340B Pharmacy Manager

CONFEDERATED TRIBES OF CLUSI•Coos Bay, OR

5d•Onsite

About The Position

The 340B Pharmacy Manager oversees the administration, compliance, and optimization of the CTCLUSI 340B Drug Pricing Program across Three Rivers Health Center and affiliated service sites. The role ensures adherence to HRSA regulations, audit readiness, and effective split-billing and replenishment workflows while working with clinical, pharmacy, and administrative teams to maximize program value and protect the Tribe from compliance risk. The manager serves as the organization’s subject matter expert for 340B operations, compliance, and reporting. The position supervises a small team or group, with some authority to make decisions and delegate tasks. Work is performed in an office environment with moderate noise and frequent interruptions. Local and service-area travel may be required, as may occasional nights or weekends. The role involves managing moderate stress and requires extended periods of sitting and typing, mobility and manual dexterity, and the ability to push, pull, lift, or carry up to 40 pounds.

Requirements

Must be at least 21 years of age.
Bachelor’s degree in Pharmacy, Healthcare Administration, Business, or a related field.
Two or more years of experience in pharmacy operations, 340B program management, compliance, or related work.
In-depth knowledge of 340B regulations, HRSA guidance, diversion prevention, and duplicate discount mitigation.
Strong analytical skills for reviewing claims, accumulations, audit findings, and financial reports.
Excellent verbal and written communication skills for collaboration with pharmacy, clinical, and administrative teams.
Proficiency with split-billing software, EHR systems, pharmacy information systems, and wholesaler platforms.
Ability to prioritize tasks, manage time effectively, and adapt to changing operational demands.
Experience and proficiency using Microsoft products, including Excel, Outlook, PowerPoint, and Word.
Ability to communicate clearly and effectively in English, verbally, in writing, or by other acceptable means.
Must have U.S. employment eligibility.
Must complete a state criminal background check and fingerprint-based background check as a condition of employment.
Subject to pre-employment and other authorized drug and alcohol testing in accordance with company policy.

Nice To Haves

340B Apexus Advanced Certification is preferred, or must be obtained within 12 months of hire.

Responsibilities

Administer the CTCLUSI 340B Program in compliance with HRSA, OPAIS, Apexus guidance, and Tribal policies.
Oversee 340B eligibility, patient definition validation, and compliant medication dispensing workflows.
Manage split-billing software, accumulations, replenishment, and inventory segregation for in-house pharmacy operations.
Conduct routine internal audits to monitor diversion, duplicate discount risk, and contract pharmacy compliance.
Prepare and maintain documentation for HRSA audits, including data validation, corrective action plans, and audit responses.
Coordinate 340B purchasing, wholesaler accounts, NDC management, and inventory reconciliation.
Collaborate with Pharmacy, Medical, Behavioral Health, Dental, and RCM teams on compliant prescribing and encounter documentation.
Develop and maintain 340B policies, procedures, and compliance protocols for CTCLUSI Health Operations.
Train and educate staff on 340B compliance, workflows, and regulatory updates.
Monitor the program’s financial performance, analyze savings, and prepare monthly and quarterly reports for leadership.
Work with Finance to reconcile 340B savings, purchasing records, and contract pharmacy revenue.
Support expansion of 340B services, including contract pharmacy onboarding, mobile health unit compliance, and integration of new service lines.
Maintain accurate records of audits, replenishment logs, software reports, and compliance activities.
Stay current with regulatory changes, manufacturer restrictions, and HRSA guidance.
Collaborate professionally and effectively while maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
Perform other duties as directed by management.