Director, 340B Pharmacy Operations

This is a fully remote position, open to applicants in Florida.

📋 Description

• Design, implement, and sustain Coral’s internal 340B quality assurance and compliance framework.

• Supervise 340B eligibility validation, accumulator alignment, and financial integrity.

• Lead pre- and post-billing reviews to identify and address discrepancies.

• Conduct monthly and quarterly compliance audits and initiate corrective action plans.

• Perform cross-entity workflow validation across partner sites.

• Develop and uphold KPI and quality reporting dashboards.

• Provide HRSA registration and regulatory oversight, including OPAIS validation and registration coordination.

• Counsel hospital partners on Medicaid carve-in versus carve-out strategies.

• Verify that AIC sites are active in OPAIS prior to 340B dispensing and track approvals.

• Ensure adherence to HRSA patient eligibility requirements and infusion documentation standards.

• Lead comprehensive program onboarding and implementation across stakeholders and workstreams.

• Facilitate kickoff sessions with health system and infusion provider stakeholders, both 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 personnel.

• Manage pre-go-live testing, timelines, risks, and program launches.

• 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.

⛳️ Requirements

• Minimum of 3–5 years of direct experience in 340B program management, encompassing covered entity operations, contract pharmacy oversight, and TPA administration.

• Comprehensive 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.

• Familiarity with dispensing platforms like CareTend or WeInfuse.

• Strong understanding of infusion therapy workflows, specialty drug supply chains, and payer reimbursement models.

• Proficient in developing SOPs, delivering staff training, and leading compliance audit programs.

• Capable of presenting 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 is required.

• A pharmacy degree (PharmD or RPh) is strongly preferred.

• Board certification or advanced training in specialty pharmacy or managed care pharmacy is preferred.

• Experience managing multi-site 340B programs across oncology, rheumatology, GI, or neurology service lines is preferred.

• Familiarity with EHR integration workflows and data exchange between hospital and infusion center platforms is preferred.

• Director-level candidates: 7+ years of leadership in 340B or specialty pharmacy operations, including direct reports and cross-functional teams.

• Active pharmacist licensure in good standing is preferred.

🏝️ Benefits

• Health

• Dental

• Vision

• Life insurance

• 401k

• Paid Time Off