Operations Visa Sponsorship Jobs in Montana

INTRODUCTION

We are seeking a qualified candidate to join our Pharmacy team as a Specialty Pharmacist supporting the 340B program. This position is primarily remote but requires periodic travel to meet on-site responsibilities. The selected candidate will be expected to work on-site for one full week per quarter to support program operations in Big Sky, and Bozeman, Montana. Additional on-site presence may be required based on business needs, audits, or other program requirements.

Remote Work Approved States:

Arizona
Florida
Georgia
Idaho
Iowa
South Dakota
Texas
South Carolina
Wisconsin
North Carolina
Michigan

If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position.

Position Summary:

Manages and administers operations of the 340B Drug Pricing Program to ensure regulatory compliance, operational integrity, and appropriate financial outcomes across hospital, rural health clinic, and contract pharmacy settings. Serves as the organizational subject matter expert for 340B regulations and program requirements, translating federal guidance into compliant workflows and actionable processes. Collaborates with pharmacy, finance, compliance, revenue cycle, IT, and clinical teams to support medication access for rural and underserved populations.

Qualifications:

Required:

- Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD).
- Current Montana Pharmacist license, or ability to obtain licensure upon hire.
- 340B University Certification, or ability to obtain upon hire.
- Advanced 340B Operations Certification (ACE), or ability to obtain within ninety (90) days of hire.
- Five (5) years of health-system pharmacy experience.
- Demonstrated experience administering or supporting a 340B Drug Pricing Program.
- Experience with regulatory compliance activities, audit preparation, and cross-functional collaboration.

Preferred:

- Experience supporting rural health, critical access, or safety-net health systems.
- Experience with contract pharmacy operations, including internal retail and external partners.
- Experience with 340B split-billing software, pharmacy information systems, and data analysis.
- Advanced 340B Operations Certification (ACE).

Essential Job Functions:

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
- Administers daily operations of the 340B program across the hospital covered entity, rural health center (RHC) child sites, and all contract pharmacy arrangements.
- Applies Health Resources and Services Administration (HRSA) regulations, manufacturer requirements, and federal guidance to ensure ongoing program compliance.
- Maintains accurate registration, recertification, and eligibility records for all 340B-covered sites and pharmacies within the HRSA database.
- Develops, updates, and maintains 340B policies, procedures, and standard operating procedures applicable to hospital, clinic, and retail pharmacy workflows.
- Monitors program activity to identify and mitigate risk related to diversion, duplicate discounts, patient definition compliance, and Medicaid billing decisions.
- Coordinates internal reviews and supports preparation for HRSA audits, manufacturer audits, and third-party reviews, ensuring documentation accuracy and audit readiness.
- Oversees operational compliance of internal retail pharmacies and external contract pharmacy partners, including adherence to contractual and regulatory requirements.
- Works with pharmacy operations, finance, and revenue cycle teams to support compliant split-billing processes, inventory replenishment, and savings reconciliation.
- Tracks and analyzes program performance metrics, including compliance indicators, utilization trends, and contract pharmacy activity.
- Supports rural health clinic operations by aligning 340B workflows with clinic encounters, billing practices, and access-to-care goals.
- Acts as a resource to pharmacy, compliance, legal, IT, and clinical staff by providing education and guidance on 340B requirements and processes.
- Participates in initiatives aimed at improving medication access, program efficiency, and sustainability within regulatory parameters.

Knowledge, Skills and Abilities

- Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
- Exercises tact, discretion, sensitivity, and maintains confidentiality
- Performs essential job functions successfully in a busy and stressful environment
- Learns current and new computer applications and office equipment utilized at Bozeman Health
- Strong interpersonal, verbal, and written communication skills
- Analyzes, organizes, and prioritizes work while meeting multiple deadlines

Schedule Requirements

- This role requires regular and sustained attendance.
- The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
- On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements

- Lifting (Rarely – 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
- Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination.
- Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
- Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
- Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
- Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
- Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
- Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
- Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
- Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).

The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.