System Director of 340B Program Operations

• Position: System Director of 340B Program Operations
• Reports To: System Chief Executive Officer
• Location: Corporate Office – Johns Creek, Georgia

Position Overview

• The System Director of 340B provides strategic and operational leadership for Tenor Health
• Foundation’s 340B Drug Pricing Program across its hospitals, outpatient facilities,
• physician practices, and pharmacy partnerships. This is a hands-on leadership role
• responsible for building, implementing, and optimizing an enterprise-wide 340B program
• that supports compliance, operational excellence, financial performance, and
• organizational growth.

Key Responsibilities

• Develop, build, and lead Tenor Health Foundation’s enterprise 340B strategy and

program across all eligible facilities and operations.

• Establish the infrastructure, governance, policies, procedures, workflows, and

internal controls necessary to support a compliant and scalable 340B program.

• Lead hands-on implementation of 340B initiatives from assessment and planning

through execution, monitoring, and optimization.

• Drive financial performance by taking full accountability for achieving revenue

targets and leading business development efforts that support sustainable growth.

• Assess hospitals, outpatient facilities, physician practices, pharmacies, and

ancillary services to identify opportunities for 340B participation and expansion.

• Develop and manage relationships with contract pharmacies, specialty

pharmacies, third-party administrators, wholesalers, manufacturers, and other

strategic partners.

• Evaluate, implement, and optimize technology and vendor solutions necessary to

support effective 340B operations.

• Ensure compliance with applicable 340B requirements, including patient eligibility,

diversion prevention, duplicate discount prevention, registration requirements, and

audit readiness.

• Develop and conduct routine compliance monitoring and internal audits and ensure

identified issues are investigated, documented, corrected, and monitored.

• Develop and maintain enterprise 340B policies, standard operating procedures,

training materials, and program governance documentation.

• Establish key performance indicators and provide executive reporting related to

financial performance, utilization, savings, compliance, program opportunity,

leakage, and vendor performance.

• Identify opportunities to improve financial performance and maximize appropriate

340B savings while maintaining strong program integrity.

• Partner with Finance to develop financial models, forecasts, reconciliations,

budgets, and business cases for current and proposed 340B initiatives.

• Collaborate with Information Technology, Pharmacy, Revenue Cycle, and vendors to

ensure accurate data integration, system configuration, reporting, and

reconciliation.

• Monitor regulatory, legislative, manufacturer, and industry developments and

implement necessary operational changes.

• Support 340B due diligence and integration activities associated with acquisitions,

new hospitals, physician practices, service lines, and other organizational growth.

• Identify process gaps, missed opportunities, program leakage, and operational

inefficiencies and implement solutions to improve program performance.

• Build the organizational structure and resources necessary to support the 340B

program as it grows.

• Lead and participate in cross-functional 340B workgroups and steering committees

to drive projects, resolve barriers, and maintain accountability.

• Educate hospital and corporate stakeholders regarding 340B requirements,

responsibilities, processes, and opportunities.

• Establish and maintain productive relationships with external 340B organizations,

industry partners, and other stakeholders.

• Promote standardization, accountability, continuous improvement, and operational

excellence across the enterprise 340B program.

• Strong knowledge of the 340B Drug Pricing Program, including covered entity

requirements, patient eligibility, diversion prevention, duplicate discounts, contract

pharmacy arrangements, and audit requirements.

• Strong understanding of hospital, pharmacy, physician practice, outpatient, and

healthcare operations as they relate to 340B.

• Demonstrated financial and business acumen with the ability to identify

opportunities, evaluate ROI, and improve program performance.

• Strong project management skills with the ability to simultaneously manage

multiple implementations, workstreams, vendors, and priorities.

• Demonstrated ability to translate regulatory and program requirements into

effective operational processes and controls.

• Strong analytical and data-driven decision-making capabilities.
• Excellent leadership, communication, negotiation, organizational, and relationship

building skills.

• Demonstrated ability to work collaboratively with executive leadership and cross

functional teams.

• Deep understanding of regulations that drive the program and meet the necessary

reporting requirements

• Ability to operate effectively as a hands-on leader, balancing strategic direction with

direct involvement in implementation and execution.

Experience

• Minimum of five (5) years of progressively responsible experience in 340B,

pharmacy operations, healthcare operations, or a related field.

• Minimum of three (3) years of direct 340B program experience required.
• Demonstrated experience building, implementing, expanding, or significantly

transforming a 340B program strongly preferred.

• Experience supporting 340B operations within a multi-hospital or multi-entity

healthcare system preferred.

• Experience with covered entities, child sites, contract pharmacies, specialty

pharmacies, physician practices, and outpatient operations preferred.

• Experience managing third-party administrators, pharmacy partners, technology

vendors, wholesalers, and other 340B-related relationships.

• Experience developing and implementing 340B policies, procedures, governance

structures, and internal controls.

• Experience with 340B compliance monitoring, internal or external audits, corrective

action plans, and audit readiness.

• Experience with financial analysis, data analytics, reporting, and program

optimization.

• Experience leading complex projects and cross-functional initiatives from

development through implementation.

Education

• Bachelor’s degree in Healthcare Administration, Business Administration,

Pharmacy, Finance, Nursing, Public Health, or a related field required.

• Master’s degree in Healthcare Administration, Business Administration, Pharmacy,

Public Health, or a related field preferred.

• Doctor of Pharmacy (Pharm.D.) or Registered Nurse preferred.
• Apexus Advanced 340B Operations Certificate (340B ACE) preferred or willingness

to obtain within an established timeframe.

Physical Requirements

• Primarily performs sedentary work in an office environment with frequent use of

computers and standard office equipment.

• The ability to travel is required. Approximately 40% travel is expected based on

organizational needs.

Equal Opportunity Statement

• Tenor Health Foundation is an equal opportunity employer committed to maintaining a
• respectful, inclusive, and mission-driven workplace. Employment decisions are based on
• qualifications, merit, business needs, and applicable law.