St. Luke's Health System

Pharmacy Business Specialist – 340B

Company: St. Luke’s Health System
Location: Remote (Must reside in Idaho, Oregon, Arizona, or Utah — no exceptions)

Overview

St. Luke’s Health System is seeking a detail-oriented and motivated Pharmacy Business Specialist – 340B to join our growing pharmacy team. This is an excellent entry-level opportunity for someone with retail pharmacy or pharmacy technician experience who is eager to develop expertise in the dynamic and evolving 340B program space.

This role plays a key part in supporting 340B compliance, auditing processes, and operational optimization. The ideal candidate is analytical, organized, and excited to grow within pharmacy operations and healthcare compliance.

Position Summary

The Pharmacy Business Specialist performs professional-level work within the 340B program, applying foundational knowledge while continuing to build higher-level skills. This role supports auditing, data analysis, compliance validation, and financial optimization efforts related to 340B drug purchasing and utilization.

You will analyze prescription and purchasing data, validate patient encounter eligibility, monitor compliance software, and assist in preparing for internal and government audits. The position works under moderate guidance while solving a range of straightforward analytical and operational challenges.

Why This Role Matters

The 340B program is undergoing significant industry disruption and regulatory change. This role helps:

• Optimize 340B drug purchasing opportunities
• Identify and mitigate compliance risks
• Reduce drug expense through accurate eligibility validation
• Prepare for government audits and internal reviews
• Maintain operational integrity in a highly regulated environment

This is a growth-focused opportunity with increasing responsibility over time.

Primary Responsibilities

340B Program Support

• Collect, aggregate, and analyze data from EPIC and other pharmacy systems.
• Generate reports and conduct research on drug utilization and purchasing for 340B-participating pharmacies and clinics.
• Monitor 340B software settings and transactions for compliance and optimization.
• Review prescription fill data in spreadsheets to validate:
  • Patient encounters
  • Drug eligibility
  • Prescription accuracy
  • Compliance with 340B requirements
• Manage manual adjustments related to 340B eligibility changes.
• Support billing-to-purchasing conversion factor adjustments.
• Process credit/rebills with wholesalers and coordinate direct repayments with manufacturers when required.
• Maintain detailed and accurate manual tracking systems.
• Build and maintain spreadsheets or database queries for analysis.
• Assist with internal and external audit preparation, including government audits.
• Research potential compliance risks and escalate findings for discussion.
• Participate in review of 340B rule changes, legislation updates, and audit requirements.

Auditing & Compliance

• Conduct routine audits of retail pharmacy transactions.
• Reconcile charges and purchases.
• Maintain clean, organized documentation to support audit readiness.
• Assist in risk identification and mitigation planning.

Product Verification (as assigned)

• Perform final product verification on prescription drug orders that have previously undergone prospective clinical review by a pharmacist.
• Ensure compliance with State and Federal regulations.

Qualifications

Education

• Bachelor’s degree OR equivalent experience in lieu of degree.

Experience

• 0 years required — entry-level candidates encouraged to apply.
• Retail pharmacy experience strongly preferred.
• Pharmacy technician experience (especially retail or buying/inventory) highly valued.
• Experience auditing retail pharmacy activity is a plus.

Technical Skills

• Strong Excel skills required (pivot tables, data filtering, analysis).
• Experience working in EPIC preferred.
• Comfort working with spreadsheets and large datasets.
• High attention to detail and data accuracy.

Key Competencies

• Analytical mindset
• Strong attention to detail
• Organized and process-driven
• Ability to research and investigate discrepancies
• Clear communication skills
• Ability to work independently in a remote environment
• Growth-oriented and adaptable to regulatory change

What You’ll Gain

• In-depth exposure to the 340B program and healthcare compliance
• Experience preparing for government audits
• Strong analytical and financial skill development
• Opportunity to grow within pharmacy business operations
• Exposure to regulatory strategy and risk mitigation

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.