Senior Director, Pharmacy Infusion Services
Responsible for providing overall strategic direction and operational leadership for enterprise pharmacy infusion services across home, ambulatory suite, and hospital-based settings. Accountable for driving market development and financial performance while providing direct oversight for operations in multiple locations including clinical services, pharmacy dispensing, and nursing. Additionally responsible for the strategic and operational leadership of the enterprise Medication Access Team, overseeing prior authorizations, appeals, and patient assistance/free drug programs to optimize patient access and revenue integrity. Establish and maintain rigorous quality assurance programs to ensure the highest standards of patient care and safety. Serve as an operational resource and participate in enterprise-wide strategic discussions surrounding program expansion, payer network inclusion and contracting strategies. Work is performed under general direction. Reports directly to the Vice President, Chief Pharmacy Officer, and routinely provides strategic updates and recommendations to the University of Maryland Medical Solutions Board. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified - Lead, direct, and implement operations for all pharmacy infusion locations including home infusion, ambulatory infusion suites, ambulatory infusion centers, durable medical equipment, and infusion nursing program.
- Responsible for achieving profit and loss (P&L) budgets, budgeting, meeting regulatory requirements, marketing, third party partnerships, and other related services.
- Provide strategic updates and recommendations to executive leadership, including the Vice President, Chief Pharmacy Officer, and the University of Maryland Medical Solutions Board, to inform enterprise-level decision-making and guide long-term organizational strategy.
- Develop strategies for business development in collaboration with Specialty Pharmacy and other appropriate areas.
- Attend staff meetings and complete mandatory in-services, requirements, and competency evaluations on time.
- Identify potential areas of compliance vulnerability and risk; develop and implement corrective action plans for resolution of problematic issues and provide general guidance on how to avoid and manage similar situations in the future.
- Collaborate with other departments to direct compliance issues to appropriate existing channels for investigation and resolution.
- Ensure staff receives introductory and ongoing training on a timely basis; ensure staff understands how the training received applies to their role/ unit/ department.
- Ensure staff is aware of how to report compliance concerns without fear of retaliation.
- Participate in all training and education on a timely basis.
- Provide marketing support and deliver sales presentations as requested.
- Oversee department performance improvement initiatives and coordinate department QA activities for pharmacy and nursing.
- Develop, analyze, and submit comprehensive P&L statements and detailed management reports on a regular basis, ensuring accuracy, timeliness, and alignment with organizational financial goals.
- Provide in-depth variance analyses, identify trends, highlight operational performance metrics, and deliver actionable insights to support strategic decision-making by senior leadership.
- Accountable for operational efficiency and optimal productivity with defined metrics for infusion operational units.
- Oversee and manage a variety of contracts (e.g., vendors, home health agencies and payers, etc.).
- Oversee the development, implementation, and evaluation of processes to provide optimal delivery of infusion services and other sterile compounding services.
- Guide department toward achievement of monthly, quarterly, and annual projections based on financial and management objectives.
- Manage drug expenses and operating margins by closely monitoring billing, payer contracting and revenue processes; identify opportunities for improvement, and initiate program growth.
- Assist Pharmacy Manager in coordinating pharmacy and nutrition activities including management of the clean room (e.g., drug preparation, sterile products preparation, dispensation, etc.), supply chain (e.g. procurement of drugs, supplies and equipment used in preparing and administering drugs, etc.), and clinical pharmacy services (e.g. medication use guidelines, formulary approvals, etc.).
- Assist Nursing Manager in coordinating nursing and liaison activities (e.g., home/suite workflows, emergency procedures, referral processes, etc.).
- Partner with key stakeholders across the organization to maximize the impact of Infusion Services for patients.
- Lead and participate in the recruitment and hiring of all departmental personnel.
- Establish individual performance goals and objectives, and complete reviews annually.
- Participate in orientation and training of Pharmacy, Nursing, and other key operational stakeholders.
- Participate in local and national educational programs as an attendee and/or lecturer to bring knowledge to improve cost effectiveness and quality of care and service.
- Develop strategic plan with clear goals and expectations to ensure growth and efficiency for all affiliates and members of UMMS and the patients they serve.
- Identify new business opportunities, evaluate and operationalize as appropriate.
- Design and implement services and delivery processes that are responsive to customer needs and support exceptional customer service, clinical effectiveness, optimal financial performance, and patient safety for the enterprise.
- Communicate the status of projects, operations, staff concerns, and problems to executive stakeholders on a continual basis.
- Collaborate with other pharmacy leaders and key medical, nursing, and administrative leaders throughout UMMS to ensure strategies, goals and objectives are aligned.
- Develop, implement, and maintain policies and procedures for Infusion Services and the enterprise Medication Access Team (covering prior authorization, benefits investigation, appeals, and free drug/patient assistance programs).
- Ensure compliance with applicable federal and state laws, rules, regulations and UMMS policies and procedures governing Infusion Services (e.g., USP 795, 797, 800 and GMP standards) and Medication Access operations (e.g., HIPAA, CMS guidance, manufacturer program rules, and payer requirements).
- Obtain and maintain accreditation related to Infusion Services.
- Obtain and maintain licenses and insurance required to operate a business in the states of Maryland, Pennsylvania, and Delaware
- Foster an environment that provides exceptional customer service, world-class quality, and effective communication with a focus on decisive, fast-moving solutions, quick and constructive resolutions to conflicts, and a “no barriers” mentality.
- Provide executive-level reporting, strategic planning, and resource alignment in collaboration with the Vice President, Chief Pharmacy Officer.
- Ensure integration and alignment of Medication Access services with hospital, home, and suite infusion operations to support seamless patient care and financial performance.
- Perform other duties as assigned.
All your information will be kept confidential according to EEO guidelines. Compensation:
|
