Manager, Pharmacy Operations (Midwest)

Key Responsibilities

• Own financial performance for each pharmacy in the assigned region.
• Manage site-level revenue, gross profit, operating expenses, and contribution margin.
• Review pharmacy financials regularly and identify opportunities to improve performance.
• Partner with finance and leadership to track performance against budget, forecast, and growth targets.
• Develop action plans for underperforming pharmacies and ensure follow-through.
• Oversee daily operating performance across pharmacies in the assigned region.
• Work directly with Pharmacists in Charge to identify and resolve operational issues.
• Ensure each pharmacy is operating efficiently, consistently, and in alignment with Pharmacy1st standards.
• Support improvements in prescription volume, workflow efficiency, inventory management, and patient service.
• Identify operational bottlenecks and implement practical solutions at the site level.
• Lead regular business review meetings with each Pharmacist in Charge.
• Review key metrics, including revenue, scripts, gross margin, labour productivity, inventory, patient experience, and cash flow.
• Establish clear performance goals and accountability for each location.
• Track progress against agreed action items after each site visit.
• Escalate material issues to Corporate HQ with clear recommendations.
• Travel frequently to pharmacies across the assigned region.
• Build strong relationships with Pharmacists in Charge, pharmacy technicians, and local teams.
• Serve as the face of operations between Corporate HQ and local pharmacies.
• Ensure local teams feel supported while maintaining high performance expectations.
• Help translate company priorities into practical site-level execution.
• Troubleshoot site-level issues related to staffing, workflow, inventory, payer issues, patient experience, or vendor performance.
• Identify recurring problems across pharmacies and develop scalable solutions.
• Share best practices across sites within the region.
• Support standardisation of operating playbooks, reporting cadences, and performance management routines.
• Cross-Functional Coordination
• Partner with Corporate HQ across finance, pharmacy operations, clinical services, compliance, HR, and growth.
• Communicate site-level needs, risks, and opportunities back to leadership.
• Support acquisition integration for newly acquired pharmacies in the region.
• Ensure regional execution is aligned with Pharmacy1st’s broader operating and financial goals.

Qualifications

• 5 plus years of experience in pharmacy operations, healthcare operations, retail operations, or multi-site operations management.
• Direct experience managing multiple locations or a regional operating portfolio.
• Strong financial acumen and experience owning or managing P&L performance.
• Ability to interpret site-level financials and translate insights into action.
• Experience leading performance reviews, operating cadences, and accountability systems.
• Strong communication skills and ability to work effectively with frontline teams and senior leadership.
• Willingness to travel frequently across the assigned region.
• High ownership mindset and ability to operate in a fast-moving environment.