VP, Pharmacy Services

Job Description

The System VP of Pharmacy is the senior-most pharmacy executive for the academic health system, responsible for strategic direction, operational excellence, clinical quality, and financial stewardship across the enterprise’s pharmacy portfolio.

Essential Functions

• Lead enterprise pharmacy governance, including P&T Committee, Medication Safety, Formulary Management, Antimicrobial Stewardship, Oncology Therapeutics Council, and Controlled Substances Oversight.
• Establish system-wide clinical practice standards, collaborative practice agreements, and evidence-based protocols across acute, ambulatory, and oncology settings.
• Serve as principal advisor to executive leadership on the evolving therapeutics pipeline (cell/gene therapy, high-cost specialty), biosimilars, and site-of-care optimization.
• Oversee 24/7 acute care operations, sterile and non-sterile compounding, IV admixture services, medication-use processes, and perpetual readiness for Joint Commission/CMS.
• Lead oncology/hematology pharmacy (infusion centers and inpatient) with strong coordination on regimens, REMS, safety checks, hazardous drug handling, and clinical trial dispensing.
• Scale specialty pharmacy services, prior auth/financial counseling, hub relationships, REMS adherence, and patient-reported outcomes.
• Integrate retail/community pharmacy strategy (employee Rx, discharge meds-to-beds, adherence programs) with revenue cycle and population health.
• Optimize technology and automation: EHR/EMR, BCMA, CPOE, ADCs, IV workflow systems and clinical decision support.
• Provide executive oversight of 340B compliance (eligibility, contract pharmacies, GPO exclusion, diversion/duplicate discount prevention, manufacturer restrictions strategy).
• Chair or co-chair 340B governance, ensure robust internal audit cadence, response to HRSA audits, and margin protection with data-driven optimization and ethical stewardship.

Additional Job Description

• Promote inter-professional education and scholarly output (publications, presentations, posters).
• Role-model the system’s leadership commitments and core behaviors.

Embed a Culture

• Embed a culture of safety, inclusion, just culture, and continuous improvement.
• Drive engagement and well-being.
• Champion technician career ladders, credentialing/privileging for pharmacists, and clinical practice.

Own the System Pharmacy P&L

• Own the system pharmacy P&L drug spend, forecasting, contracting, and 340B savings strategy.

Drive Formulary Value

• Drive formulary value, biosimilar adoption, white/brown-bagging policies, site-of-care shifts, and product standardization.

Collaborate with Stakeholders

• Collaborate with Supply Chain, Payer Strategy, and Revenue Cycle on rebates, charge capture, prior authorizations, and coverage policy impacts.

Ensure Compliance

• Ensure compliance with Joint Commission medication management, CMS CoPs, FDA/DEA, REMS, Board of Pharmacy rules (Kentucky), and HRSA 340B.
• Oversee controlled substances diversion prevention, investigations, and performance improvement.