340B Revenue Integrity & Rebate SpecialistFlorida Community Health Centers

About FCHC:

Since 1976, Florida Community Health Centers, Inc. (FCHC) has been a health care leader in Florida. We provide comprehensive primary and specialty health care and patient support services through a network of Centers surrounding Lake Okeechobee and across Florida’s Treasure Coast. Our mission is to ensure that everyone in our communities has access to culturally competent, high-quality health care that they can afford. FCHC has locations in Clewiston, Moore Haven, Okeechobee, Fort Pierce, Port St. Lucie, Stuart, Indiantown, and West Palm Beach. FCHC’s Corporate Office is centrally located in West Palm Beach, Florida. FCHC has multiple staff members who speak Spanish and Creole, and translation is available for other languages as needed. FCHC has created a “one-stop shop” for patients–providing Pediatric and Adult Primary Care, Dental, OB/GYN and Women’s Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services. Our patients benefit from a “medical home” model, where they may access our extensive array of health care clinicians and services in an atmosphere where they are treated with respect, care, and concern.

Mission

The Mission of Florida Community Health Centers, Inc. (FCHC) is to provide accessible, cost-effective, high-quality, comprehensive health care to all persons in our communities.

Vision

Florida Community Health Centers, Inc. (FCHC) will maintain strong leadership in, and advocate for, the provision of health care services.

FCHC will foster and promote collaborative relationships and will develop partnerships with local, state, and federal public health service agencies and the community in general, to enhance the quality of delivery systems for comprehensive health care. FCHC will be an employer of choice and will demonstrate excellence with a highly trained staff and governing board.

Values

FCHC values Integrity, Compassion, Commitment to serving others (external and internal to the organization), Innovation, Effectiveness (cost and outcome), Efficiency, being Mission-driven, Commitment to serving others internal to organization and Commitment to Excellence.

Position Summary: The 340B Revenue Integrity & Rebate Specialist is responsible for supporting the organization’s 340B Program through rebate administration, data analysis, financial reconciliation, revenue recovery, and compliance activities.

This position serves as a key liaison between Pharmacy, Finance, wholesalers, drug manufacturers, third-party administrators (TPAs), and external vendors. The Specialist is responsible for ensuring accurate collection and reconciliation of manufacturer rebates, monitoring pharmacy purchasing activity, identifying revenue opportunities, and supporting compliance with 340B program requirements.

The position will also provide oversight of pharmaceutical purchasing activity, invoice reconciliation, and purchase-to-rebate tracking to support cash flow management, inventory optimization, and program integrity.

PRIMARY DUTIES:

340B Rebate Management

• Manage the day-to-day administration of the 340B rebate process.
• Aggregate and validate pharmacy claims and dispensing data for rebate submissions.
• Monitor manufacturer rebate submissions and payment status.
• Reconcile expected rebates against payments received.
• Investigate and resolve denied, rejected, or unpaid rebate claims.
• Track rebate receivables and maintain supporting documentation.
• Monitor manufacturer payment timelines and follow up on outstanding payments.
• Identify opportunities to improve rebate recovery and reduce revenue leakage.

Data Analytics and Reporting

• Extract, analyze, and validate pharmacy, claims, purchasing, and financial data.
• Perform routine data quality reviews.
• Develop and maintain reports related to:
• Rebate revenue
• Outstanding receivables
• Payment trends
• Claim denials
• Revenue recovery opportunities
• Program performance
• Identify trends, variances, and opportunities for operational improvement.
• Assist with financial forecasting related to rebates and 340B savings.

Financial Reconciliation and Revenue Integrity

• Reconcile:
• Manufacturer rebate payments
• Medicare rebate activity
• Pharmacy claims activity
• Wholesaler purchasing data
• Monitor rebate receivable balances and aging reports.
• Investigate payment variances and underpayments.
• Work with vendors and manufacturers to resolve discrepancies.
• Partner with Finance to ensure accurate revenue recognition and reporting.
• Prepare monthly reconciliation and revenue integrity reports.

340B Compliance and Program Support

• Support compliance with HRSA requirements and organizational policies.
• Assist with internal audits, self-assessments, and compliance reviews.
• Maintain records and documentation related to rebate administration and reconciliation activities.
• Support audit requests and documentation reviews.
• Monitor program activity for potential compliance concerns.

Vendor and Stakeholder Management

• Serve as a primary contact for:
• TPAs
• Rebate vendors
• Drug manufacturers
• Wholesalers
• Contract pharmacy partners
• Internal Finance teams
• Monitor vendor performance and issue resolution.
• Participate in vendor implementations, system enhancements, and process improvement initiatives.

SECONDARY DUTIES:

Pharmaceutical Purchasing Oversight

• Monitor medication purchasing activity to ensure alignment with 340B accumulations, dispensing activity, and organizational needs.
• Review wholesaler purchasing reports and invoices for accuracy.
• Assist with matching pharmaceutical purchases to rebate submissions and reimbursement activity.
• Monitor medication returns, credits, and adjustments.
• Identify purchasing variances and opportunities to improve financial performance.
• Collaborate with pharmacy leadership on purchasing strategies that support program value and compliance.

Cash Flow and Invoice Management Support

• Assist with tracking pharmaceutical purchases and related wholesaler invoices.
• Support invoice reconciliation and payment review processes.
• Coordinate with Finance and Accounts Payable regarding medication-related expenditures.
• Help assess the cash flow impact of manufacturer rebate programs.
• Support reconciliation between:
• Medication purchases
• Inventory activity
• Rebate submissions
• Rebate payments

Process Improvement

• Identify opportunities to improve workflows and reduce manual processes.
• Support automation and reporting enhancements.
• Assist with implementation of tools or processes that improve revenue capture, compliance, and financial oversight.

REQUIRED QUALIFICATIONS:

• Associate degree required; equivalent pharmacy, reimbursement, revenue cycle, or 340B experience may be considered in lieu of formal education.
• Minimum three (3) years of pharmacy operations experience.
• Minimum two (2) years of 340B program experience.
• Experience with pharmacy claims processing and reimbursement.
• Experience working with pharmacy data, reporting, or reconciliation activities.
• Strong analytical and problem-solving skills.
• Advanced Microsoft Excel skills, including:
• Pivot tables
• Data validation
• Reporting
• Financial reconciliation
• Ability to work independently and manage multiple priorities.

PREFERRED QUALIFICATIONS:

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Pharmacy, Public Health, or related field.
• Certified Pharmacy Technician (CPhT).
• Apexus 340B University training.
• Experience with 3 party administrator platforms like Macro Helix, Nuvem, PharmaForce or Wellpartner
• Experience with Power BI
• Experience with manufacturer rebate programs.
• Experience with Medicare rebate reconciliation.
• Experience with contract pharmacy administration.
• Knowledge of FQHC pharmacy operations and reimbursement models.
• Experience with pharmacy purchasing, inventory management, or wholesaler reconciliation.

ADDITIONAL NOTES

THIS JOB DESCRIPTION IS NOT INTENDED TO BE ALL-INCLUSIVE, AND EMPLOYEE WILL ALSO PERFORM OTHER REASONABLE RELATED BUSINESS DUTIES AS ASSIGNED BY SUPERVISOR.

* This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment