Insurance Program Manager Jobs in Durham, NC (NOW HIRING)

Description

Position Summary

The Pharmacy Manager serves as the accountable owner of NeighborHealth Center's entire 340B Drug Pricing Program, including entity-owned pharmacy operations, contract pharmacy relationships, financial performance, audit readiness, and regulatory compliance. This role is responsible for end-to-end 340B oversight-ensuring compliance with HRSA regulations and manufacturer requirements-while optimizing program financial sustainability in alignment with the health center's mission. The Pharmacy Manager partners closely with Finance, Quality, Compliance, and clinical leadership and reports to the Chief Medical Officer. The selected candidate is expected to begin in July 2026. 

Principal Duties and Responsibilities*

Participate as an integrated member of the clinical team, collaborating with providers to deliver excellent patient care
Oversee pharmacy technicians and staff
Prepare drugs and execute prescription orders for dispensing
Order pharmacy supplies and control the inventory on a daily basis
Enforce best practice protocols when storing prescription drugs and controlled substances
Verify prescription details with the healthcare specialists who prescribed them, when required
Advise customers about the recommended use, dosage, and possible side-effects of medication
Provide clinical education to patients within scope of practice, including diabetes education
Maintain an approved drug and controlled substances list and verify expiry dates
Oversee medication prior authorization and patient assistance programs to ensure patient access
Monitor product displays and shelves, as well as the general appearance of the pharmacy
Address customers' requests and complaints
Hire and train new pharmacy employees and schedule shifts
Oversee 340B medication delivery and capture
Supervise 340B program within the pharmacy and ensure compliance within the statute 
Continuously drive productivity of 340B sales and capture
Keep current with trends and best practices surrounding the 340B program
Provide ongoing training/support to providers & clinical staff on current 340B medication optimization

Requirements

Required Skills or Abilities*

Demonstrated ability to exercise sound judgment, discretion, initiative, and independent decision-making in support of the health center's mission.

Strong leadership and supervisory skills, including organizing work, delegating effectively, holding staff accountable, and motivating diverse teams to achieve organizational goals.

Excellent interpersonal, communication, and critical-thinking skills, with the ability to build and maintain effective relationships with patients, staff, policy-making bodies, vendors, third-party payers, and the public.

Commitment to equity, inclusion, and advocacy, with the ability to work effectively with individuals from diverse ethnic, cultural, and socioeconomic backgrounds and a passion for serving at-risk populations.

Proven process improvement and change-management skills, including the ability to identify trends, implement improvements, and align departmental processes with organizational objectives.

Strong analytical and administrative skills, including the ability to create and interpret reports, financial statements, spreadsheets, and legal documents.

Proficiency in computer applications and practice management systems, including internet use and Microsoft Outlook, Word, and Excel; ability to accurately document and maintain records.

Ability to understand clinic operations and department interdependencies and adapt to evolving organizational needs.

Ability to develop and maintain effective vendor relationships to support purchasing optimization.

Ability to function effectively in a fast-paced, high-stress environment, manage competing priorities, and work flexible hours as needed to meet organizational demands.

Ability to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds

Required Knowledge, Experience, or Licensure/Registration

PharmD degree from an accredited college of pharmacy 

Licensed to practice pharmacy in the state of NC

In-depth knowledge of the pharmacological uses and side effects of prescription drugs and controlled substances

Advanced knowledge of protocols regulating the safe storage of prescription drugs and controlled substances

Thorough understanding of how the business side of retail pharmacies operate with regards to insurance billing and reimbursement 

Sufficient knowledge of 340B program

Basic understanding of information technology and ability to organize, analyze and synthesize complex data from various sources 

General knowledge of all aspects of the revenue cycle as it pertains to pharmacies

Specific knowledge of finance, marketing, and operations standards in health care

Knowledge of regulatory compliance (e.g., Apexus, OPAIS, HRSA is preferred)

Ability to work onsite Mondays through Fridays

Ability to read, write, speak, and comprehend English fluently

Up-to-date immunizations

Preferred Knowledge, Experience, or Licensure/Registration

At least 2 years experience in retail pharmacy managerial role 

Experience in 340B is strongly preferred

FQHC knowledge and experience

Experience in reviewing third party contracts

Physical requirements of the Job*

Seeing: Must be able to read written and printed material, as well as use computer (excel, word, and outlook), and other office equipment.

Hearing: Must be able to hear well enough to communicate with coworkers and others; Good hearing is necessary to receive detailed information through oral communication and to make fine discriminations in sound

Standing/Walking/Mobility: Must be able to stand for sustained periods of time

Fingering/Grasping/Feeling: This position requires manual and finger dexterity and eye-hand coordination for easy and skillful use of hands when working with and performing normal office duties and responsibilities

Carrying or lifting objects up to 20 pounds

This is a full-time, exempt position with an anticipated start date of July 2026. 

*To comply with the Americans with Disabilities Act of 1990 (ADA), which prohibits discrimination against qualified individuals on the basis of disability, it is necessary to specify the physical, mental and environmental conditions of the essential duties of the job.

NeighborHealth Center is an Equal Opportunity Employer. NHC is dedicated to building a culturally diverse staff committed to serving a diverse patient population. We encourage applications from women, minority groups, veterans, and people with disabilities.