POSITION SUMMARY
The Pharmacy Director serves as the senior pharmacy executive responsible for strategic leadership, regulatory compliance, operational oversight, financial stewardship, workforce development, quality management, and 340B program governance for Eagle Seeker Pharmacy.
The Pharmacy Director is responsible for establishing, implementing, maintaining, and continuously improving a compliant, sustainable, culturally responsive pharmacy operation aligned with Native American Development Corporation's mission, healthcare governance framework, Urban Indian Health Program requirements, HRSA 340B Program requirements, Montana pharmacy laws, and healthcare quality standards.
The position functions as the enterprise pharmacy leader responsible for pharmacy strategy, operational performance, compliance oversight, healthcare integration, population health initiatives, and executive reporting.
The Pharmacy Director provides executive leadership over pharmacy operations while maintaining accountability for program integrity, patient access, clinical quality, workforce performance, financial sustainability, and regulatory compliance.
ORGANIZATIONAL COMPLEXITY
The Pharmacy Director operates within a highly regulated healthcare environment involving:
HRSA 340B Drug Pricing Program requirements;
Urban Indian Health Program requirements;
Montana Board of Pharmacy regulations;
DEA requirements;
Medicare and Medicaid pharmacy billing;
Third-party payer contracts;
Pharmacy benefit managers (PBMs);
HIPAA and HITECH compliance;
Controlled substance regulations;
Healthcare quality programs;
Revenue cycle management;
Population health initiatives;
Healthcare workforce governance;
Enterprise financial accountability;
Federal grant compliance requirements.
The position requires integration with:
Executive Leadership;
340B Healthcare Advisory Committee;
Compliance and Risk Management;
Finance;
Revenue Cycle Management;
Clinical Operations;
Medical Providers;
Behavioral Health;
Laboratory Services;
Information Technology;
Human Resources.
ORGANIZATIONAL SCOPE
The Pharmacy Director maintains enterprise accountability for:
Eagle Seeker Pharmacy operations;
HRSA 340B program integrity;
Pharmacy compliance systems;
Medication access initiatives;
Population health pharmacy programs;
Pharmacy workforce planning;
Pharmacy quality assurance;
Clinical pharmacy service development;
Pharmacy financial performance;
Vendor management;
Contract pharmacy oversight;
Pharmacy technology systems;
Pharmacy policy and procedure development.
The position supports healthcare integration throughout:
Billings Urban Indian Health & Wellness Center;
Eagle Seeker Pharmacy;
Healthcare shared services operations;
Future healthcare expansion initiatives.
LEADERSHIP RESPONSIBILITIES
The Pharmacy Director shall:
Strategic Leadership
Develop and implement pharmacy strategic plans;
Lead pharmacy service expansion initiatives;
Support integrated healthcare delivery models;
Advance medication access and health equity initiatives.
Workforce Leadership
Recruit, mentor, develop, and retain pharmacy personnel;
Establish workforce performance expectations;
Develop succession planning strategies;
Promote accountability and service excellence.
Operational Leadership
Oversee pharmacy startup implementation;
Establish operational workflows and systems;
Ensure operational readiness and continuity;
Monitor pharmacy performance and service delivery.
Executive Reporting
Provide regular reports to Executive Leadership;
Develop pharmacy performance dashboards;
Present recommendations for operational improvements;
Support board and advisory committee reporting.
FINANCIAL ACCOUNTABILITY
The Pharmacy Director is responsible for:
Pharmacy operating budget development;
Revenue forecasting;
Financial performance monitoring;
Pharmacy purchasing strategies;
Inventory management;
Reimbursement optimization;
Third-party payer performance;
Pharmacy profitability analysis;
340B savings management;
Program reinvestment planning;
Contract pharmacy financial oversight.
The position serves as a key contributor to pharmacy financial sustainability and enterprise healthcare growth.
COMPLIANCE & REGULATORY OVERSIGHT
The Pharmacy Director maintains responsibility for:
HRSA 340B Program Compliance
Prevention of diversion;
Prevention of duplicate discounts;
OPAIS maintenance;
Annual recertification;
Internal auditing;
Corrective action planning.
Healthcare Compliance
HRSA Health Center Program requirements;
HRSA Site Visit readiness;
Pharmacy credentialing oversight;
HIPAA compliance;
Quality management systems.
Pharmacy Regulatory Compliance
Montana Board of Pharmacy requirements;
DEA requirements;
Controlled substance monitoring;
Pharmacy inspections;
Licensing and credentialing compliance.
ENTERPRISE RISK MANAGEMENT
The Pharmacy Director is accountable for identifying, mitigating, and escalating risks involving:
Regulatory non-compliance;
340B program findings;
Diversion risks;
Medication safety risks;
Financial sustainability risks;
Pharmacy staffing shortages;
Inventory losses;
Revenue cycle failures;
Operational disruptions;
Information security risks.
The position shall maintain appropriate internal controls, monitoring systems, and corrective action processes.
ESSENTIAL FUNCTIONS & PERCENTAGE OF EFFORT
|
Essential Function |
Percentage |
|
Pharmacy Leadership & Strategic Management |
20% |
|
Regulatory Compliance & 340B Oversight |
20% |
|
Financial Management & Sustainability |
15% |
|
Quality Assurance & Risk Management |
15% |
|
Workforce Development & Supervision |
10% |
|
Population Health & Clinical Programs |
10% |
|
Executive Reporting & Organizational Integration |
10% |
Total = 100%
DECISION-MAKING AUTHORITY
The Pharmacy Director exercises independent judgment regarding:
Pharmacy operations;
Compliance activities;
Workforce supervision;
Budget recommendations;
Vendor selection recommendations;
Quality initiatives;
Pharmacy policies and procedures;
Corrective action plans;
Population health strategies;
Service expansion recommendations.
The position possesses authority to implement operational decisions consistent with approved policies, budgets, and organizational objectives.
MINIMUM QUALIFICATIONS
Education Required: Doctor of Pharmacy (PharmD) from an ACPE-accredited College of Pharmacy.
Experience Required:
Minimum five (5) years of progressively responsible pharmacy experience.
Minimum three (3) years of pharmacy leadership or management experience.
Preferred:
HRSA 340B Program experience.
Community health center experience.
Urban Indian Health Program experience.
Population health pharmacy experience.
Multi-site pharmacy operations experience.
Licensure & Certifications
Required:
Active unrestricted Montana Pharmacist License.
Immunization Certification.
CPR/BLS Certification.
Preferred:
Board Certification (BCACP, BCPS, or equivalent).
Advanced 340B certification or training.
Leadership development certifications.
LEADERSHIP COMPETENCIES
The Pharmacy Director shall demonstrate:
Strategic leadership;
Executive communication;
Regulatory expertise;
Financial acumen;
Workforce development;
Indigenous-centered leadership awareness;
Population health leadership;
Quality improvement expertise;
Problem-solving and decision-making skills;
Organizational professionalism.
KEY PERFORMANCE INDICATORS (KPIs)
Go-Live & Implementation
Go-live milestone completion.
Policy completion.
Vendor readiness.
Workforce onboarding completion.
Mock inspection performance.
340B Program Integrity
Diversion incidents.
Duplicate discount incidents.
Audit completion.
Recertification timeliness.
Internal compliance review pass rates.
Financial Performance
Net revenue.
Gross margin.
Denial rates.
Inventory turns.
Budget performance.
Quality & Population Health
Medication adherence metrics.
MTM completion rates.
Immunization rates.
Medication reconciliation performance.
Patient outcome improvement initiatives.
Workforce & Culture
Employee retention.
Training completion.
Performance evaluation completion.
Workforce engagement.
Patient Experience
Wait times.
Prescription turnaround.
Patient satisfaction.
Access improvement metrics.
CONFIDENTIALITY, ETHICS & WORKFORCE TRUST RESPONSIBILITIES
The Pharmacy Director maintains access to highly confidential:
Patient information;
Protected Health Information (PHI);
Workforce information;
Financial information;
Pharmacy records;
Controlled substance records;
Compliance investigations;
Strategic organizational information.
The Pharmacy Director must maintain strict compliance with:
HIPAA;
HITECH;
HRSA requirements;
Pharmacy confidentiality standards;
NADC workforce governance standards.
