Director Of 340b And Systems Administration

Betances Health Center; New York (NY); On-site; USD 180,000 - 240,000; Full time

Job summary

Betances Health Center is seeking a Director of 340B and Systems Administration to oversee the organization’s enterprise-wide 340B Drug Pricing Program, manage contracts and in-house pharmacy operations, and drive strategic initiatives across multiple sites.

The role requires leadership in HRSA/OPA compliance, policy design, and cross-functional collaboration to maximize 340B savings and ensure compliant billing and reporting. Brooklyn expansion is a key priority.

Qualifications

• BA/BS in Accounting, Finance or related field required.
• Progressive leadership experience in 340B program management at director level preferred.
• Demonstrated success in 340B capture, contract pharmacy relationships, and in-house pharmacy operations.
• Strong knowledge of HRSA/OPA compliance, 340B split-billing, and audits.
• Experience with 340B systems administration and related software.

Responsibilities

• Direct strategic and operational oversight of the 340B Program across all sites.
• Own and drive improvements of 340B capture rate to 60% by end of 2026.
• Lead build-out of in-house pharmacy program including licensure and enrollment.
• Select and integrate pharmacy management system with EHR and 340B software.
• Staff recruitment including pharmacist-in-charge and dispensing staff.
• Scale dispensing operations and manage network to expand Brooklyn coverage.
• Ensure Medicare Part D compliance and update billing processes as needed.
• Maintain audit frameworks, risk mitigation, and compliance reporting.
• Administer 340B systems (split-billing, inventory management, TPAs, analytics).
• Develop training programs on 340B policy and regulatory updates.
• Advise CEO and executive leadership on regulatory strategies and financial performance.

Skills

340B program management

HRSA/OPA compliance

contract pharmacy relationships

data analytics

financial reporting

leadership

policy design

Education

BA/BS in Accounting or Finance or related field

Tools

340B split-billing platforms

TPA platforms

pharmacy management systems

EHR integration

Sentry Data analytics

Job description

• Direct strategic and operational oversight of the organization's 340B Program across all sites, ensuring full alignment with HRSA/OPA rules and regulations.
• Own and drive improvement of the 340B prescription capture rate, with a defined target of 60% by the end of 2026, through policy design, workflow optimization, and pharmacy/vendor partnerships.
• Lead the build-out and phased implementation of the organization's in-house pharmacy program, including: Site licensure, DEA registration, and payer/NCPDP enrollment.
• Pharmacy management system selection, configuration, and integration with the EHR and 340B split-billing software.
• Staffing, including recruitment of pharmacist-in-charge and dispensing staff.
• Scaling dispensing operations across sites, with accountability for adoption, in-house capture share, and inventory/compliance validation.
• Grow and manage the contracted pharmacy network, with a specific priority on expanding coverage and relationships in Brooklyn to close access gaps for our patients.
• Monitor and ensure compliance with the Medicare Part D drug carve-out and other evolving regulatory changes affecting 340B eligibility, billing, and duplicate-discount prevention; update claims identification and billing processes as needed.
• Institute and maintain audit frameworks, risk mitigation processes, and compliance reporting; prepare financial and compliance reports for executive leadership.
• Administer 340B-related systems (split-billing software, inventory management, TPA platforms, reporting/analytics tools such as Sentry Data or equivalent), ensuring data integrity and efficient workflows.
• Develop and deliver training and knowledge-sharing programs for staff on 340B policy, regulatory updates, and compliance protocols.
• Serve as a trusted advisor to the CEO and executive leadership, providing financial insights and regulatory strategies that align with organizational goals.

Brief Description

Principal Duties and Responsibilities

• Direct strategic and operational oversight of the organization's 340B Program across all sites, ensuring full alignment with HRSA/OPA rules and regulations.
• Own and drive improvement of the 340B prescription capture rate, with a defined target of 60% by the end of 2026, through policy design, workflow optimization, and pharmacy/vendor partnerships.
• Lead the build-out and phased implementation of the organization's in-house pharmacy program, including: Site licensure, DEA registration, and payer/NCPDP enrollment.
• Pharmacy management system selection, configuration, and integration with the EHR and 340B split-billing software.
• Staffing, including recruitment of pharmacist-in-charge and dispensing staff.
• Scaling dispensing operations across sites, with accountability for adoption, in-house capture share, and inventory/compliance validation.
• Grow and manage the contracted pharmacy network, with a specific priority on expanding coverage and relationships in Brooklyn to close access gaps for our patients.
• Monitor and ensure compliance with the Medicare Part D drug carve-out and other evolving regulatory changes affecting 340B eligibility, billing, and duplicate-discount prevention; update claims identification and billing processes as needed.
• Institute and maintain audit frameworks, risk mitigation processes, and compliance reporting; prepare financial and compliance reports for executive leadership.
• Administer 340B-related systems (split-billing software, inventory management, TPA platforms, reporting/analytics tools such as Sentry Data or equivalent), ensuring data integrity and efficient workflows.
• Develop and deliver training and knowledge-sharing programs for staff on 340B policy, regulatory updates, and compliance protocols.
• Serve as a trusted advisor to the CEO and executive leadership, providing financial insights and regulatory strategies that align with organizational goals.

Requirements

Knowledge, Education, Skills and Abilities Required

• BA/BS Degree in Accounting, Finance or related field required.
• Progressive leadership experience in 340B program management, ideally including experience at the Director or Senior Director level within a health system or FQHC network.
• Demonstrated success improving 340B capture rate, managing contract pharmacy relationships, and/or standing up in-house or specialty pharmacy operations.
• Strong working knowledge of HRSA/OPA compliance requirements, 340B split-billing, and audit frameworks.
• Familiarity with Medicare Part D policy as it relates to 340B billing and duplicate discount prevention preferred.
• Experience with 340B and pharmacy systems administration (e.g., split-billing platforms, inventory management, pharmacy management systems, TPA coordination).
• Advanced 340B certification (e.g., Apexus 340B University) preferred.
• Excellent analytical, financial reporting, and cross-functional communication skills.

Summary

The Director of 340B and Systems Administration leads the organization's enterprise-wide 340B Drug Pricing Program, including compliance, procurement, contract pharmacy relationships, and the systems that support them. This is a revenue-generating leadership role responsible for maximizing 340B savings and prescription capture, standing up and scaling the organization's in-house pharmacy operations, and expanding our contracted pharmacy network - with a particular focus on growing coverage in Brooklyn. The Director serves as the organization's subject-matter expert on HRSA/OPA compliance and emerging regulatory changes, including the Medicare Part D drug carve-out, and is a trusted advisor to executive leadership on program strategy and financial performance.