Pharmacy 340B Strategy & Reimbursement Operations Manager

Pharmacy 340B Strategy And Reimbursement Operations Manager

Location: Seven Lakes Pharmacy, Shoreview MN

Hours: 80 hours bi-weekly

Schedule: days

The Manager, Pharmacy 340B Strategy and Reimbursement Operations provides strategic leadership and operational oversight for Fairview Pharmacy Services' 340B reimbursement strategy, with primary accountability for Maximum Fair Price (MFP) readiness, implementation, and manufacturer rebate operations. The role is intentionally designed to provide flexibility to support additional 340B program priorities as organizational capacity and business needs evolve, including contract pharmacy restrictions, manufacturer policy requirements, Medicare Part D repository activity, and other reimbursement, access, or program integrity initiatives. This position serves as a business lead and subject matter expert for MFP and 340B rebate operations while maintaining the agility to support adjacent strategy and reimbursement workstreams. The Manager partners closely with pharmacy operations, information technology, revenue cycle, compliance, manufacturers, payers, covered entities, third-party administrators, dispensing software vendors, and external partners to interpret changing requirements, monitor program performance, mitigate financial and compliance risk, resolve operational issues, and strengthen program controls. Through strategic planning, cross-functional coordination, and disciplined execution, the Manager advances scalable processes that optimize reimbursement recovery, preserve 340B program integrity, support operational excellence, and position the organization to respond effectively to evolving manufacturer, payer, federal, technology-driven, and organizational priorities.

Responsibilities

• Program Leadership & Operations
• Financial Reconciliation, Data Submission & Revenue Recovery
• Vendor, Manufacturer & External Partner Management
• Payer, Manufacturer & Program Policy Engagement
• Good Faith Inquiries, Appeals & Denial Management
• Information Technology, Repository Management & Data Governance
• Compliance & Regulatory Oversight
• Leadership & Collaboration

Required Qualifications

• B.S./B.A. Bachelor's degree in Business, Finance, Healthcare Administration, Pharmacy, Accounting, Information Systems, or related field.
• 5 years healthcare, pharmacy reimbursement, revenue cycle, payer relations, 340B, government program administration, or related experience.
• 3 years leadership, project leadership, or program management experience.
• Experience working with Medicare, Medicaid, PBMs, manufacturers, or healthcare reimbursement models.
• Experience analyzing complex financial and operational data.
• Strong understanding of healthcare reimbursement methodologies and pharmacy claims processing.
• Knowledge of Medicare Part D, MFP requirements, manufacturer rebate models, 340B program requirements, contract pharmacy restrictions, repository requirements, and related regulatory frameworks, with the ability to apply this knowledge across changing program priorities.
• Exceptional analytical, problem-solving, and financial reconciliation skills.
• Ability to interpret regulations and operationalize program requirements.
• Strong project management and organizational skills.
• Excellent communication, negotiation, and relationship management abilities.
• Advanced proficiency in Microsoft Excel, reporting tools, and data analytics.
• Strong attention to detail and commitment to compliance.
• Apexus Advanced 340B Operations Certificate within 3 Yrs

Preferred Qualifications

• Masters in Business Admin Master's degree in Business Administration (MBA), Healthcare Administration (MHA), Pharmacy Administration, or related field.
• Experience managing vendor partnerships and external stakeholder relationships.
• Experience leading cross-functional initiatives involving technology and operational teams.
• Experience with pharmacy claims adjudication and revenue cycle management.

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more!

Compensation Disclaimer

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status