340B Operations Specialist

Clearway Health; Boston (MA); Presencial; USD 87.000 - 109.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus program

Benefits package

Descripción de la vacante

Clearway Health is seeking a 340B Operations Specialist to manage day-to-day 340B program administration, optimization, and compliance across partner health systems and contract networks. You will act as a subject matter expert for operational processes, inventory, split-billing, audits, and stakeholder engagement.

You will collaborate with pharmacy leaders, health systems, manufacturers, and internal teams to maximize program performance while maintaining HRSA compliance and organizational

Formación

• Bachelor's degree in healthcare administration, business administration, pharmacy, public health, finance, or related field is required.
• Advanced 340B Operations Certification is required.

Responsabilidades

• Lead daily 340B operational activities to ensure accurate program administration, optimization, and compliance for Clearway Health partners.
• Support split-billing software setup for Clearway Health partners and monitor platforms to identify and resolve discrepancies.
• Review, analyze, and understand accumulation data, replenishment transactions, inventory variances and investigate and resolve qualified prescription eligibility issues.
• Analyze program performance metrics and financial outcomes and provide recommendations to optimize performance.
• Prepare recurring operational, compliance, and savings reports including required manufacturer claim reporting.
• Identify trends, opportunities, and potential operational risks through data review.

Conocimientos

English communication

Customer service

Attention to detail

Discretion

Educación

Bachelor's degree in healthcare administration or related field

Advanced 340B Operations Certification

Herramientas

Microsoft Office

Excel

Descripción del empleo

Welcome to Clearway Health- At Clearway Health, we've been recognized as a Great Place to Work for four years in a row-and we're just getting started. We're redefining specialty pharmacy by improving access to care, delivering personalized support, and helping patients navigate complex medication needs. Our award-winning culture is built on empowering our people to grow, contribute, and make a difference every day. If you're driven to create meaningful change and thrive in a collaborative, purpose-driven environment, you'll fit right in. If you're looking for a role where you can truly make an impact, keep reading below!

Position Summary

The 340B Operations Specialist is responsible for supporting the day-to-day administration, optimization, and compliance oversight of the 340B Drug Pricing Program across Clearway Health partner health systems and contract pharmacy networks. This role serves as a subject matter expert for 340B operational processes, supporting program integrity, inventory management, split-billing operations, contract pharmacy administration, audit readiness, and stakeholder engagement.

The 340B Operations Specialist collaborates with pharmacy leaders, health system partners, manufacturers, third-party administrators, and internal operational teams to maximize program performance while ensuring compliance with all applicable HRSA regulations and organizational policies.

Essential Responsibilities

• Lead daily 340B operational activities to ensure accurate program administration, optimization, and compliance for Clearway Health partners.
• Support split-billing software set up for Clearway Health partners and monitor platforms to identify and resolve discrepancies.
• Review, analyze, and understand accumulation data, replenishment transactions, inventory variances and investigate and resolve qualified prescription eligibility issues.
• Analyze program performance metrics and financial outcomes and provide recommendations to optimize performance.
• Prepare recurring operational, compliance, and savings reports including required manufacturer claim reporting.
• Identify trends, opportunities, and potential operational risks through data review.
• Serve as a resource for health system clients, pharmacy staff, and operational teams regarding 340B processes and requirements.
• Collaborate with pharmacy operations, finance, revenue cycle, compliance, and information technology teams.
• Support onboarding and implementation activities for new programs and partnerships.
• Assist with developing and updating policies, procedures, and training materials both internally and externally.
• Participate in client meetings and operational reviews as assigned.
• Maintain knowledge of HRSA regulations, 340B program & legislation changes, and industry best practices.
• Ensure adherence to diversion and duplicate discount prevention requirements.

Education

• Bachelor's degree in Healthcare Administration, Business Administration, Pharmacy, Public Health, Finance, or related field required.

Certificates, Licenses, Registrations Required

• Advanced 340B Operations Certification

Experience

• Minimum 2-4 years of 340B program experience.
• Experience working with 340B split billing and 340B eligible pharmacy systems required
• Experience supporting audits, compliance programs, or healthcare operational initiatives preferred.

Knowledge/Skills

• Excellent verbal and written English communication skills required; as well as ability to communicate professionally over the phone.
• Excellent interpersonal skills to provide superb, personalized customer service to instill confidence and advocate for patients; ability to explain required information to customers in a comprehensible manner.
• Organized, strong attention to detail, ability to self-direct through multitasking and prioritizing, dependable, empathetic, focused on quality service, goal oriented.
• Cultural sensitivity, understanding, and comfort with a wide range of social, racial, and ethnic populations.
• Must practice discretion and confidentiality as position deals with extremely sensitive and confidential data.
• Ability to understand, explain, and actively promote the clients' objectives through direct coordination and commitment to the program's goals.
• Flexibility to adapt to changes in the departmental needs (i.e., assisting other team members, adjusting assignments, etc.).
• High proficiency in Microsoft Office, particularly Excel, Word, and Outlook. Ability to quickly learn other relevant applications that support management of patient care and assigned responsibilities; and ability to extract necessary information.

Special Working Conditions (On-call, travel, shift, coverage)

• Clearway Health Specialty Pharmacies, serving patients in hospitals, health systems, and communities, may require employees at client sites to work on company-recognized holidays.

This information is being provided to promote pay transparency and equal employment opportunities at Clearway Health. The current annual compensation range for this position is $87,000 - $109,000. The actual rate within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. In addition to a competitive base salary, this role is eligible to participate in the company's bonus program as part of its comprehensive and rewarding benefits package. This opportunity offers a compelling combination of compensation and performance-based incentives designed to recognize and reward contributions.

The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required. External and internal applicants, as well as position incumbents who become disabled as defined under the Americans with Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case-by-case basis.