Director of Pharmacy

1. 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.

1. Administrative Responsibilities and Multi-Site Leadership
   • Develops and Maintains Pharmacological Policies and Procedures
     1. 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.
     2. Ensures policies reflect the unique requirements of the 340B Drug Pricing Program, including program eligibility, purchasing, and inventory management.
     3. Collaborates with medical and administrative leadership to integrate pharmacological policies into overall patient care and organizational operations.
     4. Maintains documentation and supports audits related to the 340B Program and health center operations.
     5. Ultimately responsible for any deficiencies found in audits and will hold parties accountable for corrective actions and process improvements.
     6. Ensures vaccine stability, handling and storage are following manufacturer guidelines, the CDC, and other state and federal regulatory agencies.
     7. Works directly with IT department and external contract pharmacies.
     8. 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
  1. Oversees pharmacists, pharmacy technicians, interns, and clerical staff to ensure all functions are carried out efficiently and in compliance with legal and professional standards.
  2. Provides ongoing training, annual performance evaluations, and disciplinary action when necessary.
  3. Creates, supports and manages onboarding for all new staff and retention programs.
  4. Ensures adequate staffing levels and schedules to maintain high-quality patient care.
• Participates in the Clinic/Pharmacy Performance Improvement Programs
  1. Contributes pharmacy-specific metrics and data for inclusion in the clinic’s quality improvement initiatives.
  2. 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
  1. Engages in interdepartmental meetings to stay aligned with organizational goals and communicate pharmacy updates.
  2. 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
  1. Provides clinical and operational data for funding applications related to pharmacy services or 340B program enhancements.
  2. Collaborates with grant writers to align proposals with community health priorities and pharmacy capacity.
• Contract Management
  1. 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.
  2. Negotiates contract terms to align with organizational goals, compliance requirements, and cost-effectiveness standards.
  3. Ensures all contracts are reviewed regularly for compliance with legal, regulatory, and 340B program guidelines, coordinating with legal and compliance departments as necessary.
  4. Monitors contract performance metrics and ensures vendors and partners meet service-level expectations and reporting obligations.
  5. Maintains accurate, up-to-date records of all pharmacy contracts and associated documentation for audit readiness and organizational accountability.
  6. Works collaboratively with finance, legal, and procurement teams during contract renewals, amendments, or termination processes.
  7. Reports to CMO at least quarterly specific to contracts, performance, and renewals.
• Multi-Site Operational Leadership
  1. Provides strategic and operational oversight for all pharmacy locations under the organization, ensuring consistent adherence to regulatory, clinical, and operational standards.
  2. Conducts routine site visits to assess operational efficiency, cleanliness, compliance, infection control, staffing adequacy, and patient safety practices across all pharmacies.
  3. Coordinates cross-site resource allocation, including staffing, inventory redistribution, and technology utilization to optimize efficiency and patient care.
  4. Develops and enforces uniform pharmacy policies and procedures that apply across all locations and align with organizational and regulatory standards.
  5. Directly manages medication transportation and delivery systems between sites, external vendors and patients when applicable.
• Financial and Business Accountability
  1. Develops and manages budgets for each pharmacy site, monitoring key financial metrics such as revenue, cost of goods sold, and gross margins.
  2. Establishes standardized financial reporting processes to track performance and identify variances across locations.
  3. Identifies and implements cost-containment strategies, formulary optimization, and purchasing efficiencies through centralized contracting.
  4. Provides consolidated financial and operational performance reports to executive leadership on a regular basis.
• Leadership and Staff Development
  1. Supervises and mentors’ pharmacy managers or pharmacists in charge at each site, providing ongoing leadership and professional development.
  2. Conducts annual performance evaluations for site pharmacy leaders, establishing measurable goals and accountability standards.
  3. Promotes a unified organizational culture focused on regulatory compliance, patient safety, and service excellence across all pharmacy sites.
• Reporting and Communication
  1. Provides consolidated operational and financial reports to executive leadership and the Board summarizing pharmacy performance across all locations.
  2. Facilitates consistent communication among pharmacy site teams to ensure transparency regarding policy changes, regulatory updates, and organizational goals
  3. Serves as the primary liaison between pharmacy operations and other administrative departments including finance, IT, compliance, and human resources.

1. Clinical Functions/Responsibilities:
   • Prepares Medications by Reviewing and Interpreting Physician Orders
     1. Verifies the accuracy and appropriateness of medication orders by assessing dosage, indication, contraindications, potential drug interactions, and patient allergies.
     2. Detects and resolves therapeutic incompatibilities, contacting prescribers as needed to ensure optimal drug therapy and patient safety.
     3. Reviews complex patient medication profiles, especially for chronic disease and high-risk populations served by 340B clinics
     4. Be readily available to step into clinical space as a staff pharmacist when operational needs arise.
     5. Educates staff on proper drug disposal procedures and regulatory compliance.
   • Monitor Drug Therapies and Advising Interventions
     1. Conducts ongoing evaluation of patient medication regimens, identifying opportunities to optimize efficacy, and reduce adverse effects.
     2. Participates in multidisciplinary care teams, recommending evidence-based therapeutic alternatives and dosage adjustments.
     3. Documents and follows up on pharmacologic interventions in coordination with providers.
     4. Report all Pharmacy Outcome Measures and adverse drug events with corrective actions.
   • Provides Pharmacological Information to Health Professionals and Patients
     1. Serves as a key resource for clinical staff regarding drug selection, dosage, interactions, and adverse reactions.
     2. Educates patients on proper medication use, side effects, storage, and adherence strategies, with sensitivity to low-health-literacy populations.
     3. Conducts staff in-service training on new medications and pharmacological trends relevant to the clinic’s population.
   • Promotes FQHC and its Services to Area Residents
     1. Acts as a community ambassador for the pharmacy and clinic services, building trust and awareness among underserved populations.
     2. Participates in outreach events, health fairs, and public health campaigns to promote access to affordable medications.
   • Handles All Communications in a Professional, Positive Manner
     1. Maintains respectful and effective communication with patients, staff, and external stakeholders.
     2. Fosters a positive work environment by addressing staff concerns professionally, resolving conflicts constructively, and promoting a culture of teamwork and customer service excellence in all pharmacy operations.

1. Skills/Certifications:
   • 340B Program Experience 
   • Serves as the organization’s subject matter expert on all aspects of the 340B Drug Pricing Program, including regulatory compliance, operational integrity, and program optimization within a Federally Qualified Health Center (FQHC) setting.
   • Provides strategic oversight and operational leadership for the 340B program within the pharmacy department, ensuring full alignment with federal, state, and organizational regulations and standards.
   • Acts as the primary liaison between the pharmacy and other internal departments, such as compliance, legal, finance, IT, and senior leadership; to ensure integrity, transparency, and effectiveness of the 340B program.
   • Chairs and leads the 340B Oversight Committee, composed of interdisciplinary stakeholders including senior leadership, pharmacy, compliance, legal, and financial representatives, to guide program direction, policy, and risk management.
   • Develops, implements, and maintains comprehensive 340B policies and procedures that support operational efficiency, regulatory compliance, and financial sustainability.
   • Provides ongoing education and consultation to internal staff and 340B stakeholders on program requirements, best practices, and emerging changes in legislation or guidance.
   • Builds and maintains strong collaborative relationships with internal partners (finance, legal, compliance, IT, accounting) and external entities (wholesalers, manufacturers, contract pharmacies, third-party administrators, pharmacy benefit managers, and the HRSA Prime Vendor Program).
   • Actively participates in strategic decision-making with senior leadership related to program expansion, integration, and organizational impact.
   • Continuously monitors and interprets updates to 340B program guidance, including HRSA/OPA policy releases, Medicaid developments, and other regulatory changes; communicates key updates and implications to appropriate stakeholders.
   • Attends and participates in 340B-related trainings, webinars, and conferences, disseminating key takeaways and actionable insights to pharmacy and clinic staff.
   • Establishes and maintains efficient workflows and scalable infrastructure to ensure long-term success of the 340B program without disrupting patient care or creating undue administrative burden.
   • Ensures continuous program compliance through regular audits, internal reviews, gap assessments, and documentation practices that meet or exceed HRSA audit expectations.
   • Partners with legal and compliance teams to evaluate the impact of pending or enacted legislation on the organization's 340B program operations and to inform proactive policy changes.
   • Collaborates with peer institutions and national pharmacy leadership to benchmark practices and adopt innovative strategies for maximizing the benefit of the 340B program for patients and the organization.
   • Financial, Operational, and Administrative Leadership
   • Prepares and delivers clear, comprehensive written and oral reports to senior management, Board members, regulatory bodies, and other stakeholders.
   • Advises program personnel on applicable fiscal policies, funding guidelines, and budgetary constraints relevant to the 340B and pharmacy operations.
   • Leads the development and oversight of pharmacy budgets, including forecasting, cost control, purchasing, inventory management, and resource allocation.
   • Possesses deep knowledge of pharmaceutical purchasing practices and procurement procedures, particularly those applicable to 340B program requirements.
   • Implements systems to ensure financial accountability, cost control, and operational efficiency across all pharmacy-related activities.
   • Demonstrates the ability to supervise, mentor, and evaluate pharmacy staff, including pharmacists, technicians, and administrative personnel, fostering a high-performance culture and continuous professional development.
   • Maintains adaptability, integrity, and precision in all aspects of the role, particularly under conditions of regulatory change or operational pressure.
   • Applies working knowledge of healthcare information systems, medical billing and reimbursement processes, electronic health records (EHRs), and pharmacy data management tools.
   • Demonstrates proficiency in organizational development, workflow optimization, and interdepartmental collaboration to enhance service delivery across the health center.

1. Experience/Education/Licensing Requirement:

• Demonstrate excellence in written and verbal communication skills, with the ability to interact effectively and professionally with patients, staff, leadership, and members of the general public.
• Ability to establish and maintain cooperative working relationships across multidisciplinary teams and community stakeholders.
• Graduate or Doctoral degree (PharmD) from an accredited college or school of pharmacy recognized by the Accreditation Council for Pharmacy Education (ACPE).
• Active and unrestricted state pharmacist license in good standing in the state of South Carolina
• Minimum of three (3) years of progressive management or leadership experience in pharmacy operations preferred.
• Prior experience with the 340B Drug Pricing Program and compliance oversight strongly preferred.