Strategic 340B Reimbursement Ops Leader

M Health Fairview; Shoreview (MN); On-site; USD 120,000 - 180,000; Full time

Job summary

M Health Fairview in Shoreview, MN, seeks a Manager of Pharmacy 340B Strategy and Reimbursement Operations to provide strategic leadership for the 340B program, with primary accountability for MFP readiness and rebate operations. The role collaborates across pharmacy operations, IT, revenue cycle, and external partners to optimize reimbursement and compliance.

The position oversees governance, policy implementation, and process improvements to enhance financial outcomes while supporting evolving

Qualifications

• Bachelor’s degree in a related field.
• 5+ years in healthcare reimbursement, revenue cycle, or related experience.
• 3+ years of leadership or program management experience.
• Experience with Medicare/Medicaid, PBMs, and reimbursement models.
• Strong analytical, problem‑solving, and financial reconciliation skills.
• Proficiency in Excel, reporting tools, and data analytics.

Responsibilities

• Direct operational execution for MFP and manufacturer rebate programs, including claim identification, eligibility validation, data submission, reconciliation, payment validation, issue resolution, and revenue recovery.
• Design and refine operational workflows, policies, procedures, and internal controls for scalable program execution.
• Develop performance measures and provide leadership with clear reporting and recommendations.
• Identify operational risks and lead corrective actions to improve performance and financial outcomes.
• Serve as SME for MFP and rebate operations and support adjacent 340B priorities as capacity allows.
• Oversee data submission, invoicing, receivable monitoring, and collection of program payments.
• Lead vendor relationships and conduct regular business reviews with external partners.

Skills

Leadership

Excel

Project management

Communication

Education

Bachelor’s degree in Business/Healthcare Administration

Tools

MS Excel

Job description

M Health Fairview in Shoreview, MN, seeks a Manager of Pharmacy 340B Strategy and Reimbursement Operations to provide strategic leadership for the 340B program, with primary accountability for MFP readiness and rebate operations. The role collaborates across pharmacy operations, IT, revenue cycle, and external partners to optimize reimbursement and compliance.

The position oversees governance, policy implementation, and process improvements to enhance financial outcomes while supporting evolving