340B Pharmacy Compliance & Optimization Lead

Cahaba Medical Care Foundation; Berney Points (AL); On-site; USD 90,000 - 120,000; Full time

Job summary

Cahaba Medical Care Foundation seeks a 340B Pharmacy Manager to oversee the organization's 340B Drug Program, ensure HRSA compliance, optimize purchasing, and bridge clinical operations with pharmacy informatics. You will lead audits, manage Medicaid workflows to avoid duplicate discounts, and optimize inventory across 340B and contract networks.

This role reports to the COO/CMO and supports a mission-driven health system serving underserved communities.

Qualifications

• PharmD or BS in Pharmacy from ACPE-accredited school.
• Current, unencumbered Alabama RPh license or eligible for licensure.
• Minimum of 3 years of pharmacy experience with 1–2 years in 340B program operations or compliance.
• PGY1 or PGY2 Residency in Administration or Managed Care preferred.
• Strong communication to educate staff on 340B regulations and documentation standards.

Responsibilities

• Serve as the primary subject matter expert on 340B regulatory matters and policy alignment.
• Review EHR clinical documentation and provider status for patient eligibility (prevent drug diversion).
• Lead internal audits of mixed-use areas, clinics, and contract networks; respond to HRSA/manufacturer audits.
• Monitor Medicaid billing to prevent duplicate discounts and ensure carve-in/carve-out compliance.
• Oversee inventory optimization and replenishment logic for 340B accounts to maximize savings.
• Analyze dispensing data and purchasing trends to identify optimization opportunities and cost savings.
• Manage relationships with wholesalers, manufacturers, and contract pharmacies; maintain contract integrity.
• Configure split-billing and 3PA software to align with formulary changes.

Skills

Pharmacist leadership

Communication

Regulatory compliance

Education

PharmD or BS in Pharmacy (ACPE-accredited)

Alabama RPh license or eligible for reciprocity

Tools

HRSA regulations knowledge

Job description

Cahaba Medical Care Foundation seeks a 340B Pharmacy Manager to oversee the organization's 340B Drug Program, ensure HRSA compliance, optimize purchasing, and bridge clinical operations with pharmacy informatics. You will lead audits, manage Medicaid workflows to avoid duplicate discounts, and optimize inventory across 340B and contract networks.

This role reports to the COO/CMO and supports a mission-driven health system serving underserved communities.