Senior Director of Retail and CHC Pharmacy

POSITION SUMMARY:

Boston Medical Center Health System (BMCHS) is a $8 billion revenue integrated academic health care system and health plan whose purpose is to provide equitable and value-based continuum of care, while transforming the outcomes of low(er) income and vulnerable populations in Massachusetts, New Hampshire and beyond. 

The pharmacy section of BMCHS is a broad, complex organization made up of multiple hospitals and health plan pharmacy service lines.  BMCHS, its care model, and by extension, its pharmacy operations occupy a unique position in the Massachusetts and US healthcare landscape. Over 60% of clinical care is in (near) full risk arrangements, there is a strong commitment to value based care, and to addressing the core health drivers (social determinants of health) in the communities that BMCHS serves. BMCHS’s patients disproportionately come from communities of color, so there is also a deep investment in addressing health inequities both within the organization, and in partnership with community organizations.  

With 500+ FTEs and ~$900M in revenue, BMC hospital pharmacy department is a crucial part of both the broader hospital and system operations.  

Under the direction of the VP/Chief Pharmacy will play a critical role in leading, management and strategic direction of initiatives for all retail and community health center pharmacies in alignment with the organization’s goals: engaging key stakeholders, developing critical analyses to drive decision making, leading and advancing key hospital pharmacy initiatives and enhancing organizational growth. He/she will work directly with the Hospital VP/CPO and other senior leaders on a day-to-day basis. 

Senior Director will have proven track record leading large scale pharmacy operations with deep understanding of retail pharmacy operations, customer dynamics and will have the responsibility of building and maintaining relationships and supporting activities that will promote safe, effective and efficient use of drug therapy that optimizes patient care and drive superior clinical outcomes.

Position: Senior Director

Department: Retail and CHC Pharmacy

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Translates organizational goals into departmental strategic and operating goals and objectives on an annual basis. Defines, develops and implements short- and long-term strategies and plans to meet organizational objectives within specified target date.

Ensure pharmacy alignment with hospital and system goals:  Exceptional care (focused on quality outcomes, patient experience), financially strong (operating income), thriving people and culture (re-enforce and enhance our organizational culture and values) and leading transformation (growth and diversification, equity, innovation, performance excellence)

Maintains understanding of various customers business needs and strategy around specialty, mail order retail, CHC pharmacies, Medicaid Accountable Care Organization (MCO), Health plan, PBMs and above all operational excellence

• Build and maintain a pipeline of new business opportunities and identifying upsell opportunities for current customers

• Negotiates contracts for new business opportunities and existing contract renewals

• Analyze industry trends, adopt emerging technologies, and implement best practices to elevate healthcare delivery

• Continuously improve processes or procedures to optimize efficiency and productivity to consistently meet and exceed business goals through innovative labor and productivity strategies and effective staffing models

• Ensure the delivery of exceptional services to lead efforts to improve patient experience my maximizing patient clinical outcomes

• Oversee specialty pharmacy fulfillment and ensure compliance with payor accreditation P&P

In collaboration with and support from purchasing, operations, and specialty leadership teams;

• Support specialty pharmacy wholesaler/distribution contract negotiation,

• Participate in ongoing contract pricing review with validation via wholesaler,

• Work with revenue cycle to review negative and low margin prescription claims, and help create solutions

• Collaborates with revenue cycle and other teams to ensure accurate and compliant pharmacy claim submission

Responsible for compliance with all Federal, State and Local laws, regulations and rules; compliance with all accreditation standards and knowledge of and adherence to all policies and procedures of the organization and department.

Responsible for the creation and maintenance of a healthy work environment. A healthy work environment is one where people feel supported, held accountable, where standards are applied, and expectations are clear. A healthy work environment is one where leadership supports and leads, models behavioral standards and sets the example for how to do all things right. Critical responsibilities related to this:

• Being engaged in the department, including managing up, owning team decisions and communicating and supporting departmental and or organizational initiatives.

• Hold self and others to the highest ethical standards, and act with honor above all.

• Effective human resource management, including effectively disciplining people, recognizing people, developing and performing performance evaluations and guiding people in professional development

The Senior Director will use evidence-based processes to ensure the highest level of quality, safety and service.  On an annual basis develop strategic growth plans in collaboration with clinical and operational   leadership to maximize prescription capture to maximize and help support overall pharmacy business growth YOY

• Directs Pharmacy operations to meet short-term and long-range planning, budget and other strategic business goals.

• Foster robust relationship with health plan and health care providers

• Support local/federal level education and advocacy efforts in partnership with government advocacy team

• Directs quality management and continues quality improvement programs to ensure compliance with regulations and standards on an ongoing basis. Examples like overseeing and checking on daily, weekly, monthly and quarterly reports on all aspects of operations. Ensures follow up, and closes the loop on outstanding items

• Establish the performance goals, allocate resources, and assess policies for senior management.

• Participates in market development, including participation in community outreach, community involvement, government relations work and more

• Embracing innovative practices involved around integrating technology for medication fulfillment

The Senior Director is responsible for the following duties and activities: Participates in the following:

• Mandatory training requirements as per hospital policy

• Continuing education/in-services to enhance knowledge

• Staff meetings

• Performance improvement initiatives

• Orientation of new staff, students and/or volunteers

• Co-leads the Medication Safety Quality Committee with a physician and is the principal advocate for Medication Use quality initiatives within the institution.

• Utilizes hospital's values as the basis for decision making.

• Follows established hospital infection control and safety procedures

• Mentorship of pharmacy health equity fellow

• PGY1/2 HSPAL Residency program director

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Job Requirements

EDUCATION:

• PharmD or other advanced degree in pharmacy or healthcare administration; B.S. degree in Pharmacy from an accredited College of Pharmacy required

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• Valid license as a pharmacist in the State of Massachusetts is required upon start date.

EXPERIENCE:

• Ten+ years of experience in pharmacy management required,  hospital pharmacy management preferred Academic medical center experience preferred

KNOWLEDGE, SKILLS & ABILITIES (KSA):

• Demonstrates excellent leadership for change skills

• Promotes collaboration across multidisciplinary services

• Demonstrates excellent interpersonal skills

• Demonstrates strategic planning and ability to negotiate contracts

• Demonstrates excellent organizational and communication skill

• Demonstrates a proved track record for developing and managing people

Equal Opportunity Employer/Disabled/Veterans