The CHC-Pharmacy Inventory and Reimbursement Analyst is responsible for supporting the operational, financial, and compliance components of the CHC-Pharmacy Department’s 340B Drug Pricing Program. This role focuses on inventory management and standardization, split-billing oversight, insurance payor’s reimbursement optimization, and ensuring adherence to all federal and program-specific requirements. The position plays a key role in maximizing program savings and revenues, processes standardization while maintaining strict compliance and audit readiness.
Essential Functions:
- Oversee inventory purchasing, tracking, and reconciliation between GPO, and 340B accounts
- Identify and resolve inventory discrepancies and diversion risks
- Collaborate with pharmacy staff to ensure appropriate and standard inventory utilization
- Optimize drug purchasing strategies and standardization to maximize 340B savings
- Support daily operations of the 340B program, including split-billing software maintenance and oversight
- Ensure accurate accumulation, matching and replenishment of 340B-eligible medications
- Assist the Director of Pharmacy and 340B Program and Compliance Manager to monitor and maintain compliance with HRSA 340B program requirements
- Assist in preparation for internal and external CHC-pharmacy related audits
- Analyze payer reimbursement trends across Medicaid, Medicare, and commercial plans
- Identify opportunities to improve reimbursement and reduce revenue leakage
- Works with split-billing software vendor and internal staff to ensure optimal performance of matches, referral capture and assist in the identification and implementation of quality improvements
- Assist in generating and presenting utilization reports on 340B savings, margins, and program performance
- Develop dashboards and reports related to inventory, utilization, and reimbursement
- Track key performance indicators (KPIs) such as savings, compliance rates, and inventory turns
- Utilize data to drive operational improvements and strategic decision-making
- Work closely with pharmacy leadership, finance, IT, and compliance teams
- Serve as a liaison with wholesalers, TPAs, and contract pharmacies
- Educate pharmacy staff on 340B processes and compliance requirements
- Ensure prevention of diversion and duplicate discounts
- Maintain accurate documentation and policies in accordance with regulatory standards
Education:
High School Diploma or GED required.
AA, Bachelor's degree preferred or related field experience
Experience:
Minimum of 1 to 3 years of experience as a Pharmacy Technician in hospital/retail, FQHC settings, including 340B Program and related split-billing software functionality
Certification:
Pharmacy Technician license in the State of Florida
Licensure:
Pharmacy Technician license in the State of Florida
Registrations:
N/A
Training:
N/A
