340B Operations Analyst — Embedded in Community Oncology

Model Oncology, LLC; Nashville (TN); Sur place; USD 90 000 - 130 000; Plein temps

Résumé du poste

Model Oncology is seeking a 340B Analyst to manage day-to-day 340B Program operations for a partner health system, reporting to the VP of Pharmacy Solutions and Strategy. You will work embedded with pharmacy, finance, and compliance teams to keep the program compliant, audit-ready, and adaptable to market changes.

This role covers patient eligibility, split-billing oversight, and HRSA/manufacturer requirements.

Qualifications

• Bachelor’s degree or equivalent work experience.
• Minimum five (5) years of experience in a healthcare setting, preferably including pharmacy operations, compliance, or revenue cycle.
• Minimum one (1) year of 340B program operations experience.
• Hands-on experience with Epic and a split-billing platform.
• Completion of 340B University within 180 days of hire and Advanced 340B Operations Certificate within 18 months of hire.
• Apexus certificate preferred
• Certified pharmacy technician preferred
• Three (3) years of pharmacy purchasing or 340B program experience preferred

Responsabilités

• Monitor 340B drug use and validate use only for eligible patients at registered locations, including patient eligibility reviews in mixed-use areas and clinics based on medical records, insurance, and patient status
• Conduct monthly self-audits of mixed-use, retail, and contract pharmacy claims to identify diversion, duplicate discount, and other compliance risks; report findings and track corrective actions to completion
• Prevent Medicaid duplicate discounts by monitoring state Medicaid claims and maintaining accurate Medicaid Exclusion File entries
• Manage the split-billing and TPA relationship, including review of ordering, positive and negative accumulations, and unmapped items; resolve issues promptly with TPA partners
• Maintain compliant supplier and wholesaler account setups and train pharmacy purchasing staff on correct account selection for inventory replenishment
• Maintain audit-ready documentation and support HRSA and manufacturer audits, including sampling, responses, and corrective action follow-up
• Manage 340B OPAIS records for accuracy and support HRSA annual recertification
• Track changes in HRSA guidance, manufacturer policies, and state requirements; update policies, procedures, and internal controls accordingly; and support timely, accurate submissions to manufacturer data platforms
• Identify opportunities to improve savings capture and operational efficiency while upholding compliance standards, and provide data, reports, and analysis to program leadership and other business units
• Perform other duties as assigned

Connaissances

Analytical skills

Regulatory awareness

Cross-functional collaboration

Formation

Bachelor’s degree

Outils

Epic

Split-billing platform

Description du poste

Model Oncology is seeking a 340B Analyst to manage day-to-day 340B Program operations for a partner health system, reporting to the VP of Pharmacy Solutions and Strategy. You will work embedded with pharmacy, finance, and compliance teams to keep the program compliant, audit-ready, and adaptable to market changes.

This role covers patient eligibility, split-billing oversight, and HRSA/manufacturer requirements.