a preferred qualification. • Experience managing multi-site 340B programs across oncology, rheumatology, GI, or neurology service lines is a preferred qualification. • Familiarity with EHR integration workflows and data exchange between hospital and infusion center platforms is a preferred qualification. • Director-level candidates: 7+ years of 340B or specialty pharmacy operations leadership; experience managing direct reports and cross-functional teams is a preferred qualification.

🏖️ Benefits

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