340B Implementation Quality Assurance Analyst

Pillr Health; Boca Raton (FL); Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Health insurance

Flexible Spending Account (FSA)

Dental and Vision insurance

401(k) retirement plan

Paid time off

Job summary

Pillr Health is seeking a 340B Implementation Quality Assurance (QA) Analyst to ensure HRSA-compliant implementation, operation, and maintenance of the 340B program. The role blends compliance oversight, process design, and quality assurance to deliver the intended savings and meet regulatory standards.

The position will oversee audits, eligibility validation, policy development, and risk mitigation across entities and contract pharmacies.

Qualifications

• High school diploma/GED; pharmacy or healthcare-related degree preferred.
• 1–3+ years in 340B program work; QA, compliance, or pharmacy operations experience preferred.
• In-depth knowledge of HRSA 340B regulations and program mechanics.
• Proficiency in Excel, SQL, data analysis, and 340B software.
• Strong analytical, organizational, and communication skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Conduct regular internal audits of 340B records and Medicaid claims for HRSA compliance.
• Validate patient, provider, and drug eligibility for all 340B transactions.
• Review state Medicaid billing requirements and compare against claims data.
• Participate in external 340B audits and prepare data for review.
• Develop and maintain 340B policies, procedures, and workflows.
• Administer referral prescription capture processes and support eligibility.
• Monitor contract pharmacy portals for missed claims and coordinate remediation.
• Configure provider tables, location mapping, and excluded drugs per standards.
• Identify compliance risks and develop training programs for staff.
• Monitor regulatory updates and communicate implications to operations.
• Generate utilization, savings, and exception reports for management.
• Collaborate with IT, audit, accounting, and pharmacy teams to share data.
• Provide data, reports, and insights to support other business units.

Skills

Excel

SQL

Data analysis

340B software

HRSA 340B regulations

Education

Pharmacy or healthcare-related degree preferred

High school diploma/GED

Tools

OPAIS

Contract pharmacy management software

Job description

Job Title

340B Implementation Quality Assurance Analyst

Location

Remote

Vertical / Department

Customer Engagement / Implementation & Onboarding

Reports To

Implementation Manager

Job Type

Full-Time, Exempt

Position Summary

340B Implementation Quality Assurance (QA) Analyst ensures that a covered entity’s 340B Drug Discount Program is implemented, operated, and maintained in full compliance with HRSA regulations, internal policies, and program integrity standards. This role blends compliance oversight, process implementation, and quality assurance to ensure the 340B program delivers intended savings and meets all regulatory and internal standards. The role is to oversee the implementation, monitoring, and compliance of the 340B program, including audit activities, process validation, and risk mitigation to prevent duplicate discounts, diversion, and eligibility errors.

Program Compliance & Auditing

• Conduct regular internal audits of 340B Office of Pharmacy Affairs Information System (OPAIS) records, retail pharmacies (entity-owned and contract), and Medicaid claims to ensure adherence to HRSA requirements
• Validate patient, provider, and drug eligibility for all 340B transactions
• Review and interpret state Medicaid billing requirements and compare against claims data
• Participate in external 340B program audits and prepare data/documentation for review

Implementation & Process Oversight

• Develop and maintain 340B policies, procedures, and workflows for purchasing, referral capture, and contract pharmacy management
• Administer referral prescription capture processes and ensure documentation supports eligibility
• Monitor contract pharmacy portals for missed claims, investigate denials/reversals, and coordinate remediation
• Configure and maintain eligible provider tables, location/site mapping, and excluded NDCs/drugs in compliance with internal and HRSA standards

Quality Assurance & Risk Management

• Identify compliance risks, prevent diversion, and ensure consistent processes across all points of service
• Develop training programs (e.g., 340B University OnDemand) for staff on 340B procedures and inventory management
• Monitor regulatory updates and communicate implications to program operations

Reporting & Collaboration

• Generate program utilization, savings, and exception reports for management and stakeholders
• Collaborate with IT, audit, accounting, and pharmacy teams to share data, improve efficiency, and ensure compliance
• Provide data, reports, and insights to support other business units

Qualifications

• High school diploma/GED; pharmacy or healthcare-related degree preferred
• 1–3+ years in 340B program work; prior QA, compliance, or pharmacy operations experience preferred
• In-depth knowledge of HRSA 340B regulations and program mechanics
• Proficiency in Excel, SQL, data analysis, and 340B software
• Strong analytical, organizational, and communication skills
• Ability to work independently and meet deadlines

Key Performance Indicators (KPIs)

• Implementation quality scores.
• Number of post-go-live defects identified.
• Defect resolution turnaround times.
• First-pass testing success rates.
• Accuracy of implementation validations.
• Compliance audit findings.
• Client implementation satisfaction scores.
• On-time project delivery support.
• Reduction in implementation rework.
• Effectiveness of risk identification and mitigation.

What We Offer

• Health insurance
• Flexible Spending Account (FSA)
• Dental and Vision insurance
• 401(k) retirement plan
• Paid time off

Why Join Pillr Health?

As a leading 340B Third-Party Administrator, we help covered entities maximize program compliance, improve patient access to care, and strengthen healthcare outcomes.