Senior Manager overseeing eligibility requests and compliance operations for 340B Program. Collaborating with internal teams to validate designations and manage approval processes in a regulated environment.
Responsibilities
Oversee contract pharmacy and other covered entity (CE) eligibility requests, exception management, and compliance operations.
Ensure CE membership compliance with internal and external state and federal 340B requirements and BMS polices through coordination with Legal, Compliance, US Policy and external vendors.
Review and validate contract pharmacy designations, supporting documentation, and special exception requests in accordance with internal and external 340B program guidelines and BMS policies.
Manage the approval process for contract pharmacy exceptions, coordinating with Legal, Compliance, and US Policy teams to ensure compliance with HRSA requirements.
Maintain accurate and organized documentation of contract pharmacy membership requests, supporting documents, and decisions.
Partner with the Senior Director, 340B Business Optimization & Analytics Lead to align contract pharmacy eligibility processes with enterprise 340B standards and operational controls.
Identify and escalate potential risks or discrepancies related to contract pharmacy eligibility or documentation.
Collaborate with the 340B Senior Director, Business Optimization & Analytics Lead to provide accurate reporting on contract pharmacy eligibility exception requests, approvals, and denials for inclusion in 340B COE dashboards and leadership reporting.
Serve as a key contact for internal stakeholders regarding contract pharmacy status, eligibility requirements, and exception processes.
Support covered entity registration with external vendors (e.g., BRG) as needed.
Identify opportunities to streamline covered entity eligibility requests and reporting while maintaining accuracy.
Requirements
Bachelor’s degree required (Business Administration, Healthcare Management, Pharmacy, or related field)
5-7 years of experience in pharmaceutical operations, contract management, or compliance
Knowledge of federal and state 340B program rules (covered entity eligibility, contract pharmacy arrangements and documentation, regulatory requirements)
Strong analytical, organizational and communication skills, with attention to detail and accuracy
Proven ability to collaborate cross-functionally and manage operational workflows in a matrixed and highly regulated environment
Prior experience managing 340B covered entity eligibility for a pharmaceutical manufacturer
Experience with data tracking, dashboards, KPIs and system/vendor platforms supporting contract pharmacy or 340B operations
Benefits
Health Coverage: Medical, pharmacy, dental, and vision care.
Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).
Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.
Work-life benefits include: Paid Time Off US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees) Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Job title
Senior Manager, 340B Program Eligibility Membership
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