Senior 340B Strategy & Reimbursement Operations Manager

Fairview Health Services

Shoreview (MN)

On-site

USD 115,000 - 162,000

Full time

5 days ago
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Benefits offered by this job

Tuition reimbursement
Retirement plan
Paid time off
Early wage access
Health insurance

Job summary

Fairview Health Services in Shoreview, MN is seeking a Manager, Pharmacy 340B Strategy and Reimbursement Operations to lead the MFP and rebate programs, ensuring readiness and compliance. You will partner with pharmacy operations, IT, revenue cycle, and external stakeholders to optimize reimbursement and program integrity.

The role requires strong analytical and leadership skills, experience with Medicare Part D and 340B strategies, and the ability to manage cross-functional initiatives and

Qualifications

  • Bachelor's degree in Business, Finance, Healthcare Administration, Pharmacy, Accounting, Information Systems, or related field.
  • 5 years healthcare, pharmacy reimbursement, revenue cycle, payer relations, 340B, government program administration, or related experience.
  • 3 years leadership, project leadership, or program management experience.
  • Experience working with Medicare, Medicaid, PBMs, manufacturers, or healthcare reimbursement models.

Responsibilities

  • Lead operational execution for MFP and manufacturer rebate programs, including claim identification, eligibility validation, data submission, reconciliation, payment validation, issue resolution, and revenue recovery.
  • Design, implement, and refine operational workflows, policies, procedures, and internal controls for accurate, scalable, and compliant program execution.
  • Develop performance measures, monitor operational and financial outcomes, and provide reporting and recommendations to leadership.
  • Identify operational risks, reimbursement gaps, and process improvement opportunities; lead corrective actions that improve program performance, controls, and financial outcomes.
  • Serve as the internal subject matter expert for MFP and rebate operations and, as capacity allows, provide strategic support for adjacent 340B priorities.

Skills

Leadership
Regulatory knowledge (Medicare Part D,
Regulatory knowledge (340B)
Communication skills
Project management
Financial reconciliation
Excel proficiency
Analytical thinking
Negotiation/relationship management
Apexus 340B Certificate

Education

Bachelor's degree in Business, Finance, Healthcare Administration, Pharmacy, Accounting, Information Systems, or related field

Job description

Fairview Health Services in Shoreview, MN is seeking a Manager, Pharmacy 340B Strategy and Reimbursement Operations to lead the MFP and rebate programs, ensuring readiness and compliance. You will partner with pharmacy operations, IT, revenue cycle, and external stakeholders to optimize reimbursement and program integrity.

The role requires strong analytical and leadership skills, experience with Medicare Part D and 340B strategies, and the ability to manage cross-functional initiatives and

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