Corporate Director, Specialty Pharmacy
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POST DATE 9/9/2016
END DATE 11/12/2016
JOB DESCRIPTIONAs a not-for-profit organization founded by Brigham and Womens Hospital and Massachusetts General Hospital, Partners HealthCare supports a complete continuum of care including tertiary community and specialty hospitals, a managed care organization, a physician network, health centers, home care and other health-related entities. Employing over 64,000 individuals and serving 1.5 million patients annually, Partners HealthCare is committed to supporting clinical care, research, teaching and service to the community by leading innovation across our system. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is national leader in biomedical research. In 2015, the US News & World Report cited six Partners Hospitals for excellence.
About Partners Specialty Pharmacy
Partners Specialty Pharmacy is a not-for-profit wholly owned subsidiary of Partners Healthcare targeted to open in Spring 2016. The Partners Specialty Pharmacy will serve patients from a centrally managed location with support from local entity clinics and pharmacy departments.
The Partners Specialty Pharmacy will deliver high quality pharmaceutical services with an emphasis on patient education, service excellence and comprehensive care management. Partners Specialty Pharmacy will serve as an integral link between patient and provider, providing first-rate service to optimize patient outcomes.
The Corporate Director of Specialty Pharmacy is responsible for the strategic direction, financial performance, and operational management of the Specialty Pharmacy. The Corporate Director carries out leadership responsibilities in accordance with the organization's policies and procedures as well as in full compliance with applicable laws and regulations. The Corporate Directors responsibilities include: recruiting, hiring, coaching, and mentoring of managers, professional and technical staff, establishing multi-year strategic plans and annual operating plans for business, planning, assigning, and directing initiatives in support of annual operating plan, managing vendors and consultants, appraising performance of managers and staff, overseeing budget and profit and loss statements of business and addressing operational and quality improvement initiatives.
The Corporate Director of Specialty Pharmacy serves as a role model for service excellence in the oversight and delivery of patient care, through the use of assessment, planning, implementation and evaluation of staff, patient, departmental and organizational needs for the Specialty Pharmacy. The areas of focus include the development and implementation of Mission and Vision Statements, goals and objectives of the Partners Specialty Pharmacy designed to ensure compliance with clinical care and regulatory requirements. Additional responsibilities include 24 hour accountability for the delivery of excellent care through the direct supervision of managers, supervisors and staff in the Specialty Pharmacy.
Note: Since the Partners Specialty Pharmacy is a new business venture, the Director will be responsible for building the foundation of the operating entity in collaboration with the Chief Pharmacy Officers at Partners acute hospitals.
1. Directs and leads the development of Partners Specialty Pharmacy, an enterprise of Partners HealthCare. Implements short and long-range objectives, policies, procedures, budgets, strategic and operating plans for this new business. As approved by Executive Management, oversees the achievement of growth for the organization in terms of revenue and new business opportunities in the Specialty Pharmacy channel.
Leads all specialty pharmacy activities relating to the definition of the product line(s) and the operational, clinical management, patient support and administrative capabilities required to support and effectively execute the line(s).
2. Develops and manages all key Specialty Pharmacy operations, including, but not limited to: a) benefits verification b) referral and order entry c) pharmacy and medical coverage eligibility d) prior authorizations e) billing and collections f) dispensing and shipping g) purchasing and inventory control h) specialty therapy management and i) payor contract management.
Directs the development and implementation of information systems, intellectual property regarding operating systems and processes, clinical services and patient care support to achieve optimal patient outcomes, development and integration of operations knowledge into systems that drive physician loyalty and pharmacy decision support.
Designs and implements operational reporting, performance metrics, tracking, and response systems to ensure a zero defect operation.
3. Establishes organizational hierarchy and delegates limits of authority to subordinate managers and staff regarding policies, contractual commitments, expenditures and personnel matters. Provides advice, guidance, direction and authorization to carry out major plans, standards and procedures, consistent with Partners HealthCares policies and Executive approval.
4. Ensures that a model of service excellence is established and functions as designed. Monitors and evaluates patient satisfaction and customer needs, and makes changes in service based on results.
5. Interacts with the PHS Specialty Pharmacy Advisory Board and steering group. Meets with other organization pharmacy leaders, medical staff, and senior executives to assure that the Specialty Pharmacy is fulfilling the strategic goals of the organization and operations are being executed in accordance with organizations policies.
6. Manages an effective system of communication with each hospital entity. Builds and executes focused marketing and communication initiatives to help patients and physicians, recognize and easily utilize the services of Partners Specialty Pharmacy.
7. Reviews, revises, and assures that Specialty Pharmacy policies and procedures comply with state and/or local regulations and meet the professional standards of accreditation organizations such as TJC, ACHC and URAC.
8. Works with health plans, other insurers, pharmacy benefit managers, and other third party programs to coordinate Specialty Pharmacy and associated Disease Management Services, relevant provider fee schedules, dual coverage issues, and client reporting activities.
Additionally, builds ongoing marketing and provider relations initiatives with local and regional payors and other targeted health plans to create awareness of Partners Specialty Pharmacy as the preferred supply channel for benefits investigation, patient support services, and pharmacy distribution.
9. Represents Partners Specialty Pharmacy to Partners HealthCare leadership, industry and trade groups, key physician providers, representatives of government and regulatory agencies, brokers, and the general public.
Doctorate of Pharmacy (Pharm D)
Experience in operational leadership and team management within a specialty pharmacy and/or ambulatory pharmacy, particularly at an Academic Medical Center.
Minimum of 5 to 7 years of experience with a proven track record of successful operational and financial leadership in the healthcare field
Eligible for licensure to practice pharmacy in the State of Massachusetts. Advanced Degree (i.e. MBA, MPH, MHA) or equivalent professional experience preferred
SKILLS AND ABILITIES
Demonstrated Pharmacy leadership and clinical experience.
A demonstrated track record of improving operational efficiencies and achieving financial target goals.
Strategic thinker with ability to translate into operating programs.
Capable of interacting with multiple levels of an organization (Senior Leadership, MDs, etc.) and handling multiple complex situations simultaneously.
Strong influencing and decision making abilities, comfortable in a consensus building environment.
Excellent verbal and written communication