System Director of 340B Program Operations

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. Assess hospitals, outpatient facilities, physician practices, pharmacies, and ancillary services to identify opportunities for 340B participation and expansion.

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 Foundations 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 Foundations 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.