Pharmacy Business & Analytics Specialist, 340B Program

NYULMC; New York (NY); On-site; USD 122,000 - 158,000; Full time

Job summary

NYU Langone Health is seeking a Pharmacy Business & Analytics Specialist for the 340B program to monitor compliance, optimize revenue, and manage 340B/GPO/WAC pricing integrity. The role focuses on reporting, penny buys, and policy maintenance within the Pharmacy Business & Analytics team.

The candidate will work with EHR, ERP and payor data, supporting IT/eMPI needs and ensuring regulatory adherence while contributing to leadership and risk management initiatives.

Qualifications

• BS in Pharmacy and 3+ years of experience in pharmacy operations
• NYS Pharmacist License required
• 340B Apexus Certified Expert (340B ACE) within six months of hire
• Pharm.D. degree preferred, with strong data analytics and IT familiarity
• Strong Excel skills; Tableau/Power BI and other data visualization tools preferred
• Experience with Epic and pharmacy IT systems a plus

Responsibilities

• Monitor and manage 340B Program revenue using TPA split-billing reports
• Ensure regulatory compliance and pricing integrity (GPO, WAC)
• Support IT/Epic/Willow systems and ongoing maintenance
• Prepare reports for revenue-cycle and pharmacy operations
• Provide training and SOP development for PBA/340B processes
• Collaborate with risk, compliance, QA, and leadership teams

Skills

Revenue integrity analytics

Excel

Tableau

Power BI

Epic experience

Six Sigma

Education

BS in Pharmacy

Pharm.D. (preferred)

NYS Pharmacist License

340B ACE Certification

3+ years experience

Tools

Excel

Tableau

Power BI

Epic

Pharmacy IT

IT systems

Job description

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

Position Summary:

We have an exciting opportunity to join our team as a Pharmacy Business & Analytics Specialist, 340B Program. In this role, the successful candidate As part of the Pharmacy Business & Analytics (PBA) team, this position monitors and manages Third Party Administrator (TPA) split-billing software reports to ensure regulatory compliance and optimization of 340B Program revenue. Of paramount focus will be responsibly monitoring for diversion and 340B, GPO, and WAC pricing integrity. Manages formulary matrix performance reporting and responds to alerts to perform drug mapping, execute on penny buys, and maintain processes for revenue-integrity analytics. Other key areas of focus include conversion factor maintenance, file extractions & connectivity (ongoing support), IT/Epic/Willow support, general reporting and monitoring, compliance (GPO Prohibition), reimbursement and cost report collaboration, assessing current and future opportunities, and inventory maintenance and monitoring. Additionally, this position will assist with the monitoring and management of contract pharmacy operations, writing PBA/340B policies and procedures, education and training, and Office of Pharmacy Affairs Information System (OPAIS) ongoing maintenance.

Job Responsibilities:

Maintain pharmacy acquisition, WAC and 340B costs and assists in charge configuration reviews with revenue cycle and Willow teams. This will require routine consult with the pharmacy purchasing staff and the pharmacy drug wholesaler to ensure accurate pricing and purchase unit configuration in all related electronic billing systems. Investigates and resolves 340B, GPO, and WAC pricing discrepancies with drug wholesalers and further pursues resolution with other resources as necessary. Ensure compliance with all regulatory standards for 340B Program. Monitors for potential drug supply chain issues, wastage and shrinkage, revenue integrity, billing, and mismatches between clinical and financial charge databases. Utilizes the TPA to identify and optimize revenue opportunities by executing orders for Penny Buys (340B). Performs billing quality assurance (QA) before and after price uploads, as well as when new medications are approved by the Pharmacy and Therapeutics Committee (P&T). Assists and supports pharmacy drug file maintenance. Supports related pharmacy applications (Electronic Health Record, automation technology, etc.) including, but not limited to, system upgrade and maintenance, which may require working during off hours. Prepares system generated report to support pharmacy operations and is available for system troubleshooting and downtimes. Supports the auditing process required for program compliance and reporting. Assists and supports employee training for systems utilization and adaptation. Supports a non-punitive reporting approach when medication variances are identified as due to an individual/group involvement. Provides tools and coaching sessions, when necessary, to establish an environment for improvement. Act as a liaison to the TPA, other vendors, consultants, and pharmacy. Attend meetings as required. Serves as a member of the pharmacy departments leadership team. Supports an environment dedicated to the safety of our patients and staff and facilitate a perpetual efficiency-improvement process in the medication-use physical environment. Precepts pharmacy students and residents if so assigned. Collaborates with Risk Management, Compliance, and QA Departments as necessary. Supports other pharmacy functions as needed. Participates in scholarly/professional activities.

Minimum Qualifications:

• To qualify you must have a BS in Pharmacy 3+ years of experience 340B Apexus Certified Expert (340B ACE) Certification within six months of hire
• NYS Pharmacist License Required.

Required Licenses:

• Pharmacist License-NYS

Preferred Qualifications:

• Doctor of Pharmacy (Pharm.D.)
• 340B ACE Certification.
• Pharmacy IT experience
• Informatics degree or certificate
• Strong Microsoft Excel skills with experience in Tableau, Power BI, and other data analytic/visualization platforms
• Prior experience with implementation of Epic
• Knowledge of Six Sigma

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $121,792.21 - $157,500.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.