MGB Enterprise 340B Program Director

The Opportunity

The Director is responsible for leading the operational and compliance aspects of the pharmacy business services, including financial management and compliance with the 340B Drug Pricing Program. This role ensures the efficient delivery of pharmacy services across all care settings, maximizes cost savings, and maintains adherence to regulatory requirements.

Reporting to the Enterprise Director of Pharmacy Strategy and Business Development, The Enterprise 340B Program Director is responsible for planning, implementing, supporting, and optimizing projects related to the 340B program at Mass General Brigham health system. The incumbent participates in the policy and procedure development, education to internal and external stakeholders, rules/guidance surveillance, registration/recertification, self and external audits, contract management, and reporting and program enhancement/optimization projects. The incumbent serves as the subject matter expert for all matters regarding the 340B Program.

Additionally, the director will oversee all uses of the split billing and financial software. The Enterprise 340B Program Director serves as the institutional compliance expert and authority on 340B program details and oversees all 340B Program Services. This position functions as the primary 340B program contact, HRSA Primary Contact and liaison for all 340B subject matters.

Assists and leads the various System 340B oversight committees. Develops relationships and works with leadership, staff and external vendors as related to the 340B program. Prepares/Manages Budget and Human Resource matters.

Responsibilities

• Training and Education
  • Develops training and competency materials for all staff who work with the 340B program.
  • Conducts ongoing 340B program training for staff.
  • Regularly communicates with all staff involved with the 340B program to ensure that processes remain efficient and to address any problems or suggestions for improvement.
• Policies and Procedures
  • Develops, implements, and modifies consistent policies and procedures according to all applicable guidelines as approved by the legal department.
  • Ensures that policies and procedures support maximum productivity and efficiency to avoid any unnecessary costs or operational barriers.
• Compliance
  • Continually monitors 340B regulations to ensure federal compliance, staying up-to-date on all rule changes, including HRSA/OPA and Medicaid. Shares all learnings and hot topics with management and staff.
  • Keeps abreast of trends and issues by attending 340B trainings, monitoring industry publications and websites, professional media, literature, and peers.
  • Determines the best use of 340B program staff by collaborating with Prime Vendor Program, Pharmacy Leadership, and other 340B institutions.
• Registration/Recertification
  • Ensures that the annual HRSA recertification is completed within the allowable time frame.
  • Ensures that the HRSA 340B Database is accurate for all organization entities.
  • Ensures registration of any new child site within the allowable time frame.
• Auditing
  • Is responsible for the oversight of required 340B audits, both internally and externally.
  • Maintains a current state of “audit readiness.”
  • Serves as the point person and coordinator for all audits.
  • Coordinates all requests and responses.
  • Coordinates external compliance assessments with outside firms, where appropriate.
  • Leads 340B purchasing and utilization audits or compliance assessments internally, as needed.
  • Routinely reviews data and related reports from all points of service at which 340B participation occurs.
  • Works with medical auditors on third‑party payer audits.
  • Leads and implements automation software such as Robotic Process Automation, RPAs, and 340B ESP submissions.
• 340B Contract Management
  • Manages relationships, billing services, and compliance with contracted 340B pharmacies.
  • Evaluates all current and future contract pharmacy opportunities, including contract language, fee structure, data setup, and internal and independent external auditing.
• Program Enhancement/Optimization
  • Develops strategies for appropriate use of the program working directly with manufacturers and wholesalers.
  • Assesses opportunities for cost savings, business and system improvements.
  • Participates in projects, councils and special initiatives related to 340B, compliance, auditing, vendor selection and medication management.
  • Monitors all outpatient points of service to continually check for new areas that may qualify for the 340B program.
  • Provides oversight for the implementation of process improvement initiatives.
  • Provides input and implements business plans in coordination with the organization's pharmacy leadership for organizational facilities to help use 340B savings to expand and improve care for underserved populations.
• Reporting and Financial Analysis
  • Prepares, monitors and reports measurements to ensure satisfaction with the 340B program.
  • Develops, monitors, and presents reports on 340B participation that clearly document utilization, savings, problem areas, exceptions, and/or discrepancies.
  • Routinely communicates any questions, issues, or discrepancies with the appropriate authority.
  • Reports monthly on saving opportunities.
  • Communicates key metrics and improvement actions to management.
  • Ensures appropriate documentation and audit trail across areas of responsibility.
  • Develops, monitors, maintains, and presents reports to managers and directors on budget variances.
  • Develops and prepares drug spend analysis for forecasting and budgeting.
  • Completes analytics on any department changes that may affect budget to make appropriate adjustments.
  • Serves as the point person for finance as it relates to reporting needs for drug expense.
• Operations
  • Responsible for the day‑to‑day management, compliance review, and operations of clinic‑administered medications in eligible locations, mixed‑use areas managed by split‑billing software, outpatient prescriptions fulfilled by an owned pharmacy, and outpatient prescriptions fulfilled by a contract 340B pharmacy.
  • Responsible for managing and troubleshooting pharmacy billing issues and ensuring that adequate systems checks are reviewed to prevent billing issues.
  • Participate in interviews, selection, orientation, and training of new employees.
  • Provide input on staff performance including providing feedback for performance evaluations.
  • Participate in staff meetings to communicate changes and address issues that need to be discussed.
  • Address customer concerns/complaints as they arise.
  • Assist in the implementation of policies and procedures and ensure uniform compliance.
  • Utilize time tracking tools, as required by department to assure accurate project planning and budgeting needs.

What You'll Bring

• Healthcare knowledge and experience 8‑10+ years preferred
• Bachelor's Degree Pharmacy required
• Master's Degree Pharmacy preferred
• Master's Degree Related Field of Study preferred
• Pharm D or clinical license, MA state license highly preferred
• Develop and maintain policies and procedures related to 340B program operations.
• Coordinate with internal and external stakeholders to maximize program benefits and address compliance issues.
• Communicate latest information, rulings, and trends around 340B Program to ensure all institutional stakeholders have the latest information.
• Develop, monitor and track 340B Program performance and KPIs, including those for individual enhancement initiatives.
• Performs other duties as assigned.
• Complies with all policies and standards.

Working Model Requirements

• M‑F Eastern Business Hours
• Quarterly business reviews and planned team and/or stakeholder meetings will be onsite
• Must be Flexible for quarterly workdays in office, as planned for the business needs, generally the team meets 2‑4x quarterly
• Remote workdays require stable, secure, quiet, compliant work space

Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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