340B Pharmacy Operations Lead — Travel Required

Cahaba Medical Care; Birmingham (AL); On-site; USD 110,000 - 140,000; Full time

Job summary

Cahaba Medical Care seeks a 340B Pharmacy Manager to lead the organization’s 340B Drug Program, ensuring HRSA compliance while optimizing drug purchasing, inventory workflows, and contract pharmacy activities across clinics. The role requires a PharmD or BS in Pharmacy, Alabama RPh license, and 3+ years in pharmacy with 340B experience; PGY1/PGY2 in Administration or Managed Care is preferred.

Travel between Birmingham and Centreville is required, with strong communication to educate staff on

Qualifications

• PharmD or BS in Pharmacy from ACPE-accredited school.
• Current, unencumbered RPh license in Alabama (or eligible for licensure by reciprocity).
• 3+ years of pharmacy experience with 1–2 years dedicated to 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.

Responsibilities

• 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.

Skills

Communication skills

Regulatory compliance

Data analytics

Education

PharmD or BS in Pharmacy (ACPE-accredited)

Job description

Cahaba Medical Care seeks a 340B Pharmacy Manager to lead the organization’s 340B Drug Program, ensuring HRSA compliance while optimizing drug purchasing, inventory workflows, and contract pharmacy activities across clinics. The role requires a PharmD or BS in Pharmacy, Alabama RPh license, and 3+ years in pharmacy with 340B experience; PGY1/PGY2 in Administration or Managed Care is preferred.

Travel between Birmingham and Centreville is required, with strong communication to educate staff on