Retail Pharmacy Operations 340B Contract Pharmacy & Compliance Manager

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.

No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

General Summary

• Oversees pharmacy technicians, non-clinical retail pharmacy operations, and 340B contract pharmacy compliance. Manages staffing, workflows, inventory, claims processing, and audits to support operational efficiency, financial integrity, and quality patient service. Partners with the Pharmacist-in-Charge (PIC) to support compliance with applicable state and federal pharmacy requirements.

Essential Duties and Responsibilities

• Supervise pharmacy technicians and the Contract Pharmacy 340B Program Analyst, including hiring, scheduling, training, and performance evaluations.
• Coordinate daily non-clinical pharmacy operations and technician workflows to support accurate, timely prescription processing, medication filling, and customer service.
• Conduct and oversee Contract Pharmacy 340B audits, reconcile claims data, National Drug Codes (NDCs), and prescription records, and verify eligibility to prevent diversion and duplicate discounts.
• Prepare for and serve as the primary contact for internal, external, and HRSA audits of contract pharmacies; coordinate manufacturer and insurance audits.
• Manage medication inventory, ordering, and 340B purchasing processes to prevent shortages and identify compliance risks.
• Serve as the contact for pharmacy software and 340B third-party administrator platforms, coordinate updates, and troubleshoot billing and data accuracy issues.
• Process and monitor commercial, Medicare, and Medicaid claims; investigate denials, lead appeals, and reconcile medication charges and accounts receivable.
• Assist patients with identifying and enrolling in manufacturer copay assistance, foundation support, and patient assistance programs.
• Partner with the PIC to implement and monitor operations supporting Board of Pharmacy, DEA, HIPAA, and other applicable requirements; incorporate 340B compliance into daily workflows.
• Lead workflow improvements and continuous quality improvement activities, analyze medication errors, implement corrective actions, and collaborate with Pharmacy, Finance, the 340B Team, and patient care departments.

Education

• High school diploma or GED required.

Work Experience

• Two to five years of experience in retail pharmacy operations and 340B contract pharmacy.
• Proficiency in pharmacy information systems, intermediate Excel skills for data analysis, and knowledge of insurance billing.

Certification/License

• Missouri Pharmacy Technician License.
• National Pharmacy Technician Certification (CPhT).
• 340B Apexus Certified Expert (ACE) credential within one year of hire.
• Maintain required continuing education.

Mental/Physical Requirements

• Requires strong attention to detail, leadership, sustained mental concentration, and in-depth knowledge of HRSA requirements and retail pharmacy operations. Requires prolonged sitting with frequent standing, bending, and stooping.

Working Conditions

• Office and retail pharmacy environments.

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.