340B Cell and Gene Clinical Pharmacist

Duke University; Durham (NC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Duke University Health System in Durham, NC, seeks a Pharmacy Specialist to manage the 340B Drug Pricing Programs, ensuring compliant procurement of high-cost therapies and robust program oversight. The role involves audits, IT coordination, vendor management, and staff training, with a day shift focus in a hybrid work setting.

You will work with pediatric and adult teams on therapy onboarding, medication builds, inventory controls, and billing data validation to reduce risk and improve

Qualifications

• Pharmacist degree required or eligible to practice in NC.
• Experience with 340B programs and pharmacy operations preferred.
• Strong computer and database skills; Excel/PowerPoint proficiency.

Responsibilities

• Coordinate patient-specific procurement workflows for high-cost therapies and manage compliance.
• Partner with clinical teams to onboard new therapies and define treatment workflows.
• Validate orders, documentation, and billing data to reduce missed or unbilled therapies.
• Organize daily tasks for 340B specialists and oversee 340B operations.
• Utilize 340B TPAs for platform mapping, analyses, and file transfers.
• Lead audits and 340B program optimization initiatives.

Skills

Pharmacy operations

Excel

PowerPoint

Database management

Epic Willow

340B TPAs

Education

Doctor of Pharmacy

BS Pharmacy Degree

Tools

Epic Willow

340B TPAs platforms

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Work Location:

Duke University Hospital - Durham, NC (Hybrid)

Working hours:

• Hybrid Schedule (onsite/remote)
• Monday - Friday (8:00 am - 4:30 pm)

Position Summary:

The primary role of this individual is to perform functions related to compliance and operations of Duke University Health System's (DUHS) 340B Drug Pricing Programs. This position will support the safe, compliant, timely, and financially responsible procurement and management of high-cost cell and gene therapies across DUHS. Additional roles include oversight and performance of internal program audits, information technology coordination, vendor account setup and maintenance, and pharmacy team member training. This position will primarily be a day shift position.

Specific duties include (but are not limited to):

• Coordinate patient-specific procurement workflows for cell and gene therapies and other high-cost specialty products, including product access, ordering, delivery, receiving, storage, chain-of-custody requirements, and treatment-date readiness.
• Partner with pediatric and adult clinical pharmacy teams to support onboarding of new cell and gene therapies, including medication-build readiness, treatment workflows, inventory controls, documentation standards, and operational education.
• Validate medication orders, administration documentation, charge capture, claims, and billing data to reduce missed orders, unbilled therapies, duplicate activity, and other financial or compliance risks.
• Organize daily tasks for Pharmacy 340B Specialists in collaboration with the 340B Pharmacy Manager.
• Ensure optimal use of 340B third party administrator (TPA) platforms for mixed use, retail pharmacy, and contract pharmacy universes. TPA activities include, but are not limited to, the following:
  • Mapping unknown and custom NDCs
  • Reviewing multipliers
  • Performing WAC split analyses
  • Monitoring for appropriate transfer of files from DUHS to 340B TPA
  • Monitoring direct vendor invoice reconciliation
• Perform audit activities per the DUHS 340B Oversight Committee direction.
• Serve as a project leader for specific 340B program activities including compliance reviews and optimization initiatives.
• Ensure compliance with 340B billing requirements established by governmental payors (i.e. Medicaid, Medicare).
• Develop a thorough understanding of TPA systems and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance.
• Maintain a thorough understanding of DUHS' 340B Drug Pricing Program structure. Strive to consistently improve the overall efficiency, value, and integrity of DUHS' 340B Drug Pricing Programs.
• Develop and foster working relationships with other internal working counterparts at DUHS (IT, Finance, Compliance, and others) to facilitate productive exchanges of information to improve 340B Program operations. Provide data, information, and reports as needed for other business units within DUHS.
• Perform other related duties incidental to the work described herein.

Minimum Qualifications

Education

• Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

• With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.
• With Doctor of Pharmacy degree, no experience is required.
• Strong skills and prior experience with computer technology and programs including Excel, PowerPoint, and database management software, preferred.
• Prior 340B program experience as a pharmacist is strongly preferred.
• Working knowledge of Epic, specifically Willow and/or Willow Ambulatory, is preferred.
• Experience using 340B TPAs preferred.
• Understanding of health system pharmacy operations, pharmaceutical procurement, and inventory management is strongly preferred.

Degrees, Licensures, Certifications

• Licensed Pharmacist or eligible to practice pharmacy in North Carolina
• Apexus ACE certificate preferred

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging.

Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.

All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.