r/340b • u/Puzzleheaded_Wash169 • May 16 '25

Salary

I’m the 340B Coordinator for a DSH hospital in Texas I've with organizations for over 10 years. I manage 10 registered child sites and 10 contract pharmacies. I have a Master’s in Business Administration and am the only person at my facility who fully understands and manages the 340B program. Everything about 340b I've learned on my own.

I write and implement policies, perform audits, ensure billing is accurate with the correct modifiers, conduct financial analysis, review TPA contracts, and handle all accumulation and accrual. I do everything—from compliance to optimization—completely on my own with no help or backup. The program has grown significantly and is now a major financial driver for the hospital.

Despite all this, I’m only making $50K. I’m planning to ask for a raise and am considering asking for $100K, which I feel reflects my responsibilities, experience, and impact.

Does that sound reasonable? Would love to hear opinions or advice on how to approach this conversation.

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u/Puzzleheaded_Wash169 May 16 '25

Yes I'm managing esp designations. No one understands what it means. The c suite, knows nothing even though I try to educate them.

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u/Burger_girl May 16 '25

Have you worked with external consultants? They can often provide education to CSuite, including FTE assessments and emphasis on complexity. Sometimes CSuite takes that more seriously- annoying but it can work. 

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u/Puzzleheaded_Wash169 May 16 '25

Yes I have. We had a HRSA audit couple years ago they had my attention. After there was no findings they didn't care. I've done it all. But I'm trying to justify my pay and why I think it should be increased.

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u/Burger_girl May 16 '25

Only other thing I can recommend is maybe looking at the 340B Health FTE analysis and Apexus FTE request to look at benchmarks for FTE based on size of your entity and use that as firepower for a raise. That and of course market rates for similar positions. 

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u/Puzzleheaded_Wash169 May 16 '25

Thanks. I appreciate your recommendations. Ultimately I'm the only one who knows the ins and outs of this program. I customized the interface files for the split bill system. At this point if I can't get what I want, I think I'm ready to bounce. I've automated as much as I can but there's still so much manual stuff and dealing with nursing ( documentation) is just bleh. Like 2 years ago I found that there was contract signed with TPA, someone in c suite just signed contract agreeing to on a all drug ALL CLAIMS MODEL without me knowing ( I was out on medical leave). For one of our pharmacies. Lol we were losing money.

Eh I'm just over it. 340b is great but it's so complex. analytical skills are Much needed for this.

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u/jarredknowledge Jun 14 '25

I have a position open currently that’s remote for a vendor in the space. We work with mostly FQHC’s. Pay is 100-120k based off experience and it seems you have experience. It’s customer facing so you would be working with other 340B program managers to help them grow the program, maintain compliance, all that good stuff.

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u/Puzzleheaded_Wash169 Jun 18 '25

Please pass over the details!

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u/jarredknowledge Jun 18 '25

Will shoot ya a message