Director, Pharmacy Business Operations

About the Role

The Director, Pharmacy Business Operations oversees all pharmacy analytics needed by pharmacy operational leaders to ensure accurate drug acquisition costs, reimbursements, and identify trends to improve gross margin targets. Supports pharmacy leadership in preparing monthly profit and loss statements and serves as the primary liaison to the finance division on all financial-related issues. Generates reports to identify performance improvement or business development opportunities.

Oversees the Billing Clerk's functions to ensure accuracy in the A/R, aging A/R to minimize write-offs and bad debt. Works with the Billing Clerk to ensure all invoices are sent to AP for timely payment and reports monthly A/R. Collaborates with leadership on business development strategies, prepares metrics for provider group meetings, and oversees new program implementation.

Manages the 340B contract pharmacies revenue cycle, working with the 340B Analyst and 340B Coordinator to ensure all manufacturer reporting is submitted. Implements contracts in compliance with the Office of Pharmacy Affairs' 340B Drug Discount Program and oversees reporting requirements for URAC and ACHC Specialty accreditation and manufacturer reporting.

Responsibilities

• Abides by laws and regulations governing the business to ensure operational excellence.
• Ensures employee competencies are completed.
• Reports Key Performance Indicators needed to maintain URAC and ACHC Specialty requirements and Specialty pharmacy PI reports.
• Monitors monthly operating expense performance of assigned department(s) against the annual budget and other targets established by senior leadership, including operating budget, productivity standards, overtime utilization, and premium pay standards.
• Communicates, collaborates, and cultivates an atmosphere of inclusion and belonging.
• Ensures appropriate hiring and provides a welcoming, supportive environment for new team members.
• Champions the patient experience and commits to being relationship-focused.
• Ensures team members' pay is accurate and effective to meet business needs.
• Manages the performance and development of individuals and teams.
• Directs, assigns, and reviews work; responsible for discipline of employees or providing input for disciplinary action, up to and including termination.
• Commits to being a good steward of LifeBridge Health's resources.

Qualifications

Education: MBA, MHA, MPH, or MSN required; MBA or MHA preferred.

Experience: 7+ years of experience required.

Sinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland. As part of LifeBridge Health—one of the region's most comprehensive healthcare systems—Sinai delivers advanced care with a mission to improve community health and support those who care for patients.