System Manager – Specialty Pharmacy
Essential Job Responsibilities/ExpectationsPosition Overview:Reporting to the Vice President of Pharmacy Services, the Specialty Pharmacy Manager is responsible for providing direction and leadership for all aspects of specialty pharmacy services at McLeod Health. This role oversees operational, financial, programmatic, and personnel activities, ensuring excellence in patient care and customer service.
Specialty Pharmacy Program Management:• Establish and maintain key processes, analyzing and implementing changes to improve efficiency, quality, and service. Stay abreast of operational and regulatory changes.• Lead operational activities of the specialty pharmacy program, including marketing, prescription capture, contract pharmacy agreements, policy creation, accreditation, clinical services, prior authorization services, call center services, dispensing, licensing, and compliance.• Maintain a thorough understanding of prescription billing, reimbursement, and serve as a department resource for questions or issues.• Oversee the purchase of drugs and supplies, ensuring appropriate records and documentation are maintained according to established standards/procedures.• Ensure compliance with South Carolina Board of Pharmacy, Joint Commission, CMS, and FDA regulations for the medication process (verification, compounding, packaging, labeling, and dispensing). Monitor and remediate medication errors and controlled substance monitoring and surveillance.• Thoroughly understand all specialty pharmacy accreditation standards, achieve and maintain necessary accreditations, and maintain organized and up-to-date documentation as required by accreditation bodies (URAC, ACHC, etc.).• Negotiate, in collaboration with appropriate system departments, with employers, payers, and prescription benefit managers for inclusion in restricted specialty pharmacy payer networks.• Collaborate with payers to achieve appropriate credentials for network inclusion when necessary.• Negotiate with manufacturers to achieve access to limited distribution products required to treat patients and employees.• Assess and lead change as operations demand, implementing strategies to strengthen specialty pharmacy programs.
Business Development and Growth:• Identify and lead new specialty pharmacy business opportunities, evaluating and operationalizing them as appropriate.• Foster a culture of innovation to achieve results across the pharmacy enterprise.• Collaborate with key stakeholders on specialty pharmacy planning, business growth & development, aligning pharmacy initiatives with the organization’s operating plan.• Work closely with the system and local-level pharmacy leadership teams and executives to lead the implementation of contemporary pharmacy business operations and clinical models of care, ensuring excellence in quality, safety, service, compliance, and financial performance.
Budgeting and Financial Management:• Develop and maintain reports to analyze specialty pharmacy profitability.• Develop and monitor annual budgets, including operating capital and special needs, and review and monitor variances to maintain fiscal responsibility of the department.• Monitor and analyze specialty pharmacy financial data to drive informed decision-making.• Monitor budgets for compliance, investigating and explaining variances.• Provide financial oversight and accountability, identifying and leading initiatives to grow revenue and lower costs.• Ensure accurate and timely invoice processing between pharmacy and accounts payable.• Achieve key financial targets and performance metrics in the McLeod specialty pharmacy.
Management and Oversight:• Manage and supervise employees, providing direction, coaching, training, and development, and manage performance to meet McLeod’s goals and expectations.• Coordinate and lead projects and initiatives that span multiple business lines, ensuring successful implementation.• Drive recruitment and hiring of pharmacy personnel to build a talented and diverse workforce.• Drive continuous improvement and innovation in pharmacy processes and systems, seeking opportunities for enhanced performance and productivity.• Execute on organizational priorities to drive value across all areas of specialty pharmacy operations.• Provide transformational leadership for direct reports to assure effective integration and standardization. This includes hiring, developing, and retaining high performing team members and a structure that propels success.• Maintain effective communication with stakeholders including patients, physicians, nurses, pharmacists, and other hospital team members.• Adapt effectively to major changes in work responsibilities or environment, adjusting within new work structures, processes, requirements, or cultures.• Provide administrative leadership in the absence of the director, taking calls including weekends and assisting in emergencies.• Oversees clinical pharmacy for specific area, provide guidance and direct to clinical staff regarding protocols, decision making and advising in delivering patient care.
Miscellaneous:• Collaborate closely with the 340B team to optimize savings and compliance.• Drive continuous improvement and innovation in pharmacy processes and systems, seeking opportunities for enhanced performance and productivity.• Maintain compliance with regulatory and accrediting agencies.• Works in capacity of Clinical Pharmacist as needed.• Precept learners, including students and residents.Job RequirementsQualifications/Training/Experience:• Three years of relevant experience (Required).• Post Graduate Year 1 Pharmacy Residency (PGY1) and/or PGY2 Residency (Preferred).• At least 1 year experience in financial analysis and budgeting (Preferred).
Licenses/Certifications/Registrations/Education:• Bachelor’s degree or Pharmacy Degree from an accredited school of pharmacy (Required).• Current licensure and registration as a pharmacist in the state of South Carolina (Required).• Certification: Board Certified Pharmacotherapy Specialist (BCPS) or Certified Specialty Pharmacist (Preferred) .
Physical Requirements: Refer to Occupational Risk Assessment
Note: This job description outlines the primary responsibilities and qualifications required for the position. It is not exhaustive and may be subject to changes, additions, or amendments as deemed necessary by McLeod Health.
Florence, SC, United States