Director, Business Optimization

RXinsider LTD.; Grapevine, Northern (TX, KY); Hybrid; USD 146,000 - 208,000; Full time

Benefits offered by this job

Medical, dental and vision plans

Retirement plans with matching

Paid time off

Life insurance

Disability coverage

Wellness programs

Job summary

RXinsider LTD. seeks a Director, 340B Optimization to lead the development and execution of our 340B capture optimization across the customer portfolio in Grapevine, Texas.

You will leverage claims data and deep 340B expertise to quantify opportunities and translate insights into measurable value for customers and growth for the business. You will own the 340B TPA platform, align 340B operations, analytics, compliance, technology and commercial strategy, and drive adoption while ensuring

Qualifications

• 8+ years in 340B, pharmacy ops, analytics, or healthcare tech.
• Deep 340B knowledge: eligibility, claims, compliance, audits.
• Experience building or scaling 340B qualification/capture capabilities.
• Able to analyze complex claims data and translate findings to actions.
• Knowledge of 340B TPA platforms and related workflows.

Responsibilities

• Lead development and execution of 340B capture optimization across the customer portfolio.
• Own the 340B TPA platform, define requirements and roadmap with Technology and Product.
• Translate findings into actionable opportunities and drive program adoption.
• Ensure compliance, audit-readiness, and strong program integrity.

Skills

340B expertise

Claims data analysis

Cross-functional leadership

Regulatory compliance

Audit readiness

Analytical mindset

Education

Bachelor's degree in Pharmacy or related field

Tools

340B TPA platform

Job description

Director, 340B Optimization

Reports to: VP, Analytics & Optimization | Function: 340B Strategy & Optimization

Role Summary

The Director, 340B Optimization will lead the development and execution of the 340B capture optimization capability across the customer portfolio. This role will use claims data and deep 340B expertise to identify eligible volume that is not currently being captured, quantify the financial opportunity, and translate those insights into measurable value for customers and growth for the business.

The Director will also serve as the business owner of the 340B TPA platform, connecting 340B operations, analytics, compliance, technology, and commercial strategy to maximize platform capabilities and drive greater customer value and adoption.

Key Responsibilities

340B Capture Optimization & Analytics

• Analyze client claims data to identify eligible 340B volume that is not currently being captured and quantify the financial opportunity by customer.
• Apply deep 340B expertise to distinguish legitimate capture opportunities from claims that do not qualify, ensuring recommendations are compliant, defensible, and audit-ready.
• Develop a disciplined approach to measuring capture performance, identifying gaps, prioritizing opportunities, and tracking realized value across the customer portfolio.
• Build and scale a claims-analysis capability across the 340B business, beginning with hands-on analysis and evolving to scalable internal tools, analytics, and/or strategic partnerships as the value is proven.

Customer Value & Commercial Growth

• Translate capture optimization findings into clear, actionable customer opportunities, demonstrating where eligible 340B savings may be missed and how additional value can be realized.
• Partner with Commercial, Customer Success, and 340B leadership to convert identified opportunities into increased program participation, customer value, and business growth.
• Support value-based commercial strategies, including at-risk and gain-share models where appropriate.
• Provide data-driven insights that strengthen customer relationships, retention, and utilization of Omnicell's 340B solutions.

340B TPA Platform Business Ownership

• Serve as the business owner for the 340B TPA platform, defining business requirements, capabilities, priorities, and roadmap needs in partnership with Technology and Product.
• Leverage the claims data underlying the platform to improve capture performance, customer insights, and overall platform value.
• Connect operational, analytical, compliance, and commercial needs to ensure platform capabilities support the evolving needs of the 340B business and its customers.

Compliance & Program Integrity

• Ensure capture optimization strategies align with applicable 340B requirements and organizational compliance standards.
• Establish appropriate validation and controls to ensure identified opportunities are audit-defensible and do not introduce inappropriate capture or clawback risk.
• Partner with Compliance, Legal, Operations, and other stakeholders as optimization capabilities and commercial models are developed and expanded.

What Success Looks Like (First 12-24 Months)

• A repeatable 340B capture optimization methodology established and deployed across the customer portfolio.
• Previously unrealized eligible 340B capture opportunities identified, quantified, and converted into measurable customer savings and business value.
• Scalable claims-analysis capabilities established with clear measurement of capture performance and opportunity.
• Clear business ownership and governance established for the 340B TPA platform, with priorities aligned to customer and business needs.
• Increased capture and customer value achieved while maintaining strong compliance, program integrity, and audit defensibility.

Qualifications & Experience

• 8+ years of progressive experience in 340B, pharmacy operations, pharmacy analytics, healthcare technology, or related functions.
• Deep 340B expertise, including strong knowledge of claims qualification, eligibility requirements, program compliance, and audit considerations.
• Demonstrated experience building or significantly scaling 340B claims-qualification, capture optimization, or related capabilities within a complex pharmacy or healthcare environment.
• Strong analytical capabilities with the ability to personally analyze complex claims data, identify patterns and opportunities, quantify financial impact, and translate findings into business action.
• Working knowledge of 340B TPA platforms and the claims data, workflows, and business processes that support them.
• Experience translating analytics and operational insights into customer value, commercial opportunities, and measurable financial results.
• Demonstrated ability to work effectively across Operations, Technology, Product, Analytics, Compliance, Customer Success, and Commercial teams.

Competencies

• 340B subject matter expert - deeply understands what qualifies, what does not, and how to optimize capture while protecting program integrity.
• Analytical operator - comfortable working directly with claims data to identify opportunities and then developing scalable approaches to expand the capability.
• Customer value focused - translates complex claims analysis into clear, actionable opportunities that create measurable value for covered entities.
• Commercially minded - understands how improved customer outcomes can translate into adoption, retention, and responsible business growth.
• Technology + business translator - connects the capabilities of the 340B TPA platform with operational, analytical, compliance, and commercial needs.
• Builder - creates new capabilities, processes, governance, and tools and develops the approach needed to scale them across the business.

Base Compensation: $145,600.00 to $208,000.00

(Actual compensation is subject to variation due to such factors as location, education, experience, and skillset. We offer a comprehensive benefits package, including medical, dental and vision plans covering eligible US employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and paid time off.)