Director of 340B Pharmacy Program

University of Miami•Miami, FL

3d•Onsite

About The Position

Provide enterprise-wide oversight of the 340B program to ensure compliance with state and federal laws, HRSA requirements, accreditation standards, licensure requirements, and pharmacy regulatory standards across all applicable settings. Monitor and interpret evolving 340B and pharmacy regulatory requirements; develop policies, procedures, educational materials, and staff training programs to promote compliance, accountability, and best practices. Lead and coordinate 340B audits, gap analyses, tracers, risk assessments, and corrective action plans to ensure program integrity, accurate documentation, and operational readiness. Collaborate with pharmacy leadership, medical staff, patient care teams, HR, and other hospital departments to support medication management compliance, employee PBM/benefit coordination, and 340B optimization opportunities across the continuum of care. Maintain oversight of 340B program operations, analytics, records management, HRSA updates, ambulatory pharmacy supply chain support, and pharmacy informatics/data analysis to drive program performance and identify improvement opportunities. Support pharmacy financial and operational functions, including business planning, contract analysis, charge capture, financial controls, and departmental record systems, as assigned by the Chief Pharmacy Officer. Ensure pharmacy services and program initiatives are responsive to the needs of diverse patient populations, supporting safe, effective, and patient-centered care. Serve as the primary liaison for the 340B program, building strong relationships with internal and external stakeholders, representing the organization on committees and industry forums, and communicating program goals, risks, progress, and outcomes to senior leadership. Provide strategic leadership and oversight of the 340B team, including managers and coordinators, by setting direction, driving program execution, fostering a culture of accountability and collaboration, and supporting staff development and performance. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Requirements

Bachelor’s in pharmacy or Pharm.D. degree
Active Florida Pharmacist license obtained within 6 months of hire.
340b and Apexus certification
Minimum 7 years of relevant experience
Ability to work effectively with a multidisciplinary team and handle multiple responsibilities.
Ability to execute and operationalize initiatives.
Knowledge of healthcare safety, clinical, regulatory and operational management principles.
Ability to execute and operationalize enterprise strategies set by executive leadership.
Ability to direct, manage, and evaluate multi-site, multi-service pharmacy operations.
Strong analytics, financial and operational management skills, with ability to balance budgets and optimize contracts.
Ability to lead, motivate, and develop high-performing operational teams.
Ability to leverage analytics, AI, and cohort insights to achieve measurable improvements in patient care and financial outcomes.

Nice To Haves

Master’s or MBA Preferred.

Responsibilities

Provide enterprise-wide oversight of the 340B program to ensure compliance with state and federal laws, HRSA requirements, accreditation standards, licensure requirements, and pharmacy regulatory standards across all applicable settings.
Monitor and interpret evolving 340B and pharmacy regulatory requirements; develop policies, procedures, educational materials, and staff training programs to promote compliance, accountability, and best practices.
Lead and coordinate 340B audits, gap analyses, tracers, risk assessments, and corrective action plans to ensure program integrity, accurate documentation, and operational readiness.
Collaborate with pharmacy leadership, medical staff, patient care teams, HR, and other hospital departments to support medication management compliance, employee PBM/benefit coordination, and 340B optimization opportunities across the continuum of care.
Maintain oversight of 340B program operations, analytics, records management, HRSA updates, ambulatory pharmacy supply chain support, and pharmacy informatics/data analysis to drive program performance and identify improvement opportunities.
Support pharmacy financial and operational functions, including business planning, contract analysis, charge capture, financial controls, and departmental record systems, as assigned by the Chief Pharmacy Officer.
Ensure pharmacy services and program initiatives are responsive to the needs of diverse patient populations, supporting safe, effective, and patient-centered care.
Serve as the primary liaison for the 340B program, building strong relationships with internal and external stakeholders, representing the organization on committees and industry forums, and communicating program goals, risks, progress, and outcomes to senior leadership.
Provide strategic leadership and oversight of the 340B team, including managers and coordinators, by setting direction, driving program execution, fostering a culture of accountability and collaboration, and supporting staff development and performance.
Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures.
Ensures employees are trained on controls within the function and on University policy and procedures.
Resolves unmatched crosswalk items.
Reviews the activity of component CDMs and adjusts the accumulator as necessary.
Reviews autosub activity and adjusts the crosswalk and accumulators as necessary.
Reviews of negative accumulators.
Reviews of unusually large accumulators.
Reviews of large purchases.
Enters non-EDI activity.
Monitors and assesses 340B guidance and/or rule changes.
Ensures that the 340B pharmacy program is continuously compliant with 340B federal regulations.
Develops knowledge and maintains awareness of current regulations, trends, and issues pertaining to the 340B program.
Collaborates with the Prime Vendor Program, pharmacy leadership, and other 340B institutions.
Develops, executes, and documents self-audits of the 340B process.
Coordinates and ensures remediation of findings.
Reviews and monitors all points of service where 340B participation occurs to ensure policy and procedure compliance, covered entity eligibility, and “covered patient” eligibility.
Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
Evaluates patient eligibility for qualified and non-qualified patients in hospital-based mixed-use areas by reviewing patient medical records, insurance plans, and hospital status.
Serves as the primary internal program coordinator and liaison for all 340B-related matters.
Serves as the institutional “compliance expert” on 340B regarding program details, policies, and procedures of the virtual inventory processes required for mixed-use areas.
Serves as primary internal liaison to key stakeholders to help ensure appropriate utilization of the 340B program and compliance with all program requirements.
Acts as the liaison with necessary departments to ensure 340B program integrity.
Collaborate with UHEALTH 340B Program Manager.
Collaborates with UHEALTH Legal and Finance.
Serves as the point person and coordinator for all audits.
Coordinates all requests and responses.
Maintains a current state of “audit readiness”.
Provides oversight for all audits performed by independent external auditors.
Assists in monitoring reports to ensure compliance with the program.
Reviews 340B cast savings reports.
Routinely communicates any issues or concerns with pharmacy leadership.