Senior Manager, Specialty Pharmacy Operations

This position will be responsible for the Specialty Pharmacy operations for OAPI

The position will report to Director, Specialty Pharmacy Operations

We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new specialty pharmacy product launch. This role will be primarily focused on managing the day-to-day activities with specialty pharmacy partners, ensuring smooth operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers, and other internal stakeholders to resolve complex issues, improve processes, and ensure a seamless patient and provider experience.

Key Responsibilities:

Specialty Pharmacy Partner Management:

• Oversee and manage day-to-day activities with specialty pharmacy partners, ensuring timely and accurate order fulfillment, inventory management, and patient support services.
• Serve as the primary point of contact for operational issues, including addressing questions, investigating discrepancies, and driving resolution with pharmacy partners.
• Monitor and maintain operational performance standards with pharmacy partners, ensuring alignment with agreed-upon service levels, KPIs, and regulatory requirements.
• Investigate and resolve any challenges related to prescription processing, distribution, patient access, or reimbursement.
• Create and manage various trade/SP amendments and communications
• Leverage trade customer contracts, by analyzing and monitoring data to maintain optimal inventory levels.
• Responsible for creating and updating business rules with each specialty pharmacy
• Contribute to development of product and channel specific contract strategies

Collaboration with Internal Stakeholders:

• Lead and manage all touchpoints with internal and external parties
• Work cross-functionally with Market Access on product access issues and Medical team on resource development and pull-through.
• Develop relationships and work closely with the Patient Experience Liaisons and/or Field Reimbursement Managers to help resolve Patient/Provider access issues.
• Provide regular updates regarding pharmacy partner performance, patient access issues, and any operational challenges.
• Collaborate with the team to continuously improve patient services and operational processes, including reviewing and optimizing workflows to enhance the overall customer experience.

Issue Investigation & Resolution:

• Take ownership of investigating operational issues and work with internal and external teams to identify root causes and implement corrective actions.
• Address challenges related to patient enrollment, medication distribution, insurance verification, or other issues impacting pharmacy operations.
• Escalate critical issues as needed and ensure effective communication with all relevant parties to resolve problems quickly and efficiently.

Reporting & Data Analysis:

• Collect and analyze operational data related to specialty pharmacy performance, patient access, and service delivery.
• Identify appropriate metrics and tracking to ensure the right execution and success; analyze procedure volume, trends and growth for the specialty channel.
• Create, conduct and lead business reviews with each of the SPs.
• Provide regular reports on operational performance, issue resolution, and process improvements to the Director of Pharmacy Operations.
• Analyze pharmacy reporting in creating patient, provider, physician, pharmacy and payer data to help improve processes
• Monitor specialty pharmacy data (ie; Time to First Fill, Conversion Rate, Gap days and Adherence)

Continuous Improvement:

• Participate in regular process improvement initiatives aimed at optimizing pharmacy operations and enhancing the patient experience.
• Provide input into the development and refinement of training materials, operational procedures, and best practices for working with specialty pharmacy partners.

Qualifications/ Required

Knowledge/ Experience, Skills and Educational Qualifications:

Required/Preferred:  

        Pharmacy Degree preferred

Qualifications:

• Bachelors degree from an accredited four-year college or university.
• At least 3 - 5 years direct experience with pharmaceutical industry with an emphasis on specialty pharmacy experience and patient services.
• Experience evaluating data sources for insights, specifically specialty pharmacy and patient services dat