Senior Retail Pharmacy Operations & 340B Compliance Lead

Phelps Health

Rolla (MO)

On-site

USD 85,000 - 110,000

Full time

8 days ago

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Job summary

Phelps Health is seeking a Retail Pharmacy Operations, 340B Contract Pharmacy & Compliance Manager to oversee technicians, non-clinical operations and the 340B program within our Missouri hospital system.

You will lead staffing, workflows, inventory, claims processing and audits to ensure efficient operations, financial integrity, and high-quality patient service, in collaboration with the Pharmacist-in-Charge to meet state and federal requirements.

Qualifications

  • Retail pharmacy operations and 340B contract pharmacy experience required.
  • Proficiency in pharmacy information systems and data analysis with Excel.
  • Knowledge of insurance billing and reimbursement processes required.

Responsibilities

  • Supervise pharmacy technicians and 340B program staff, incl. hiring, scheduling and evaluations.
  • Coordinate daily non-clinical pharmacy operations and technician workflows.
  • Conduct and oversee Contract Pharmacy 340B audits; reconcile claims data and NDCs.
  • Prepare for and serve as primary contact for audits (internal, external, HRSA) of contract pharmacies.
  • Manage medication inventory, ordering and 340B purchasing to prevent shortages and ensure compliance.
  • Serve as contact for pharmacy software and 340B third-party platforms; coordinate updates and troubleshoot data issues.
  • Process and monitor commercial, Medicare and Medicaid claims; investigate denials and lead appeals.
  • Assist patients with manufacturer copay assistance and patient programs.
  • Partner with PIC to ensure compliance with Board of Pharmacy, DEA, HIPAA and 340B requirements; drive workflow improvements.
  • Lead quality improvement initiatives; analyze medication errors and implement corrective actions.

Skills

Leadership
Attention to detail
Data analysis
Insurance billing knowledge

Education

High school diploma or GED
Missouri Pharmacy Technician License
National Pharmacy Technician Certification (CPhT)
340B Apexus Certified Expert (ACE) credential within one year of hire

Tools

Pharmacy information systems

Job description

Phelps Health is seeking a Retail Pharmacy Operations, 340B Contract Pharmacy & Compliance Manager to oversee technicians, non-clinical operations and the 340B program within our Missouri hospital system.

You will lead staffing, workflows, inventory, claims processing and audits to ensure efficient operations, financial integrity, and high-quality patient service, in collaboration with the Pharmacist-in-Charge to meet state and federal requirements.

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