Senior Director, Pharmacy Retail and CHC

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

Location: Boston, MA, onsite

Reports to the CPO.

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 maintenan