Manager - Specialty Pharmacy

The Manager - Specialty Pharmacy provides operational, clinical, fiscal, regulatory, and people leadership for the health system specialty pharmacy. The Manager is accountable for maintaining continuous readiness and compliance with applicable URAC, ACHC, and other specialty pharmacy accreditation standards as applicable, federal and state pharmacy requirements, payer and limited-distribution-drug contracts, and Baptist Health Care policies. The role leads integrated medication-access services in partnership with physician practices, including benefits investigation, prior authorization, appeals, financial assistance, patient onboarding, refill coordination, clinical monitoring, and safe delivery of medications to patients and authorized sites of care such as infusion centers and home-infusion programs. The Manager also performs pharmacist duties and serves as a medication-use resource for patients, prescribers, nurses, revenue-cycle partners, and other healthcare professionals.

• Leads daily specialty pharmacy operations and performs pharmacist functions as needed, including clinical and legal review of prescriptions; performs verifications, dispensing, counseling, intervention documentation, and oversight of medication procurement, storage, handling, and distribution.
• Owns continuous accreditation readiness for URAC, ACHC, and other applicable bodies. Maintains the crosswalk of standards to policies, evidence, workflows, responsible owners, and monitoring activities; leads self-assessments, survey preparation, corrective-active plans, and ongoing compliance after accreditation or reaccreditation.
• Directs the end-to-end medication-access workflow in collaboration with physician practices, including benefits investigation, prior authorization submission and follow-up, step-therapy and formulary-exception requests, appeals, copay or foundation assistance, and timely communication of access barriers and required clinical documentation.
• Builds and maintains service relationships with physicians, clinic leaders, infusion centers, home-infusion teams, nursing, case management, revenue cycle, payers, manufacturers, and distributors. Establishes referral, handoff, escalation, and closed-loop communication processes that support continuity of care.
• Oversees safe, accurate, and timely delivery to patients and approved sites of care, including delivery scheduling, chain-of-custody, temperature-controlled packaging, shipment tracking, failed-delivery and excursion response, product integrity, coordination with administration appointments, and documentation of receipt.
• Manages pharmacy personnel and workforce capability, including recruitment, orientation, performance evaluation, coaching, scheduling, and engagement. Participates in a shared 24/7 on-call rotation to provide timely pharmacist consultation, resolve urgent medication-access or delivery issues, and support continuity of patient care.
• Manages financial and business performance, including annual budget, labor and inventory productivity, purchasing and wholesaler relationships, high-cost inventory controls, limited-distribution access, and service-line growth consistent with compliance and patient-care priorities.
• Directs the quality-management and patient-safety program. Monitors and acts on performance indicators such as dispensing accuracy, turnaround time, prior authorization outcomes, abandonment, phone metrics, adherence, patient and prescriber satisfaction, complaints, and adverse events. Leads root-cause analysis and sustained improvement.
• Manages team members, which includes orientation, development and evaluation of team members, and monitoring the provision of delivering quality services. Participates in the recruiting, interviewing, and selecting of team members following policies, guidelines and applicable laws. Evaluates team member’s performance relative to job goals and requirements. Provides coaching to staff, recommends education programs, and ensures adherence to internal policies and standards.
• Maintains responsibility for the fiscal management of department and assures proper utilization of organization’s financial resources.
• Effectively communicates departmental, organization, and industry information to staff.

Minimum Education
 

• Bachelor's Degree Pharmacy Required or
• Doctorate Pharmacy Required

Minimum Work Experience
 

• 3 years Post-licensure experience as a pharmacist. Required
• 1 year Previous specialty pharmacy experience. Preferred
• 1 year Leadership, supervisory, or program-management experience. Preferred

Licenses and Certifications
 

• Pharmacist Licensed State of Florida Upon Hire Required
• Pharmacist Licensed State of Alabama within 6 Months Required
• Certified Specialty Pharmacist (CSP) National Association of Specialty Pharmacy within 18 Months Required