Manager, 340B Program, Licensing & Credentialing

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Time Type:

Full time

Department:

Retail Pharmacy - Gove

All Locations:

10 Gove Street – Taylor Building

Position Summary:

The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth’s 340B pharmacy program. This entails a focus on contract pharmacy management through 340B ESP, 340B audit preparation, wholesaler drug pricing file accuracy, and ongoing compliance tracking/verification to ensure sound integrity of the organization’s 340B Drug Pricing Program. Moreover, this role also is the primary point of contact as it relates to the licensing and credentialing across outpatient and ambulatory pharmacy locations, ensuring all documentation (licenses, registrations, payer contracts, portal user names and passwords, etc.) and operational requirements are gathered, tracked, stored in a primary database, are current, and aligns with the departmental, state/federal regulatory and payer expectations. The ideal candidate will have experience in pharmacy operations and regulatory setup, mastery of 340B program HRSA requirements, a sharp attention to detail, and the ability to effectively collaborate with third-party administrators (TPAs), drug purchasing vendors, and internal stakeholders.

• Coordinate 340B ESP contract pharmacy activities, including data submission, audit tracking, and compliance with manufacturer policies to maintain pricing eligibility.
• Lead internal 340B audit activities by maintaining accurate documentation, supporting HRSA and manufacturer audits, and helping ensure program integrity across pharmacy sites.
• Collaborate with leadership to address operational inquiries and act as a liaison with TPAs, wholesalers, and manufacturers to ensure alignment on audit deliverables and data reporting.
• Assist with pharmacy licensing and credentialing, including managing renewals, tracking new and renewal applications, and maintaining up-to-date regulatory documentation.
• Monitor and interpret 340B program updates, communicating relevant changes to program leadership with identification of impact, and contributing to the development of action planning for continued compliance and mitigate any risk to program savings.
• Support development of 340B compliance dashboards or reporting tools to provide visibility to leadership on audit outcomes, replenishment trends, or pricing eligibility status.
• Assist with onboarding and maintenance of pharmacy sites participating in the 340B program via OPAIS database, ensuring accurate setup, registration, and ongoing compliance monitoring.
• Validate claims data submitted through TPAs and resolve data mismatches or rejection issues that impact replenishment or compliance. Validate TPA rules/logic are current and loaded correctly by payor
• Track manufacturer restrictions and policy changes related to contract pharmacies and ensure impacted sites are informed and processes are adjusted accordingly.
• Verify and monitor 340B pricing updates with drug purchasing vendors and wholesalers to ensure accurate contract pricing is applied to replenishment orders and resolve discrepancies as needed.

EDUCATION:

• Associate or bachelor’s degree in health sciences, Pharmacy, Business, or equivalent work experience
• Master’s degree in health Related/Public Health field desirable.
• 340B ACE or equivalent certification Preferred

EXPERIENCE:

• 2+ years of experience in outpatient/ambulatory/clinic/community health center pharmacy setting, healthcare compliance,