H-1B Visa Pharmacy Operations Manager Jobs
Pharmacy Operations Manager jobs qualify as H-1B visa specialty occupations because they require at least a bachelor's degree in pharmacy, pharmaceutical sciences, or healthcare administration. Sponsoring employers file a certified Labor Condition Application with DOL before petitioning USCIS, and H-1B visa status runs up to three years, extendable to six.
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Get Access To All JobsLocation: Seven Lakes Pharmacy, Shoreview MN
Hours: 80 hours bi-weekly
Schedule: days
INTRODUCTION
The Manager, Pharmacy 340B Strategy and Reimbursement Operations provides strategic leadership and operational oversight for Fairview Pharmacy Services' 340B reimbursement strategy, with primary accountability for Maximum Fair Price (MFP) readiness, implementation, and manufacturer rebate operations. The role is intentionally designed to provide flexibility to support additional 340B program priorities as organizational capacity and business needs evolve, including contract pharmacy restrictions, manufacturer policy requirements, Medicare Part D repository activity, and other reimbursement, access, or program integrity initiatives. This position serves as a business lead and subject matter expert for MFP and 340B rebate operations while maintaining the agility to support adjacent strategy and reimbursement workstreams. The Manager partners closely with pharmacy operations, information technology, revenue cycle, compliance, manufacturers, payers, covered entities, third-party administrators, dispensing software vendors, and external partners to interpret changing requirements, monitor program performance, mitigate financial and compliance risk, resolve operational issues, and strengthen program controls. Through strategic planning, cross-functional coordination, and disciplined execution, the Manager advances scalable processes that optimize reimbursement recovery, preserve 340B program integrity, support operational excellence, and position the organization to respond effectively to evolving manufacturer, payer, federal, technology-driven, and organizational priorities.
Responsibilities
Program Leadership & Operations
- Direct operational execution for MFP and manufacturer rebate programs, including claim identification, eligibility validation, data submission, reconciliation, payment validation, issue resolution, and revenue recovery.
- Design, implement, and continuously refine operational workflows, policies, procedures, and internal controls that support accurate, scalable, and compliant program execution.
- Develop performance measures, monitor operational and financial outcomes, and provide clear reporting and recommendations to leadership.
- Identify operational risks, reimbursement gaps, and process improvement opportunities; lead corrective actions that improve program performance, controls, and financial outcomes.
- Serve as the internal subject matter expert for MFP and rebate operations and, as business needs and capacity allow, provide strategic and operational support for adjacent 340B priorities, including manufacturer restrictions, contract pharmacy limitations, Medicare Part D repository processes, and other emerging reimbursement or access initiatives.
Financial Reconciliation, Data Submission & Revenue Recovery
- Oversee identification, tracking, reconciliation, and validation of MFP refunds, manufacturer rebate submissions, 340B-related claims, and supporting financial transactions.
- Ensure timely and accurate data submission, claim tracking, invoicing, receivable monitoring, and collection of MFP, rebate, and related program payments.
- Review payment variances and investigate discrepancies between expected and received reimbursement.
- Monitor outstanding claims and receivables and implement strategies to optimize revenue recovery.
- Maintain detailed records supporting audit readiness and financial accountability.
Vendor, Manufacturer & External Partner Management
- Manage relationships with external vendors supporting 340B program operations, rebate administration, repository submissions, claim identification, analytics, eligibility validation, and payment processing.
- Establish service expectations and monitor vendor performance against contractual obligations.
- Collaborate with manufacturers, covered entities, third-party administrators, dispensing software vendors, industry groups, consultants, and other stakeholders as necessary.
- Lead regular vendor business reviews and drive resolution of identified issues.
Payer, Manufacturer & Program Policy Engagement
- Serve as a primary point of contact for payers, manufacturers, third-party administrators, and internal stakeholders regarding MFP refunds, 340B rebate claims, contract pharmacy restrictions, repository requirements, and related program activity.
- Investigate and resolve claim disputes, denials, payment discrepancies, and operational concerns.
- Coordinate escalation activities when program requirements are not being met.
- Lead communications and negotiations related to claim validation, data requirements, reimbursement accuracy, program access, and operational expectations.
Good Faith Inquiries, Appeals & Denial Management
- Oversee the review, development, submission, and resolution of Good Faith Inquiries.
- Analyze denied, disputed, or rejected claims and determine appropriate escalation pathways.
- Coordinate appeals, documentation collection, and supporting evidence required for successful resolution.
- Track outcomes and identify trends requiring process improvements or stakeholder intervention.
Information Technology, Repository Management & Data Governance
- Serve as the primary business liaison between MFP and rebate operations, Medicare Part D repository processes, dispensing systems, third-party administrators, and Information Technology teams.
- Define business requirements for MFP and rebate data extraction, claim validation, repository file generation, reporting, system enhancements, automation efforts, and controls supporting accurate program execution.
- Validate program data and monitor data integrity across multiple systems and vendors.
- Partner with IT to implement new technologies and process improvements supporting program effectiveness.
- Ensure reporting accuracy and maintain appropriate controls over sensitive program data.
Compliance & Regulatory Oversight
- Monitor federal regulations, CMS guidance, HRSA guidance, manufacturer requirements, contract pharmacy restrictions, Medicare Part D repository expectations, and industry developments affecting MFP, rebate, and related 340B program operations.
- Ensure organizational compliance with applicable program requirements and contractual obligations.
- Collaborate with legal, compliance, audit, and operational leadership to mitigate risk.
- Support internal and external audits and regulatory reviews.
- Develop and maintain policies, procedures, training materials, and compliance documentation.
Leadership & Collaboration
- Provide leadership, coaching, and development for assigned staff.
- Foster collaboration across pharmacy operations, revenue cycle, finance, compliance, contracting, managed care, and technology teams.
- Lead cross-functional initiatives that advance reimbursement optimization, MFP and rebate operations, and other prioritized 340B strategy workstreams as assigned or as capacity allows.
- Present program performance, risks, opportunities, and recommendations to senior leadership.
BASIC QUALIFICATIONS
- B.S./B.A. Bachelor's degree in Business, Finance, Healthcare Administration, Pharmacy, Accounting, Information Systems, or related field.
- 5 years healthcare, pharmacy reimbursement, revenue cycle, payer relations, 340B, government program administration, or related experience.
- 3 years leadership, project leadership, or program management experience.
- Experience working with Medicare, Medicaid, PBMs, manufacturers, or healthcare reimbursement models.
- Experience analyzing complex financial and operational data.
Knowledge, Skills, and Abilities
- Strong understanding of healthcare reimbursement methodologies and pharmacy claims processing.
- Knowledge of Medicare Part D, MFP requirements, manufacturer rebate models, 340B program requirements, contract pharmacy restrictions, repository requirements, and related regulatory frameworks, with the ability to apply this knowledge across changing program priorities.
- Exceptional analytical, problem-solving, and financial reconciliation skills.
- Ability to interpret regulations and operationalize program requirements.
- Strong project management and organizational skills.
- Excellent communication, negotiation, and relationship management abilities.
- Advanced proficiency in Microsoft Excel, reporting tools, and data analytics.
- Ability to work effectively with executive leadership, vendors, payers, manufacturers, and regulatory stakeholders.
- Strong attention to detail and commitment to compliance.
- Apexus Advanced 340B Operations Certificate within 3 Yrs.
PREFERRED QUALIFICATIONS
- Masters in Business Admin Master's degree in Business Administration (MBA), Healthcare Administration (MHA), Pharmacy Administration, or related field.
- Experience managing vendor partnerships and external stakeholder relationships.
- Experience leading cross-functional initiatives involving technology and operational teams.
- Experience with pharmacy claims adjudication and revenue cycle management.
COMPENSATION
- $114,857.60 - $162,177.60 Annual
Location: Seven Lakes Pharmacy, Shoreview MN
Hours: 80 hours bi-weekly
Schedule: days
INTRODUCTION
The Manager, Pharmacy 340B Strategy and Reimbursement Operations provides strategic leadership and operational oversight for Fairview Pharmacy Services' 340B reimbursement strategy, with primary accountability for Maximum Fair Price (MFP) readiness, implementation, and manufacturer rebate operations. The role is intentionally designed to provide flexibility to support additional 340B program priorities as organizational capacity and business needs evolve, including contract pharmacy restrictions, manufacturer policy requirements, Medicare Part D repository activity, and other reimbursement, access, or program integrity initiatives. This position serves as a business lead and subject matter expert for MFP and 340B rebate operations while maintaining the agility to support adjacent strategy and reimbursement workstreams. The Manager partners closely with pharmacy operations, information technology, revenue cycle, compliance, manufacturers, payers, covered entities, third-party administrators, dispensing software vendors, and external partners to interpret changing requirements, monitor program performance, mitigate financial and compliance risk, resolve operational issues, and strengthen program controls. Through strategic planning, cross-functional coordination, and disciplined execution, the Manager advances scalable processes that optimize reimbursement recovery, preserve 340B program integrity, support operational excellence, and position the organization to respond effectively to evolving manufacturer, payer, federal, technology-driven, and organizational priorities.
Responsibilities
Program Leadership & Operations
- Direct operational execution for MFP and manufacturer rebate programs, including claim identification, eligibility validation, data submission, reconciliation, payment validation, issue resolution, and revenue recovery.
- Design, implement, and continuously refine operational workflows, policies, procedures, and internal controls that support accurate, scalable, and compliant program execution.
- Develop performance measures, monitor operational and financial outcomes, and provide clear reporting and recommendations to leadership.
- Identify operational risks, reimbursement gaps, and process improvement opportunities; lead corrective actions that improve program performance, controls, and financial outcomes.
- Serve as the internal subject matter expert for MFP and rebate operations and, as business needs and capacity allow, provide strategic and operational support for adjacent 340B priorities, including manufacturer restrictions, contract pharmacy limitations, Medicare Part D repository processes, and other emerging reimbursement or access initiatives.
Financial Reconciliation, Data Submission & Revenue Recovery
- Oversee identification, tracking, reconciliation, and validation of MFP refunds, manufacturer rebate submissions, 340B-related claims, and supporting financial transactions.
- Ensure timely and accurate data submission, claim tracking, invoicing, receivable monitoring, and collection of MFP, rebate, and related program payments.
- Review payment variances and investigate discrepancies between expected and received reimbursement.
- Monitor outstanding claims and receivables and implement strategies to optimize revenue recovery.
- Maintain detailed records supporting audit readiness and financial accountability.
Vendor, Manufacturer & External Partner Management
- Manage relationships with external vendors supporting 340B program operations, rebate administration, repository submissions, claim identification, analytics, eligibility validation, and payment processing.
- Establish service expectations and monitor vendor performance against contractual obligations.
- Collaborate with manufacturers, covered entities, third-party administrators, dispensing software vendors, industry groups, consultants, and other stakeholders as necessary.
- Lead regular vendor business reviews and drive resolution of identified issues.
Payer, Manufacturer & Program Policy Engagement
- Serve as a primary point of contact for payers, manufacturers, third-party administrators, and internal stakeholders regarding MFP refunds, 340B rebate claims, contract pharmacy restrictions, repository requirements, and related program activity.
- Investigate and resolve claim disputes, denials, payment discrepancies, and operational concerns.
- Coordinate escalation activities when program requirements are not being met.
- Lead communications and negotiations related to claim validation, data requirements, reimbursement accuracy, program access, and operational expectations.
Good Faith Inquiries, Appeals & Denial Management
- Oversee the review, development, submission, and resolution of Good Faith Inquiries.
- Analyze denied, disputed, or rejected claims and determine appropriate escalation pathways.
- Coordinate appeals, documentation collection, and supporting evidence required for successful resolution.
- Track outcomes and identify trends requiring process improvements or stakeholder intervention.
Information Technology, Repository Management & Data Governance
- Serve as the primary business liaison between MFP and rebate operations, Medicare Part D repository processes, dispensing systems, third-party administrators, and Information Technology teams.
- Define business requirements for MFP and rebate data extraction, claim validation, repository file generation, reporting, system enhancements, automation efforts, and controls supporting accurate program execution.
- Validate program data and monitor data integrity across multiple systems and vendors.
- Partner with IT to implement new technologies and process improvements supporting program effectiveness.
- Ensure reporting accuracy and maintain appropriate controls over sensitive program data.
Compliance & Regulatory Oversight
- Monitor federal regulations, CMS guidance, HRSA guidance, manufacturer requirements, contract pharmacy restrictions, Medicare Part D repository expectations, and industry developments affecting MFP, rebate, and related 340B program operations.
- Ensure organizational compliance with applicable program requirements and contractual obligations.
- Collaborate with legal, compliance, audit, and operational leadership to mitigate risk.
- Support internal and external audits and regulatory reviews.
- Develop and maintain policies, procedures, training materials, and compliance documentation.
Leadership & Collaboration
- Provide leadership, coaching, and development for assigned staff.
- Foster collaboration across pharmacy operations, revenue cycle, finance, compliance, contracting, managed care, and technology teams.
- Lead cross-functional initiatives that advance reimbursement optimization, MFP and rebate operations, and other prioritized 340B strategy workstreams as assigned or as capacity allows.
- Present program performance, risks, opportunities, and recommendations to senior leadership.
BASIC QUALIFICATIONS
- B.S./B.A. Bachelor's degree in Business, Finance, Healthcare Administration, Pharmacy, Accounting, Information Systems, or related field.
- 5 years healthcare, pharmacy reimbursement, revenue cycle, payer relations, 340B, government program administration, or related experience.
- 3 years leadership, project leadership, or program management experience.
- Experience working with Medicare, Medicaid, PBMs, manufacturers, or healthcare reimbursement models.
- Experience analyzing complex financial and operational data.
Knowledge, Skills, and Abilities
- Strong understanding of healthcare reimbursement methodologies and pharmacy claims processing.
- Knowledge of Medicare Part D, MFP requirements, manufacturer rebate models, 340B program requirements, contract pharmacy restrictions, repository requirements, and related regulatory frameworks, with the ability to apply this knowledge across changing program priorities.
- Exceptional analytical, problem-solving, and financial reconciliation skills.
- Ability to interpret regulations and operationalize program requirements.
- Strong project management and organizational skills.
- Excellent communication, negotiation, and relationship management abilities.
- Advanced proficiency in Microsoft Excel, reporting tools, and data analytics.
- Ability to work effectively with executive leadership, vendors, payers, manufacturers, and regulatory stakeholders.
- Strong attention to detail and commitment to compliance.
- Apexus Advanced 340B Operations Certificate within 3 Yrs.
PREFERRED QUALIFICATIONS
- Masters in Business Admin Master's degree in Business Administration (MBA), Healthcare Administration (MHA), Pharmacy Administration, or related field.
- Experience managing vendor partnerships and external stakeholder relationships.
- Experience leading cross-functional initiatives involving technology and operational teams.
- Experience with pharmacy claims adjudication and revenue cycle management.
COMPENSATION
- $114,857.60 - $162,177.60 Annual
See all 250+ H-1B Visa Pharmacy Operations Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Pharmacy Operations Manager Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Pharmacy Operations Manager
Verify your degree meets specialty occupation standards
Your bachelor's degree must be in pharmacy, pharmaceutical sciences, healthcare administration, or a directly related field. USCIS scrutinizes operations management roles closely, so confirm your transcripts and credential evaluations clearly tie your coursework to the managerial and regulatory pharmacy duties in the job description.
Look up prevailing wages before salary negotiations
Use the OFLC Wage Search to find the certified wage level for your specific SOC code and work location. Your employer's LCA must meet or exceed that threshold, so knowing the prevailing wage before you negotiate protects your status and strengthens your offer evaluation.
Target health systems with multi-site pharmacy networks
Large hospital systems and pharmacy benefit managers file LCAs regularly for operations roles across multiple locations. Each worksite requires its own certified LCA, so employers already running multi-site pharmacy networks are structurally set up to handle the filing logistics your situation requires.
Search Migrate Mate for verified H-1B sponsors
Filter your job search to employers with documented H-1B LCA filing history in pharmacy operations. Migrate Mate surfaces this DOL data by role and location, so you're targeting companies that have already navigated the specialty occupation determination for this exact type of position.
Request premium processing during offer negotiations
USCIS premium processing cuts the I-129 adjudication window to 15 business days. If your start date is firm or you're transitioning from another visa status, raise premium processing with the employer before signing your offer so it's built into the timeline and cost agreement upfront.
Review the O*NET profile before writing your job description
The O*NET occupation profile for pharmacy operations roles outlines the degree-level knowledge domains USCIS expects to see reflected in the position's duties. Aligning your job description language with those documented competencies strengthens the specialty occupation argument in your employer's I-129 petition.
H-1B Visa Pharmacy Operations Manager: Frequently Asked Questions
Does a Pharmacy Operations Manager role qualify as an H-1B specialty occupation?
Yes, when the position requires at least a bachelor's degree in pharmacy, pharmaceutical sciences, or healthcare administration as a normal prerequisite. The role involves regulatory compliance, clinical oversight, and supply chain management that demand degree-level knowledge. USCIS will evaluate the specific duties in the employer's petition, so the job description must clearly reflect those professional-level responsibilities.
How do I find employers who actively sponsor H-1B visas for pharmacy operations roles?
Search Migrate Mate to browse employers with verified H-1B LCA filing history for pharmacy and healthcare operations positions. Health systems, pharmacy benefit managers, and large retail pharmacy chains are the most consistent sponsors because they operate at a scale that justifies the filing investment and already have HR infrastructure for immigration compliance.
What happens to my H-1B status if my employer closes a pharmacy location?
If your primary worksite closes and you're reassigned to a different location not listed on your certified LCA, your employer must file an amended LCA and potentially an amended I-129 before you begin working at the new site. Each worksite requires its own certified LCA, so proactively confirm your employer's compliance process before any reassignment takes effect.
Can I transfer my H-1B to a new pharmacy employer mid-status?
Yes, H-1B portability lets you start working for a new sponsoring employer once they file an I-129 transfer petition, without waiting for USCIS approval, provided your current status is valid and you've been lawfully employed. The new employer must file a fresh LCA certified for your worksite, and the specialty occupation standard applies again to the new position.
How long does the H-1B filing process typically take for a Pharmacy Operations Manager hire?
The DOL LCA certification generally takes around seven business days. Standard USCIS I-129 processing currently runs several months, though timelines vary and USCIS updates estimates regularly. Premium processing cuts the I-129 decision to 15 business days. Build at least three to four months of buffer into your start date planning to account for LCA certification plus standard petition review.