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Job Description:

The Director of Pharmacy Business Operations is a critical member of the Pharmacy leadership team and is responsible for the oversight and analysis of pharmacy-related financial 340B, and purchasing business activities. The Director partners with pharmacy leadership, finance, and other healthcare teams to drive cost-effective and compliant pharmacy business initiatives, ensuring compliance with all State and Federal Regulations.

Essential Functions

Financial Management & Analysis

Develop and manage pharmacy operating and capital budgets across all pharmacy locations.

In collaboration with financial analysts. Develop operational, financial and drug utilization data management and reporting dashboards.

Monitor and analyze pharmacy financial KPI trends, and identify actions to drive strategic initiatives.

Ensure accurate charge capture, billing, and reconciliation processes; work closely with Revenue Integrity and Patient Financial Services teams for all billing processes, including outpatient pharmacy revenue cycle performance.

Provide oversight to pharmacy chargemaster maintenance.

Leads pharmacy external benchmarking analysis and identifies opportunities to improve business performance. (e.g. Vizient ODB, CDB)

Establishes and monitors 340B contract pharmacy agreements and relationships to ensure full compliance and maximize 340B savings.

Manage drug contracting strategies in alignment with contract teams and assists with negotiation of direct to manufacturer drug agreements and GPO agreements.

Oversee pharmacy purchasing teams to drive system standardization and performance’ oversees inventory policies and processes.

Serves as the business lead for all pharmacy payer contracts, ensuring appropriate access to commercial and government agreements.

Pharmacy Operations Support

Oversee centralized purchasing, inventory controls, and policies; identify opportunities for cost savings and waste reduction.

Supports the development of pharmacy business cases and financial impact analysis.

Act as a business liaison for all pharmacy technology systems, including EMR (e.g., Epic Willow inpatient and outpatient), 340B TPA, automated dispensing cabinets, and inventory systems.

Regulatory & Compliance Oversight-

Ensure 340B program compliance), including split-billing, eligibility monitoring, internal audits, and external contract pharmacy arrangements.

Monitors federal and state regulatory 340B developments and hospital performance. Leads 340B oversight committee.

Data & Reporting

Create and distribute key performance indicator (KPI) dashboards, productivity metrics, and service line reports that are prioritized by pharmacy leadership

Use business intelligence tools (e.g., Tableau, Power BI) and Excel models to provide insights into pharmacy trends and performance.

Analyze formulary. Purchasing and drug utilization trends to support financial decision-making.

Leadership & Collaboration

Collaborates closely with operational pharmacy leadership, finance, IT, and supply chain.

Supervises 340B pharmacy lead and any assigned analysis or support staff.

Ensures staff education, risk mitigation to support 340B integrity

Leads system 340B oversight committee and participates in system-wide committees and initiatives focused on pharmacy optimization, cost containment, and operational efficiency.

Education:

+ Bachelor's or doctorate degree in Finance, pharmacy, or related area - Required

+ Pharmacy degree or Masters degree (MBA, MHA, MS) - Preferred

Experience

+ 3–6 years of experience in pharmacy operations or financial pharmacy oversight role in healthcare setting - Required

+ Subject Matter Expert Level knowledge of 340B program compliance and management

+ 2 years' experience in overseeing 340B compliance - Required

+ 2 years' experience in pharmacy purchasing systems and inventory maintenance - Required

+ Pharmacist experience - Preferred

Skills & Competencies

+ Strong knowledge of financial principles, budgeting, and healthcare reimbursement

+ Strong knowledge of outpatient pharmacy payer agreements and negotiation

+ Expert in data analysis and reporting using Excel, and BI tools. Proficient in EHR/EMR systems and reporting

+ Excellent organizational, written and verbal communication, and problem-solving skills.

+ Ability to manage multiple projects and meet deadlines in a fast-paced hospital environment.

+ Knowledge of medical terminology, generic and trade pharmaceutical names, and pharmacy laws and regulations

+ Knowledge and experience in a variety of practice settings; including hospitals, infusion centers, specialty and retail settings

+ Ability to use analytics tools to evaluate and monitor medication utilization and purchasing

Work Shift:

Exempt Salaried (United States of America)

Pay Range:

$194,315.00 - $291,472.00

Salary

Offer amounts are based on demonstrated/relevant experience and/or licensure.

Pay will be adjusted to the local market if hired outside of the Bay Area.

Note: Positions at JMH which are exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on this posting. The work shift will contain the word ‘exempt’ on it.

Scheduled Weekly Hours:

40

John Muir Health is a nationally recognized, not-for-profit health care organization east of San Francisco serving patients in Contra Costa, Alameda and southern Solano Counties. It includes a network of more than 1,000 primary care and specialty physicians and 6,300 employees, The health system’s facilities include John Muir Health, Walnut Creek Medical Center (554-bed acute care facility), which serves as Contra Costa County's only designated trauma center, and John Muir Health, Concord Medical Center (247-bed acute care facility). Together, they are recognized as top centers for neurosciences, orthopedic, cancer, cardiovascular, trauma, emergency, pediatric, and high-risk obstetrics care. Other areas of specialty include general surgery, robotic surgery, weight-loss surgery, rehabilitation and critical care. In February 2024, John Muir Health opened the Behring Pavilion, which is home to the UCSF-John Muir Health Jean and Ken Hofmann Cancer Center in Walnut Creek. This state-of-the-art facility brings cancer prevention, diagnosis, treatment, and care coordination into one location. Patients benefit from the expertise of top cancer specialists from John Muir Health and UCSF Health and have access to the latest treatment advances close to home.

John Muir Health also offers complete inpatient and outpatient behavioral health programs and services at our 73-bed fully accredited psychiatric hospital and outpatient center located in Concord. In addition, John Muir Health provides a number of primary care and outpatient services at 89 practice sites throughout the community and urgent care centers in Berkeley, Brentwood, Concord, San Ramon and Walnut Creek.

John Muir Health offers a collaborative, patient-centered health care environment with an emphasis on listening, explaining, and working together as a team, to help patients achieve their optimal health. We recognize those who exemplify excellence and reward them for contributing to our collective success. From individual to department to spontaneous recognition, Employee of the Month, Employee Suggestion Program rewards, Employee Success Sharing Program, and many more, we find unique ways to thank our employees for the outstanding efforts they make every day. Competitive salary and benefit package available.

At John Muir Health, we strive to be a leading health system through the cultivation of a culture of belonging where every patient, employee, provider, and community member feels safe and valued for embracing all aspects of their differences. As an Equal Opportunity employer, we encourage and consider all applicants for employment without regard to race, religion, national origin, gender, sexual orientation, gender identity, gender expression, age, veteran status, disability, or any other characteristic protected by law. For more information, please visit the EEO website here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

All hospitals are accredited by The Joint Commission, a national surveyor of quality patient care. John Muir Health is an equal opportunity employer.