Program Manager, 340B in Brentwood, Tennessee at JAXSCO LLC

We will also consider Remote / Hybrid work.

Who We Are

Driven by transparency, integrity, and a commitment to health equity, JAXSCO is a purpose-driven healthcare management and consulting partner for community-based organizations that traditional healthcare often overlooks. We empower HIV-service organizations, STI prevention programs, LGBTQIA+ clinics, FQHCs, and public health departments by strengthening 340B programs, managing pharmacy and clinic operations, and deploying telehealth solutions to ensure underserved populations receive essential care. Unlike traditional for-profit firms, JAXSCO reinvests a significant portion of its net income directly into partner organizations and their communities, measuring success by our partners' operational efficiency, financial sustainability, and lasting community impact. If you're passionate about making a meaningful difference in patients' lives and driven by the opportunity to strengthen the nonprofits that serve them, JAXSCO is the place for you.

What You’ll Do (Job Summary)

The 340B Program Manager supports the JAXSCO 340B Program Management portfolio and supports covered entities' individual 340B programs through the services included in their executed agreements. Operating in a fast-paced environment, this role provides strategic oversight, daily support, ongoing monitoring, reporting, analytics, and compliance guidance for assigned client accounts to support program integrity and identify opportunities for financial optimization.

Serving as a key liaison between internal leadership, covered entities, payers, non-profits, and community partners, the 340B Program Manager coordinates contracted services and provides advisory recommendations for continuous compliance and improvement. The role supports alignment with applicable Health Resources and Services Administration (HRSA) requirements, identifies operational risk, and identifies data-driven opportunities to maximize return on investment (ROI) while maintaining compliance standards. This is a non-clinical role; clinical judgment and patient, provider, pharmacy, and referral decisions remain with the covered entity and its providers.

Essential Job Functions

• Manage ongoing covered entity account relationships, providing strategic guidance, daily support, performance reporting, and facilitation for monthly leadership meetings, quarterly reviews, and 340B oversight committees.
• Serve as the primary liaison between internal execution teams and external stakeholders, including covered entities, healthcare providers, non-profits, and community partners.
• Maintain subject matter expertise on Section 340B regulations, rulings, and proposed changes, assessing organizational impact and providing timely updates and recommendations to support compliance.
• Conduct internal compliance, optimization, and monthly claims sampling reviews across patient eligibility, provider relationships, contract arrangements, federal registrations, referral documentation, Medicaid billing, and accumulation logic.
• Prepare and support covered entities for and during HRSA and external audits by conducting mock assessments, performing gap analyses, organizing documentation, prepping staff, and assisting with corrective action tracking. Conduct annual HRSA-like external mock audits and provide gap analysis summaries.
• Evaluate program integrity risks—including diversion, duplicate discounts, and Medicaid exclusion practices—and provide written recommendations for operational improvements and policy enhancements.
• Build and analyze KPI dashboards, TPA reports, purchasing records, and utilization data to evaluate financial performance, identify capture discrepancies, and highlight operational efficiencies.
• Review pricing exclusions, drug shortages, inventory waste, and third-party portal requirements (e.g., ESP, Truzo, and Beacon), assisting with authorized claims data uploads and policy tracking.
• Advise on growth opportunities, including contract pharmacy expansions, Affiliated Service Arrangement (ASA) structures, and STD in-kind grantee eligibility pathways (Section 318).
• Develop and deliver 340B compliance training, educational materials, and onboarding support for internal staff, client leadership, and external partners.
• Represent 340B Program Management at local, regional, and national industry events and conferences.

Note: This list of essential job functions is comprehensive but not exhaustive. Other duties may be assigned based on business needs and the individual's skill set.

What We Need (Qualifications)

• Associate's degree in Business Administration, Healthcare Administration, Public Health, Data Analytics, Public Policy, or a related field.
• 3–5 years of program or project management experience.
• 3–5 years of direct experience working with 340B covered entities (particularly Ryan White or STD/STI grantees; FQHC or DSH hospital experience is also relevant).
• 340B Apexus Certified Expert (ACE) certification held or obtained within six months of hire.
• Practical experience supporting HIV-serving, public health, or LGBTQ+ non-profit organizations.
• Commitment to developing foundational knowledge of LGBTQ+ health concepts, terminology, cultural competencies, and intersectionality.
• Experience in vendor coordination, TPA report review, and contract analysis to deliver advisory recommendations.
• Exceptional strategic, analytical, organizational, communication, interpersonal, and negotiation skills with the ability to prioritize in a fast-paced environment.
• Valid driver’s license and willingness to travel for work-related conferences, client meetings, and occasional all-staff meetings at the corporate office.

What We’d Love (Preferred)

• Bachelor or Master’s degree in Healthcare Administration, Public Health, Business, or a related field (MBA, MHA, MPH, MMHC).
• 5+ years of advanced 340B Drug Pricing Program experience, including program development, audits, contract pharmacy administration platforms, split-billing systems, and optimizing capture rates or internal controls.
• 5+ years of direct experience working with 340B covered entities (FQHCs, Ryan White/STI grantees, DSH hospitals), ambulatory clinics, or HIV or LGBTQ+ health non-profits.
• Hands-on experience with ESP reporting portals, encounter data, claims audit documentation, and healthcare compliance frameworks.
• Project management certification (PMP or equivalent).
• Advanced analytics certification (e.g., CAP, Power BI, SAS).
• Spanish fluency.

What You Bring (Skills / Competencies)

• Deep understanding of Section 340B statutes, HRSA guidelines, audit preparation, and risk mitigation strategies.
• Ability to evaluate purchasing records, split-billing feeds, contract pharmacy performance metrics, and build KPI executive dashboards. Ability to review encounter and referral documentation, validate claims reporting data, and communicate findings and recommended actions.
• Proven capacity to align program operations with organizational goals, manage multi-stakeholder initiatives, and maximize KPI’s and ROI.
• Exceptional interpersonal skills with the ability to build trust across covered entities, non-profits, leadership, and community partners.
• Strong written and verbal communication skills suited for presenting complex regulatory data and conducting training for diverse audiences.
• Aptitude for working effectively in diverse, multicultural, and mission-driven healthcare environments.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Frequently remains in a stationary position up to 50% of the day. Constantly moves about the office to access machinery, file cabinets, and meeting rooms.
• Constantly operates computers and office machinery, requiring repetitive hand and wrist motions, with occasional reaching and bending.
• On occasion, may carry, move, or position office materials weighing up to 50 pounds.
• Regularly exchanges accurate information via phone, email, virtual, and in-person interactions. Must perceive and assess details on screen displays and paper documents.
• Requires occasional travel for events or company priorities.

What We Offer (Compensation & Benefits)

Competitive compensation with an annual base salary of $100K to $110K. Position title and compensation are determined based on experience.

• Affordable, comprehensive medical, dental, and vision coverage.

• Simple IRA Retirement savings plan with a 3% company match.

• Generous paid time off (PTO).

JAXSCO is an Equal Opportunity Employer committed to a diverse, inclusive, and equitable workplace. Employment decisions are based on merit, qualifications, and business needs, without regard to race, color, religion, creed, sex, gender, gender identity or expression, sexual orientation, pregnancy, age, national origin, ancestry, disability, HIV status, marital status, protected military status, or any other legally protected status.

We are dedicated to fostering a safe, affirming environment and will provide reasonable accommodation for qualified individuals with known disabilities unless it causes an undue hardship. Candidates from diverse backgrounds, including BIPOC and LGBTQIA+ communities, are encouraged to apply.