Pharmacy Procurement Manager

Pharmacy Business Manager

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job – it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.

The Pharmacy business manager is responsible for the operational and fiscal management of pharmacy procurement, billing and the compliant administration of the 340B Drug Pricing Program across Connecticut Children's and applicable affiliates, covered entity locations, and contract pharmacy arrangements. This role works in consultation with pharmacy leadership and collaborates with pharmacy, finance, supply chain, compliance, information technology, revenue cycle, and clinical stakeholders to support medication availability, regulatory compliance, and revenue cycle. Additionally, the pharmacy business manager is a subject matter expert on all automated dispensing systems in order to support the overall business.

The manager provides direct leadership for both procurement and 340B team members (pharmacy purchasing staff, 340B and billing analysts). The role oversees purchasing workflows, inventory controls, shortage and recall response, vendor and wholesaler relationships, split-billing and purchasing systems, 340B registration and recertification support, audit readiness, internal monitoring, reporting, and corrective action processes. The position also contributes to strategic planning by identifying operational risks, savings opportunities, compliance gaps, and process improvements for review and execution by pharmacy leadership. This position additionally complies with state and federal regulations specific to purchasing, 340B, billing and related items (DSCSA, controlled substance regulations, etc)

The manager additionally provides indirect oversight to pharmacists and pharmacy technicians specific to policies and procedures related to this role that impacts their daily workflows. This includes training, auditing and accountability for appropriate workflows being followed.

Responsibilities

340B program compliance, governance, and audit readiness

Oversees day-to-day compliance of the 340B Drug Pricing Program for all applicable covered entities, child sites, points of service, and contract pharmacy relationships.

Coordinates annual HRSA recertification activities, supports registration of new eligible sites, and monitors ongoing eligibility requirements in collaboration with pharmacy leadership, compliance, finance, and organizational stakeholders.

Maintains current knowledge of 340B statutes, HRSA guidance, program interpretations, audit trends, and proposed or finalized regulatory changes; evaluates potential operational and financial impact and escalates recommendations to pharmacy leadership.

Develops, maintains, and reviews 340B policies and procedures at least annually and whenever program requirements, interpretations, systems, or operational workflows change.

Supports compliant medication procurement, billing, inventory management, patient definition adherence, prevention of diversion, prevention of duplicate discounts, Medicaid billing controls, and GPO prohibition compliance as applicable.

Coordinates internal and external audits, self-audits, and compliance assessments; validates findings, documents outcomes, and leads corrective action planning in collaboration with leadership and stakeholders.

Ensures contract pharmacy agreements, records, and monitoring practices support HRSA contract pharmacy expectations and organizational compliance standards.

340B operations, analytics, systems, and financial optimization

Oversees 340B operational workflows, accumulations, replenishment activity, split-billing software processes, purchasing records, and program documentation to support accurate and compliant participation.

Collaborates with information technology, finance, revenue cycle, and pharmacy teams on charge description master changes, NDC mapping, product changes, purchasing account setup, data feeds, and system functionality affecting 340B qualification or claim accuracy.

Develops routine 340B dashboards and quarterly and annual reports summarizing utilization, savings, exceptions, discrepancies, audit results, corrective actions, and emerging program risks.

Collaborates with pharmacy leadership to review formulary pricing, GPO and 340B account strategy, 340B Prime Vendor Program opportunities, and potential alternatives that support compliance and appropriate savings optimization.

Provides education, communication, and guidance to pharmacy staff, providers, finance, compliance, and other program participants regarding 340B workflows, compliance expectations, and operational changes.

Oversees 340B program for specialty pharmacy or equivalent business-related entities for growth and compliance.

Pharmacy procurement, inventory, and medication supply management

Oversees pharmacy purchasing operations to ensure timely and cost-effective procurement of medications, vaccines, emergency supplies, equipment, and related pharmacy products.

Coordinates purchasing, receiving, inventory, distribution, recordkeeping, purchase requisitions, purchase orders, wholesaler invoice review, and coordination with Accounts Payable.

Monitors and manages inventory levels, inventory turns, par levels, excess inventory, expiring medications, annual inventory activities, and inventory valuation processes.

Coordinates response to medication shortages, backorders, recalls, product substitutions, alternative sourcing, borrow/loan processes, and communication plans to minimize patient care disruption.

Maintains oversight of vaccine and emergency supply processes, including influenza supply, bioterrorism or emergency preparedness inventory, temperature log coordination as applicable, and other critical supply workflows.

Maintains computerized procurement systems, pharmacy inventory technology, automated dispensing or distribution system interfaces, and other software or hardware used in procurement, preparation, or distribution of pharmaceuticals and supplies.

Vendor management, contracting, and financial stewardship

Serves as a resource for product information, vendor information, group purchasing organization contracting, wholesaler relationships, and purchasing account management.

Evaluates vendor performance, pricing changes, average wholesale price updates, utilization patterns, supply standardization opportunities, and contract compliance to support cost-effective procurement practices.

Participates in vendor negotiations, product evaluations, requests for proposal, and sourcing decisions in collaboration with pharmacy, supply chain, finance, legal, and organizational leadership.

Supports development of expense reduction and cost optimization initiatives, including analysis of cost-saving opportunities, implementation strategies, and projected savings.

Oversees data integrity for item master, vendor, manufacturer, contract, and purchasing files in collaboration with supply chain and information systems partners.

Pharmacy Billing

Leadership, staff supervision, education, and operational improvement

Directly supervises pharmacy procurement and 340B staff, including purchasers, assistant purchasers, 340B analysts, coordinators, or related personnel as assigned.

Participates in selection, hiring, onboarding, scheduling, timekeeping, competency validation, performance management, coaching, mentoring, recognition, corrective action, and staff development activities.

Prioritizes daily team work, coordinates workload across procurement and 340B functions, and ensures appropriate coverage for critical purchasing, inventory, and compliance activities.

Develops education, training tools, competency materials, standard work, and performance expectations related to purchasing workflows, MMIS or inventory systems, 340B systems, and compliance responsibilities.

Leads or participates in continuous quality improvement, medication safety, operational efficiency, regulatory readiness, and performance improvement initiatives or committees as assigned.

Qualifications

Education: Associates or Bachelor's degree in business, healthcare administration, supply chain, pharmacy, finance, or related field may substitute for part of the required experience per policy.

Experience: 3–5 years in pharmacy purchasing/operations, healthcare supply chain, 340B operations, compliance, finance, or related healthcare operations. Experience with purchasing workflows, inventory management, vendor coordination, record reconciliation, reporting, and/or healthcare compliance processes. Ability to lead work, set priorities, train staff, and collaborate across departments.

License / Certification / Registration: Complete 340B University OnDemand core + role modules within 6 months of hire; annual refresher thereafter. Registered Pharmacy Technician or Registered Pharmacist License in the state of Connecticut Complete ASHP Accreditation & Regulatory Compliance Certificate (or equivalent) within 12 months of hire. Obtain Apexus Advanced 340B Operations Certificate /Apexus Certified Expert (ACE) within 18 months. If a pharmacy technician, must be have PTCB Certification

Knowledge

• Management of GPO contracts and pricing optimization
• Apply 340B program requirements in practice to keep the organization continuously