340b Pharmacy Manager

FQHC Talent; Birmingham (AL); On-site; USD 110,000 - 140,000; Full time

Job summary

Cahaba Medical Care is seeking a Pharmacy Manager to lead the 340B Program at our Birmingham, AL facility. The role focuses on regulatory compliance, program optimization, and cross-functional collaboration with clinical teams.

You will review clinical documentation and manage audits, while overseeing inventory and 340B accounts to maximize cost savings and ensure patient access. This position may require travel between sites as needed.

Qualifications

• PharmD or Bachelor of Science in Pharmacy from ACPE-accredited school.
• Active Alabama Pharmacist license or eligibility by reciprocity.
• Minimum 3 years of pharmacy experience with 1–2 years in 340B program operations.
• Experience with HRSA regulations and 340B program management preferred.

Responsibilities

• Serve as the SME on 340B regulatory matters and policy alignment.
• Review EHR documentation to validate patient and prescription eligibility.
• Lead internal audits and respond to HRSA or manufacturer audits.
• Oversee inventory and 340B accounts to maximize savings.
• Manage 340B vendor contracts and 340B software configurations.

Skills

Communication skills

Regulatory compliance

Education

PharmD or BS in Pharmacy

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Pharmacy Manager, 340B Program

Administration Full Time Urban Central Office, Birmingham, AL, US

Pharmacy Manager, 340BProgram

Reports to Chief Operations Officer/Chief Medical Officer

Background : Cahaba Medical Care is a Community Health Center (FQHC), accredited as a Patient-Centered Medical Home (PCMH ) by the National Committee for Quality Assurance (NCQA) and Joint Commission, that provides medical, pharmacy, dental, and behavioral health services to diverse underserved communities. We are committed to increasing integration and coordination of behavioral health and primary care. This is an exciting, fast paced practice with a strong mission and commitment to providing high quality care .

Purpose : The 340B Pharmacy Manager is responsible for the qualifications, compliance, operational execution, and financial optimization of the organization's 340B Drug Program. This role leverages deep clinical pharmacy knowledge alongside data analytics to optimize drug purchasing, manage complex inventory workflows, and ensure total compliance with HRSA (Health Resources and Services Administration) regulations. The manager bridges the gap between clinical operations, pharmacy informatics, and federal compliance to stretch scarce resources for underserved patient populations.

Responsibilities and Duties:

Serve as the primary subject matter expert on all 340B regulatory matters, ensuring policy alignment with clinical pharmacy workflows.

Review clinical documentation and provider status within the Electronic Health Record (EHR) to validate patient and prescription eligibility (preventing drug diversion).

Lead routine internal self-audits of mixed-use areas, clinics, and contract pharmacy networks, and direct responses to external HRSA or manufacturer audits.

Monitor Medicaid billing workflows to strictly prevent duplicate discounts (managing Medicaid carve-in/carve-out compliance).

Oversee inventory optimization, ensuring proper replenishment logic (WAC vs. GPO vs. 340B accounts) to maximize financial savings while avoiding drug shortages.

Analyze clinical dispensing data and purchasing trends to uncover optimization opportunities and manage drug cost savings.

Manage relationships and contract integrity with pharmaceutical wholesalers, manufacturers, and the organization's contract pharmacy network.

Manage and fine-tune split-billing and TPA software configurations to align with formulary changes and clinical substitution protocols.

May also serve as a dispensing pharmacist from time to time (if applicable).

Qualifications:

Prior experience in 340b Pharmacy business operations or Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy from an ACPE-accredited school of pharmacy.

If a Pharmacist, current, unencumbered Registered Pharmacist (RPh) license in the state of Alabama (or eligible for licensure by reciprocity).

Minimum of 3 years of pharmacy experience, with at least 1–2 years of dedicated experience managing 340B program operations or pharmacy compliance in a covered entity (e.g., DSH, FQHC). Completion of a PGY1 or PGY2 Pharmacy Residency in Administration or Managed Care is highly preferred.

Strong communication skills to educate clinical staff, medical residents, and providers on 340B regulations and documentation standards.

Travelbetween Birmingham and Centreville required.