Finance Analyst

The 340B Finance Analyst is responsible for overseeing the financial performance, reconciliation, and compliance of the organization's 340B in-house medication program. This role operates within a Ryan White clinic environment and ensures accurate "bill-to/ship-to" workflows, alignment of purchasing and utilization, and full compliance with 340B program requirements.


This position reports to the CFO and serves as the central liaison and anchor point between Finance, Pharmacy, and Nursing/Clinic Operations, ensuring seamless coordination, data integrity, and alignment across all departments involved in medication management and billing.


This role is critical to ensuring financial sustainability and regulatory compliance of the 340B program. By acting as the anchor between Finance, Pharmacy, and Nursing, the 340B Finance Analyst ensures accurate reconciliation, operational alignment, and compliance, ultimately supporting access to medications for underserved populations within the Ryan White program.



Essential Functions And Responsibilities

• Lead end-to-end financial oversight of the 340B in-house medication program.
• Perform and oversee reconciliation of all in-house medications across purchasing, dispensing, and billing systems.
• Ensure accuracy of bill-to/ship-to structures and resolve discrepancies.
• Monitor program performance including revenue, cost, savings, and utilization trends.
• Maintain compliance with 340B and Ryan White program requirements.
• Support audit readiness and maintain proper documentation for HRSA audits.
• Validate billing accuracy and revenue capture for 340B and non-340B medications.
• Oversee financial tracking of medication inventory and purchasing.
• Develop financial reports, dashboards, and provide insights to leadership.
• Serve as the primary liaison between Finance, Pharmacy, and Nursing teams.
• Identify workflow gaps and implement process improvements.
• All other duties as assigned.

• Oversee and perform end-to-end reconciliation of all in-house medications, including purchasing, dispensing, and billing data.
• Ensure accurate tracking and alignment of "bill-to/ship-to" transactions across clinic and pharmacy operations.
• Monitor financial performance of the 340B program and identify discrepancies, variances, or risks.
• Investigate and resolve reconciliation issues in a timely manner.
• Ensure ongoing compliance with 340B program requirements, including prevention of diversion and duplicate discounts.
• Maintain audit-ready documentation to support HRSA audits and internal reviews.
• Monitor adherence to Ryan White program requirements related to medication use and billing.
• Serve as a point of contact for finance-related 340B compliance matters.

• Validate that all in-house medications are billed accurately and appropriately to payers.
• Reconcile medication-related revenue, ensuring proper classification of 340B vs. non-340B claims.
• Collaborate with billing, pharmacy, and clinic teams to resolve claim and reimbursement discrepancies.
• Oversee tracking of medication inventory tied to financial records using split-billing methodologies.
• Validate purchasing data against utilization and billing activity.
• Ensure appropriate controls are in place for "ship-to/bill-to" structures.

• Prepare routine reconciliation reports, variance analyses, and financial summaries for leadership.
• Identify trends and provide recommendations for process improvements and cost optimization.
• Support budget tracking and forecasting related to medication spend and revenue.
• Work closely with Pharmacy, Clinic Operations, IT, and Finance teams to ensure data integrity across systems.
• Support implementation and training of workflows related to reconciliation and compliance.
• Communicate findings, risks, and recommendations to leadership.

• Bachelor's degree in finance, Accounting, Healthcare Administration, or related field required.
• Minimum 3 years of experience in healthcare finance, pharmacy operations, or 340B program support.
• Experience in FQHC or Ryan White program strongly preferred.
• Strong understanding of 340B compliance and financial workflows.
• Advanced Excel and analytical skills.
• Experience with pharmacy systems (e.g., PioneerRx) and EMR preferred.

• High attention to detail and accuracy.
• Cross-functional leadership and communication.
• Accountability and ownership of program performance.
• Ability to work in a fast-paced, compliance-driven environment.

• Experience working with diverse communities or in men's health settings including LGBTQ+.

• Must be able to pass a pre-employment drug test, physical, and a background check to include a 7-year criminal, 10-year SSN & employer history reference check.
• Must be able to provide proof of COVID-19 vaccination on the first day of work.
• Excellent interpersonal skills.
• Attention to detail.
• Must take yearly flu shot or wear flu mask during flu season for patient-facing positions and test for tuberculosis as required by the Centers for Disease Control and Prevention.