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340B Clinical Pharmacist

Duke University

Company : Duke University

Location : Durham, NC

Posted Date : 28 October 2025

Job Type : Other

Category : Pharmacy

Occupation : Pharmacist

Job Details

340B Clinical Pharmacist

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Work Location: Duke University Hospital Durham, NC

Working hours:

Hybrid Schedule (onsite/remote)

Monday - Friday (8:00 am - 4:30 pm)

Position Summary: The primary role of this individual is to perform functions related to compliance and operations of Duke University Health System's (DUHS) 340B Drug Pricing Program. Additional roles include oversight and performance of internal program audits, information technology coordination, vendor account setup and maintenance, and pharmacy team member training. This position will primarily be a day shift position.

Specific duties include (but are not limited to):

  • Organize daily tasks for Pharmacy 340B Specialists in collaboration with the 340B Pharmacy Manager.
  • Ensure optimal use of 340B third party administrator (TPA) platforms for mixed use, retail pharmacy, and contract pharmacy universes. TPA activities include, but are not limited to, the following:
    • Mapping unknown and custom NDCs
    • Reviewing multipliers
    • Performing WAC split analyses
    • Monitoring for appropriate transfer of files from DUHS to 340B TPA
    • Monitoring direct vendor invoice reconciliation
  • Perform audit activities per the DUHS 340B Oversight Committee direction.
  • Serve as a project leader for specific 340B program activities including compliance reviews and optimization initiatives.
  • Ensure compliance with 340B billing requirements established by governmental payors (i.e. Medicaid, Medicare)
  • Develop a thorough understanding of TPA systems and the functions to be performed. Educate others involved in the purchasing process to ensure proper operation and compliance.
  • Maintain a thorough understanding of DUHS' 340B Drug Pricing Program structure. Strive to consistently improve the overall efficiency, value, and integrity of DUHS' 340B Drug Pricing Program.
  • Develop and foster working relationships with other internal working counterparts at DUHS (IT, Finance, Compliance, and others) to facilitate productive exchanges of information to improve 340B Program operations. Provide data, information, and reports as needed for other business units within DUHS.
  • Perform other related duties incidental to the work described herein.

Minimum Qualifications

Education

  • Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

  • With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.
  • With a Doctor of Pharmacy degree, no experience is required.
  • Strong skills and prior experience with computer technology and programs, including Excel, PowerPoint, and database management software, preferred.
  • Prior 340B program experience as a pharmacist is strongly preferred.
  • Working knowledge of Epic, specifically Willow and/or Willow Ambulatory, is preferred. Experience using 340B TPAs preferred.
  • Understanding of health system pharmacy operations, pharmaceutical procurement, and inventory management is strongly preferred.

Degrees, Licensures, Certifications

  • Licensed Pharmacist or eligible to practice pharmacy in North Carolina
  • Apexus ACE certificate preferred

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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