340B Implementation Quality Assurance Analyst

Pillr Health•Boca Raton, FL

1d•Remote

About The Position

The 340B Implementation Quality Assurance Analyst oversees implementation, monitoring, and compliance for covered entities’ 340B Drug Discount Programs. The role combines compliance oversight, process implementation, and quality assurance to help ensure programs comply with HRSA regulations, internal policies, and program integrity standards while preventing duplicate discounts, diversion, and eligibility errors. The analyst conducts internal audits of OPAIS records, retail and contract pharmacies, and Medicaid claims; validates patient, provider, and drug eligibility; reviews state Medicaid billing requirements; and supports external audits. The position also develops and maintains policies, procedures, and workflows; administers referral prescription capture; monitors contract pharmacy portals; and maintains provider tables, site mappings, and excluded drugs. Additional duties include identifying risks, developing staff training, monitoring regulatory updates, generating reports, and collaborating with IT, audit, accounting, pharmacy, and other business teams. Performance is assessed using implementation quality, defect identification and resolution, testing success, validation accuracy, audit findings, client satisfaction, project support timeliness, rework reduction, and risk mitigation effectiveness. Pillr Health describes itself as a leading 340B Third-Party Administrator that helps covered entities improve compliance, patient access to care, and healthcare outcomes.

Requirements

High school diploma or GED.
1–3+ years of experience in 340B program work.
In-depth knowledge of HRSA 340B regulations and program mechanics.
Proficiency in Excel, SQL, data analysis, and 340B software.
Strong analytical, organizational, and communication skills.
Ability to work independently and meet deadlines.

Nice To Haves

Pharmacy- or healthcare-related degree.
Prior quality assurance, compliance, or pharmacy operations experience.

Responsibilities

Conduct regular internal audits of OPAIS records, entity-owned and contract retail pharmacies, and Medicaid claims to ensure compliance with HRSA requirements.
Validate patient, provider, and drug eligibility for 340B transactions.
Review and interpret state Medicaid billing requirements and compare them against claims data.
Participate in external 340B program audits and prepare supporting data and documentation.
Develop and maintain 340B policies, procedures, and workflows for purchasing, referral capture, and contract pharmacy management.
Administer referral prescription capture processes and ensure documentation supports eligibility.
Monitor contract pharmacy portals for missed claims, investigate denials and reversals, and coordinate remediation.
Configure and maintain eligible provider tables, location and site mappings, and excluded NDCs and drugs in line with internal and HRSA standards.
Identify compliance risks, prevent diversion, and promote consistent processes across points of service.
Develop staff training programs on 340B procedures and inventory management.
Monitor regulatory updates and communicate their implications to program operations.
Generate program utilization, savings, and exception reports for management and stakeholders.
Collaborate with IT, audit, accounting, and pharmacy teams to share data, improve efficiency, and ensure compliance.
Provide data, reports, and insights to support other business units.