340B Operations Analyst — Health Pharmacy Strategy

Model Oncology, LLC; Atlanta (GA); On-site; USD 75,000 - 95,000; Full time

Job summary

Model Oncology is seeking a 340B Analyst to manage day-to-day 340B program operations for a partner health system in the Nashville, TN or Atlanta, GA area.

Reporting to the Vice President of Pharmacy Solutions and Strategy, you will collaborate with pharmacy, finance, and compliance teams to keep the program compliant, audit-ready, and adaptable to market changes. The role covers eligibility, split-billing oversight, supplier setups, HRSA and manufacturer requirements, and ongoing policy updates.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 5+ years of experience in a healthcare setting, preferably including pharmacy operations, compliance, or revenue cycle.
• 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

Responsibilities

• 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

Skills

340B Operations

Epic

Compliance

Data Analysis

Education

Bachelor's degree

Equivalent work experience

Tools

Split-billing platform

Job description

Model Oncology is seeking a 340B Analyst to manage day-to-day 340B program operations for a partner health system in the Nashville, TN or Atlanta, GA area.

Reporting to the Vice President of Pharmacy Solutions and Strategy, you will collaborate with pharmacy, finance, and compliance teams to keep the program compliant, audit-ready, and adaptable to market changes. The role covers eligibility, split-billing oversight, supplier setups, HRSA and manufacturer requirements, and ongoing policy updates.