Pharmacy Inventory & Reimbursement Analyst

Job Description
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
Qualifications
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/APharmacy