340B Payment Specialist

Howard Brown Health is a nationally recognized leader in LGBTQ+ health and wellness. Our commitment to inclusive and affirming care has made us a cornerstone of the Chicago community. At Howard Brown, we believe in providing holistic, patient-centered care that empowers individuals and enriches lives.Why Join Us?Be part of a mission-driven organization dedicated to health equity and social justice.Work in a supportive, inclusive, and culturally competent environment.Access to continuous learning opportunities and professional development.Comprehensive benefits package.Contribute to groundbreaking health initiatives and research.BenefitsEmployer-sponsored health, dental, and vision insurance with two PPO plans and an HMO plan.BCBS HMO, PPO, and PPO Select PlansBCBS DentalBCBS VisionPaid Time Off:3-weeks paid vacation and 1-week of personal time12 accrued sick days per year10 paid holidays, including JuneteenthPTO Exchange allows employees to turn unused PTO into liquid assets401k program with up to 5% employer match after 90 daysEmployer-paid basic life insurance valued at one times the annual salaryVoluntary Life and AD&D, and Short-term and Long-term disabilityPre-tax commuter and parking benefit accountFlexible Spending Accounts for healthcare and dependent careTuition Reimbursement and Student Loan Forgiveness Programs; NHSC & PSLFEmployee Assistance Program with 5 employer-paid counseling sessions50% off at Brown Elephant Resale Shops and discounts at local businessesSalary: $79,726.40/yearPOSITION SUMMARY:Reporting to the 340B Program Director, the 340B Payment Specialist oversees administration, management, compliance, and financial reconciliation of the new Inflation Reduction Act (IRA), 340B Rebate Model Pilot, and referral claim audit management. This role ensures accurate claim identification, timely rebate submissions, receivable tracking, contract pharmacy coordination, and compliance with HRSA requirements. The position is key to protecting program integrity and maximizing savings that support the mission of the health center. Leverages industry knowledge and best practices to promote the mission and vision of Howard Brown Health as well as supports culture enhancement and management efforts.PRINCIPLE DUTIES AND ACCOUNTABILITIESProgram Implementation & OperationsServes as primary subject matter expert on the IRA and 340B rebate pilot model and approved manufacturer plans.Develops and maintains standard operating procedures (SOPs) for rebate submission, reconciliation, and referral auditsOversees claim capture, submission processes, and appeals with manufacturers, TPAs, contract pharmacies, and wholesalers as related to the IRA and rebate pilot.Monitors manufacturer notices and HRSA updates; distribute timely program communications to stakeholders.Finance & ReconciliationEstablishes and manages rebate receivable ledgers by manufacturer, drug (NDC), and contract pharmacy.Reconciles rebates submitted, rebates received, and outstanding balances on a weekly basis.Escalates unpaid rebates >10 days to manufacturers; document trends and escalate to HRSA if needed.Supports finance leadership in forecasting, budgeting, and cash-flow analysis related to rebate collections.Compliance & AuditWorks with 340B team to reconcile IRA claims, purchases and rebatesEnsures compliance with HRSA rules, including duplicate discount prevention with Medicaid FFS and Diversion.Completes referral audit and maintain records of referral claims.Prepares for and participate in internal and external audits (HRSA, manufacturer, or payer).Collaboration & Stakeholder EngagementWorks closely with TPAs, contract pharmacies, wholesalers, manufacturers, HRSA and IT vendors to ensure data integrity.Partners with Finance, Compliance, and Pharmacy Operations to integrate rebate workflows into broader 340B management.Provides regular performance dashboards and variance analyses to executive leadership.Minimum QualificationBachelor's degree from an accredited institution of higher learning in business management, pharmacy (BPharm), finance, public policy or related discipline required. Master's degree in the same preferred.Minimum three (3) years progressive experience in financial reconciliation, claim audit management, and/or healthcare finance required. 340B program management experience preferred.Knowledge, Skills, Abilities (K/S/A)Proficient and functional knowledge of financial reconciliation, claim audit management and/or healthcare finance principlesAbility to make formal and effective oral presentationsAbility to prepare clear, concise, and effective reports, letter, and other documentsAbility to evaluate procedures and issues and develop strategies and effective solutionsKnowledge of cash-flow management and projections as well as budget creation and managementAbility to plan, organize, and accomplish organizational goals and objectivesAbility to handle and maintain highly confidential information with professional maturityFunctional and proficient knowledge of various technologies including, but not limited to MS Suite and finance software platformsEffective communication competencies including written, verbal and listeningStrong knowledge of research approaches and the ability to apply relevant approach toward desired outcome(s)Strong problem-solving acumen and the ability to engage for supervisory support when appropriateAbility to demonstrate an understanding and acceptance of equity, inclusion and diversity concepts, and that they are broader than just race, ethnicity, and genderAbility to work affirmatively with gay, lesbian, bisexual, transgender, queer (LGBTQ) and HIV positive patientsADA SpecificationsRequires ability to speak audibly and listenRequires ability to use computers, telephones and other officeRequires ability to sit for extended periods ofMay require occasional bending and lifting up to 25Other Job RequirementsMay require periodic and local travel.EQUAL OPPORTUNITY STATEMENT:Decisions and criteria governing the employment relationship with all employees at Howard Brown are made in a nondiscriminatory manner, without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, gender identity, veteran status, age, FMLA status, or any other factor determined to be unlawful by federal, state or local statutes.The above statements are intended to describe the general nature and level of work being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required.Management reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.Equal Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.