340B Analyst

Model Oncology•Nashville, TN

20h

About The Position

Model Oncology is seeking a 340B Analyst to manage day-to-day 340B Program operations for a partner health system. Reporting to the Vice President of Pharmacy Solutions and Strategy, the Analyst will work embedded alongside the health system’s pharmacy, finance, and compliance teams to keep the program compliant, audit-ready, adaptable to market changes, and performing at full value. The role covers the full operational cycle, including patient and location eligibility, split-billing and third-party administrator oversight, purchasing account integrity, duplicate discount prevention, self-auditing, and HRSA and manufacturer requirements. The programs and standards this role builds will help health systems sustain access to oncology care as Model Oncology expands. The role requires hands-on 340B operational experience, strong analytical skills, and the judgment to translate regulatory guidance and manufacturer policy changes into workable processes. Model Oncology partners with community health systems to build and operate sustainable oncology programs. It embeds directly within partner organizations, working alongside health system teams and taking long-term accountability for program outcomes. Its work includes program design, physician recruitment, clinical research, pharmacy strategy, and the technology and operational infrastructure needed to deliver high-quality cancer care locally.

Requirements

Bachelor’s degree or equivalent work experience.
Minimum five years of experience in a healthcare setting, preferably including pharmacy operations, compliance, or revenue cycle.
Minimum one year of 340B program operations experience.
Hands-on experience with Epic and a split-billing platform.
Complete 340B University within 180 days of hire and the Advanced 340B Operations Certificate within 18 months of hire.

Nice To Haves

Apexus certificate.
Certified pharmacy technician.
Three years of pharmacy purchasing or 340B program experience.

Responsibilities

Monitor 340B drug use and validate that drugs are used only for eligible patients at registered locations, including patient eligibility reviews in mixed-use areas and clinics based on medical records, insurance, and patient status.
Conduct monthly self-audits of mixed-use, retail, and contract pharmacy claims to identify diversion, duplicate discounts, and other compliance risks; report findings and track corrective actions to completion.
Prevent Medicaid duplicate discounts by monitoring state Medicaid claims and maintaining accurate Medicaid Exclusion File entries.
Manage the split-billing and TPA relationship, including review of ordering, positive and negative accumulations, and unmapped items; resolve issues promptly with TPA partners.
Maintain compliant supplier and wholesaler account setups and train pharmacy purchasing staff on correct account selection for inventory replenishment.
Maintain audit-ready documentation and support HRSA and manufacturer audits, including sampling, responses, and corrective action follow-up.
Manage 340B OPAIS records for accuracy and support HRSA annual recertification.
Track changes in HRSA guidance, manufacturer policies, and state requirements; update policies, procedures, and internal controls accordingly; and support timely, accurate submissions to manufacturer data platforms.
Identify opportunities to improve savings capture and operational efficiency while upholding compliance standards, and provide data, reports, and analysis to program leadership and other business units.
Perform other duties as assigned.