Director Of 340b And Systems Administration

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.

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.

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.

At Betances Health Center (Betances) we foster a welcoming and family-centered organization full of empathy, courtesy and respect. We educate and prepare our staff to provide all patients with the best care regardless of race, ethnicity, religion, sexual identity or insurance status. Betances does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, sexual orientation, marital status, disability, genetic information, age, military service, or status as a covered veteran in accordance with applicable federal, state and local laws.