340B Payment Specialist

Howard Brown Health•Chicago, IL

12d

About The Position

Howard Brown Health is a nationally recognized leader in LGBTQ+ health and wellness. Our commitment to inclusive and affirming care has made us a cornerstone of the Chicago community. At Howard Brown, we believe in providing holistic, patient-centered care that empowers individuals and enriches lives. Why Join Us? Be part of a mission-driven organization dedicated to health equity and social justice. Work in a supportive, inclusive, and culturally competent environment. Access to continuous learning opportunities and professional development. Comprehensive benefits package. Contribute to groundbreaking health initiatives and research. Benefits Employer-sponsored health, dental, and vision insurance with two PPO plans and an HMO plan. BCBS HMO, PPO, and PPO Select Plans BCBS Dental BCBS Vision Paid Time Off: 3-weeks paid vacation and 1-week of personal time 12 accrued sick days per year 10 paid holidays, including Juneteenth PTO Exchange allows employees to turn unused PTO into liquid assets 401k program with up to 5% employer match after 90 days Employer-paid basic life insurance valued at one times the annual salary Voluntary Life and AD&D, and Short-term and Long-term disability Pre-tax commuter and parking benefit account Flexible Spending Accounts for healthcare and dependent care Tuition Reimbursement and Student Loan Forgiveness Programs; NHSC & PSLF Employee Assistance Program with 5 employer-paid counseling sessions 50% off at Brown Elephant Resale Shops and discounts at local businesses Salary: $79,726.40/year POSITION SUMMARY: Reporting to the 340B Program Director, the 340B Payment Specialist oversees administration, management, compliance, and financial reconciliation of the new Inflation Reduction Act (IRA), 340B Rebate Model Pilot, and referral claim audit management. This role ensures accurate claim identification, timely rebate submissions, receivable tracking, contract pharmacy coordination, and compliance with HRSA requirements. The position is key to protecting program integrity and maximizing savings that support the mission of the health center. Leverages industry knowledge and best practices to promote the mission and vision of Howard Brown Health as well as supports culture enhancement and management efforts.

Requirements

Bachelor’s degree from an accredited institution of higher learning in business management, pharmacy (BPharm), finance, public policy or related discipline required.
Minimum three (3) years progressive experience in financial reconciliation, claim audit management, and/or healthcare finance required.
Proficient and functional knowledge of financial reconciliation, claim audit management and/or healthcare finance principles
Ability to make formal and effective oral presentations
Ability to prepare clear, concise, and effective reports, letter, and other documents
Ability to evaluate procedures and issues and develop strategies and effective solutions
Knowledge of cash-flow management and projections as well as budget creation and management
Ability to plan, organize, and accomplish organizational goals and objectives
Ability to handle and maintain highly confidential information with professional maturity
Functional and proficient knowledge of various technologies including, but not limited to MS Suite and finance software platforms
Effective communication competencies including written, verbal and listening
Strong knowledge of research approaches and the ability to apply relevant approach toward desired outcome(s)
Strong problem-solving acumen and the ability to engage for supervisory support when appropriate
Ability to demonstrate an understanding and acceptance of equity, inclusion and diversity concepts, and that they are broader than just race, ethnicity, and gender
Ability to work affirmatively with gay, lesbian, bisexual, transgender, queer (LGBTQ) and HIV positive patients
Requires ability to speak audibly and listen
Requires ability to use computers, telephones and other office
Requires ability to sit for extended periods of May require occasional bending and lifting up to 25
May require periodic and local travel.

Nice To Haves

Master’s degree in the same preferred.
340B program management experience preferred.

Responsibilities

Program Implementation & Operations Serves as primary subject matter expert on the IRA and 340B rebate pilot model and approved manufacturer plans. Develops and maintains standard operating procedures (SOPs) for rebate submission, reconciliation, and referral audits
Oversees claim capture, submission processes, and appeals with manufacturers, TPAs, contract pharmacies, and wholesalers as related to the IRA and rebate pilot. Monitors manufacturer notices and HRSA updates; distribute timely program communications to stakeholders.
Finance & Reconciliation Establishes and manages rebate receivable ledgers by manufacturer, drug (NDC), and contract pharmacy. Reconciles rebates submitted, rebates received, and outstanding balances on a weekly basis.
Escalates unpaid rebates >10 days to manufacturers; document trends and escalate to HRSA if needed. Supports finance leadership in forecasting, budgeting, and cash-flow analysis related to rebate collections.
Compliance & Audit Works with 340B team to reconcile IRA claims, purchases and rebates Ensures compliance with HRSA rules, including duplicate discount prevention with Medicaid FFS and Diversion.
Completes referral audit and maintain records of referral claims. Prepares for and participate in internal and external audits (HRSA, manufacturer, or payer).
Collaboration & Stakeholder Engagement Works closely with TPAs, contract pharmacies, wholesalers, manufacturers, HRSA and IT vendors to ensure data integrity. Partners with Finance, Compliance, and Pharmacy Operations to integrate rebate workflows into broader 340B management.
Provides regular performance dashboards and variance analyses to executive leadership.

Benefits

Employer-sponsored health, dental, and vision insurance with two PPO plans and an HMO plan.
BCBS HMO, PPO, and PPO Select Plans
BCBS Dental
BCBS Vision
Paid Time Off: 3-weeks paid vacation and 1-week of personal time
12 accrued sick days per year
10 paid holidays, including Juneteenth
PTO Exchange allows employees to turn unused PTO into liquid assets
401k program with up to 5% employer match after 90 days
Employer-paid basic life insurance valued at one times the annual salary
Voluntary Life and AD&D, and Short-term and Long-term disability
Pre-tax commuter and parking benefit account
Flexible Spending Accounts for healthcare and dependent care
Tuition Reimbursement and Student Loan Forgiveness Programs; NHSC & PSLF
Employee Assistance Program with 5 employer-paid counseling sessions
50% off at Brown Elephant Resale Shops and discounts at local businesses