Director of Pharmacy

Position Summary :

The Director of Pharmacy, under the supervision of the Chief Medical Officer who reports to the Chief Executive Officer, is responsible for overseeing all pharmacy operations within a federally qualified health center (FQHC), with a strong emphasis on compliance and optimization of the 340B Drug Pricing Program. This role includes preparing and dispensing medications, providing pharmacological guidance to healthcare professionals, and monitoring patient drug therapies. The Director ensures adherence to federal and state regulations, maintains accurate records for controlled substances, and supervises pharmacy staff. Additionally, the Director leads 340B program oversight, develops policies and procedures, and collaborates with internal and external stakeholders to ensure program integrity and cost-effective pharmaceutical care.

Administrative Responsibilities and Multi-Site Leadership

• Develops and Maintains Pharmacological Policies and Procedures
• Leads the creation, implementation, and ongoing review of pharmacy protocols to ensure they are evidence-based, compliant with regulatory standards and patient safety, and aligned with clinical best practices.
• Ensures policies reflect the unique requirements of the 340B Drug Pricing Program, including program eligibility, purchasing, and inventory management.
• Collaborates with medical and administrative leadership to integrate pharmacological policies into overall patient care and organizational operations.
• Maintains documentation and supports audits related to the 340B Program and health center operations.
• Ultimately responsible for any deficiencies found in audits and will hold parties accountable for corrective actions and process improvements.
• Ensures vaccine stability, handling and storage are following manufacturer guidelines, the CDC, and other state and federal regulatory agencies.
• Works directly with IT department and external contract pharmacies.
• Willingness and ability to travel between pharmacy sites and attend meetings or events outside of normal business hours, including occasional evenings and weekends, as organizational needs require.
• Supervises Work Results of Support Personnel
• Oversees pharmacists, pharmacy technicians, interns, and clerical staff to ensure all functions are carried out efficiently and in compliance with legal and professional standards.
• Provides ongoing training, annual performance evaluations, and disciplinary action when necessary.
• Creates, supports and manages onboarding for all new staff and retention programs.
• Ensures adequate staffing levels and schedules to maintain high-quality patient care.
• Participates in the Clinic / Pharmacy Performance Improvement Programs
• Contributes pharmacy-specific metrics and data for inclusion in the clinic's quality improvement initiatives.
• Lead and support continuous improvement initiatives in pharmacies by analyzing existing processes for inefficiencies or safety risks, incorporating feedback from staff and interdisciplinary teams, implementing evidence-based best practices and regularly evaluating key performance indicators (KPI's) such as turnaround times, error rates, and inventory accuracy to enhance operational efficiency, patient safety, and overall quality of pharmaceutical care at RHS, Inc.
• Attends All Scheduled Staff Meetings
• Engages in interdepartmental meetings to stay aligned with organizational goals and communicate pharmacy updates.
• Shares insights on operational challenges, successes, and strategic needs, while keeping pharmacy staff members aware of all changes.
• Assists with Preparation and Submission of Grant Applications
• Provides clinical and operational data for funding applications related to pharmacy services or 340B program enhancements.
• Collaborates with grant writers to align proposals with community health priorities and pharmacy capacity.
• Contract Management
• Oversees and maintains HRSA and regulatory compliance for all pharmacy-related contracts, including but not limited to 340B contract pharmacies, wholesalers, third-party administrators (TPAs), pharmacy benefit managers (PBMs), and vendor agreements.
• Negotiates contract terms to align with organizational goals, compliance requirements, and cost-effectiveness standards.
• Ensures all contracts are reviewed regularly for compliance with legal, regulatory, and 340B program guidelines, coordinating with legal and compliance departments as necessary.
• Monitors contract performance metrics and ensures vendors and partners meet service-level expectations and reporting obligations.
• Maintains accurate, up-to-date records of all pharmacy contracts and associated documentation for audit readiness and organizational accountability.
• Works collaboratively with finance, legal, and procurement teams during contract renewals, amendments, or termination processes.
• Reports to CMO at least quarterly specific to contracts, performance, and renewals.
• Multi-Site Operational Leadership
• Provides strategic and operational oversight for all pharmacy locations under the organization, ensuring consistent adherence to regulatory, clinical, and operational standards.
• Conducts routine site visits to assess operational efficiency, cleanliness, compliance, infection control, staffing adequacy, and patient safety practices across all pharmacies.
• Coordinates cross-site resource allocation, including staffing, inventory redistribution, and technology utilization to optimize efficiency and patient care.
• Develops and enforces uniform pharmacy policies and procedures that apply across all locations and align with organizational and regulatory standards.
• Directly manages medication transportation and delivery systems between sites, external vendors and patients when applicable.
• Financial and Business Accountability
• Develops and manages budgets for each pharmacy site, monitoring key financial metrics such as revenue, cost of goods sold, and gross margins.
• Establishes standardized financial reporting processes to track performance and identify variances across locations.
• Identifies and implements cost-containment strategies, formulary optimization, and purchasing efficiencies through centralized contracting.
• Provides consolidated financial and operational performance reports to executive leadership on a regular basis.
• Leadership and Staff Development
• Supervises and mentors' pharmacy managers or pharmacists in charge at each site, providing ongoing leadership and professional development.
• Conducts annual performance evaluations for site pharmacy leaders, establishing measurable goals and accountability standards.
• Promotes a unified organizational culture focused on regulatory compliance, patient safety, and service excellence across all pharmacy sites.
• Reporting and Communication
• Provides consolidated operational and financial reports to executive leadership and the Board summarizing pharmacy performance across all locations.
• Facilitates consistent communication among pharmacy site teams to ensure transparency regarding policy changes, regulatory updates, and organizational goals
• Serves as the primary liaison between pharmacy operations and other administrative departments including finance, IT, compliance, and human resources.

Clinical Functions / Responsibilities :