Assistant Vice President

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

9:00 A.M - 5:00 P.M

Duties & Responsibilities

NYC Health + Hospitals is the largest public healthcare system in the United States, providing essential outpatient, inpatient, and community-based services to more than one million New Yorkers annually across the five boroughs. The Assistant Vice President (AVP), 340B Operations provides enterprise leadership and strategic oversight of the 340B Drug Pricing Program across all eligible NYC Health + Hospitals covered entities and contract pharmacy arrangements. The AVP is responsible for ensuring program integrity, regulatory compliance, financial optimization, and operational consistency systemwide, supporting reinvestment of 340B savings to advance access, quality, and equity.


The AVP, 340B Operations serves as the organization's 340B subject matter expert and primary liaison to internal stakeholders (Pharmacy, Finance, Revenue Cycle, Legal, Compliance, IT/EITS, Ambulatory Care, Managed Care) and external partners (wholesalers, manufacturers, contract pharmacies, third-party administtators, PBMs, and 340B technology vendors). This role leads the development and implementation of policies, governance structures, analytical tools, and performance metrics to ensure compliant, efficient, and financially sustainable 340B operations aligned with NYC Health + Hospitals' mission and strategic plan.

SUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES:

Strategic Planning

• Provides strategic leadership and direction for the 340B Program across all covered entities, 340B child sites, and contract pharmacies to ensure compliant, high-performing operations.
• Develops and oversees enterprise-wide 340B strategies that support organizational financial goals, population health priorities, and access to care.
• Collaborates with corporate leadership, site Directors of Pharmacy, Finance, Compliance, and operational leaders to standardize 340B practices, reduce variation, and strengthen systemwide 340B infrastructure.
• Identifies and evaluates opportunities to expand and optimize 340B participation (e.g., new contract pharmacies, eligible child sites, service lines) while maintaining compliance and managing risk.
• Partners with EITS, Epic, and other technology teams to design, optimize, and implement 340B-related system configurations, interfaces, and reporting tools.
• Establishes measurable performance indicators for 340B (e.g., capture rates, audit findings, financial performance) and monitors progress against organizational targets.
• Leads enterprise governance for 340B, including chairing/co-chairing relevant committees and ensuring effective escalation, decision-making, and alignment with system priorities.

Operational Performance

• Provides executive oversight of day-to-day 340B operations at the enterprise level, including purchasing, accumulator and split-billing processes, and contract pharmacy data flows.
• Ensures consistent, compliant, and efficient processes for 340B-eligible dispensing in outpatient, inpatient, and mixed-use care settings, in coordination with site pharmacy leadership.
• Collaborates with facilities, revenue cycle, managed care, and patient access teams to prevent duplicate discounts, optimize billing integrity, and support 340B-related revenue capture.
• Utilizes audit results, monitoring reports, key performance indicators, and incident data to drive continuous improvement in 340B compliance, data integrity, and operational reliability.
• Ensures adherence to all applicable federal and state regulations, HRSA/OPA guidance, manufacturer policies, and accreditation and payer standards as they pertain to 340B.
• Oversees maintenance of all 340B-related registrations, including HRSA 340B OPAIS for covered entities and 340B child sites, and ensures timely updates and documentation.

Business Analysis

• Analyzes business and operational needs related to 340B and ensures that functional, financial, and technical requirements are clearly documented for system initiatives.
• Monitors financial and operational KPIs and dashboards (e.g., savings, revenue, margin impact, audit outcomes) to track performance, ensure transparency, and support leadership reporting.
• Evaluates and monitors contract pharmacy relationships, including fee structures, financial performance, audit expectations, and risk profile, to ensure value and compliance.
• Participates in and/or leads development of Project Charters, business cases, financial models, Proofs of Concept (POCs), and operational models related to 340B strategies.
• Prepares routine and ad hoc status updates and executive-level reports summarizing 340B program performance, risks, opportunities, and recommended actions.

Operational/Strategic Project Support

• Leads or sponsors short- and long-term strategic initiatives involving 340B, including program expansion, system integration, technology upgrades, and process redesign.
• Oversees development and maintenance of standard operating procedures, work plans, and project documentation for 340B initiatives.
• Contributes to systemwide projects that intersect with 340B (e.g., new service lines, clinic expansions, M&A activity) to ensure program impacts, risks, and requirements are addressed.

Compliance, Audit, and Risk Management

• Serves as the primary enterprise lead for 340B compliance, including prevention of diversion and duplicate discounts.
• Oversees preparation for, participation in, and response to HRSA 340B audits, manufacturer audits, and payer reviews, including implementation and monitoring of corrective action plans.
• Designs and oversees a robust self-audit and monitoring program, including internal audits of mixed-use, contract pharmacies, in-house pharmacies, and eligible sites, as well as use of independent external auditors as appropriate.
• Identifies and escalates emerging 340B-related regulatory and operational risks and works with Legal, Compliance, and Finance to develop mitigation strategies.

Education, Communication, and Stakeholder Engagement

• Develops and maintains a comprehensive 340B education and training program for staff and leaders involved in 340B-related processes.
• Creates and executes communication plans to keep stakeholders informed of regulatory changes, program updates, audit results, and key performance trends.
• Serves as a resource and advisor to senior leadership, facility executives, and clinical and operational leaders on 340B opportunities, constraints, and best practices.

Enterprise Operational Resource and Problem Resolution

• Serves as a systemwide operational resource for 340B matters, providing guidance, issue escalation, and rapid problem resolution for facilities and internal teams.
• Facilitates communication across sites and departments to ensure alignment with enterprise 340B standards, timelines, and compliance expectations.

Minimum Qualifications
1. Master's degree from an accredited college or university in Hospital, Business or Public Administration, Health Care Planning or a related discipline; and five (5) years of progressively responsible experience in health and medical service administration, public administration, personnel and labor relations, finance or an appropriate functional discipline with an emphasis on planning, liaison and inter-organizational relationships or related administrative or managerial functions; or
2. Bachelor's degree from an accredited college or university in disciplines, as listed in #1 above; and six (6) years of progressively responsible experience, as described in #1 above; or
3. Satisfactory equivalent combination of education, training and experience. However, all candidates must have a minimum of a Bachelor's degree in disciplines, as listed in #1 above.

Department Preferences

• Bachelor's Degree in Pharmacy or Pharm.D required.
• MBA, MHA or MPH, preferred
• Experience working for a large, integrated hospital or ambulatory care system and specialized knowledge and experience with 340B program design, operations, and compliance in a healthcare environment are strongly preferred.
• Strong leadership and people-management skills; deep knowledge of 340B regulations and operational models; and advanced analytical, project-management, and communication skills to effectively collaborate with senior leaders across a large, integrated healthcare
• Pharmacy Operations and Management 340B Program Operations, Compliance, and Financial Management
• Excellent communication, leadership, interpersonal and presentation skills, required.
• Ability to formulate, develop and implement service programs and to direct and supervise service personnel and staff activities.
• Ability to work effectively with facility leadership, medical personnel, and to coordinate programs and activities.

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

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