Pharmacy Strategy Delivery Senior Manager

POSITION SUMMARY :

The Senior Manager serves as an enterprise-level leader accountable for the strategy, design, and execution of the pharmacy organization's highest-priority initiatives. This role goes beyond project oversight — it shapes how the pharmacy enterprise approaches transformation, builds delivery capability across the organization, and ensures that complex, multi-workstream programs are translated into durable operational and financial outcomes.

Operating within a pharmacy enterprise that generates approximately $1B in annual revenue, the Senior Manager brings senior judgment to initiatives that cut across specialty pharmacy, outpatient pharmacy, revenue cycle, payer strategy, and supporting infrastructure. This leader is expected to drive ambiguous problems to resolution, influence without direct authority across a matrixed organization, and serve as a trusted advisor to pharmacy and health-system leadership.

Unlike a traditional PMO role, this role is a strategic execution partner — someone who builds the delivery architecture, coaches cross-functional teams, and holds accountability for both delivery quality and realized financial and operational results.

Position : Senior Pharmacy Delivery Manager

Department : SS - System Hospital Pharmacy
Schedule : Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Own delivery of assigned pharmacy initiatives from charter through stabilization, including:

• Specialty pharmacy program launches or expansions

• Access, prior authorization, or revenue cycle initiatives

• Technology or workflow implementations (systems, vendors, automation)

• Operational redesigns impacting throughput, margin, or access

• Translate high-level strategy into clear workplans, milestones, dependencies, and success metrics.

• Actively manage scope, timeline, risks, and interdependencies to avoid delivery slippage.

• Ensure projects achieve realized outcomes, not just “go-live” completion.

• Lead implementation planning and execution, including operational readiness assessments, workflow design and future-state validation and training coordination and go-live support

• Partner with pharmacy operations leaders to ensure solutions are operationally viable and adopted

• Identify change-management risks and proactively mitigate resistance, ambiguity, or misalignment.

• Drive transition from project mode to steady-state ownership, ensuring accountability is clearly transferred.

• Apply working knowledge of specialty pharmacy operations, including referral intake and access workflows, prior authorization and payer requirements, limited distribution drug (LDD) considerations, financial drivers (gross margin, DIR, payer mix, utilization)

• Serve as a bridge between strategy, operations, and technical teams, ensuring solutions align with real-world pharmacy constraints.

• Identify downstream impacts of project decisions on staffing, revenue, compliance, and patient experience.

• Support development of business cases, financial assumptions, and ROI tracking for assigned initiatives

• Track and report performance against agreed-upon metrics (e.g., revenue capture, turnaround time, access rates, margin improvement)

• Surface risks to financial performance early and propose corrective actions

• Partner with finance, revenue cycle, and pharmacy leadership to validate outcomes

• Serve as the day-to-day owner and single point of accountability for assigned projects.

• Coordinate across pharmacy operations, specialty teams, finance, IT, compliance, vendors, and external partners

• Prepare concise, executive-level updates highlighting progress vs plan, risks and decisions required, financial or operational implications, escalate issues appropriately with clear options and recommendations

• Apply consistent delivery discipline, including charters and scope definitions, RAID logs (risks, assumptions, issues, dependencies), implementation checklists and readiness gates

• Contribute to development of repeatable delivery playbooks for pharmacy initiatives.

• Identify opportunities to improve how pharmacy executes projects at scale.

• Maintains a commitment to uphold system values, enhance organizational culture, and focus on employee engagement.

• This goes beyond the HR function of balancing FTEs and labor costs to focusing on opportunities for career enhancement and personal fulfillment within the department.

• Responsible for compliance with all Federal, State and Local laws, regulations and rules; compliance with all accreditation standards and knowledge of and adherence to all policies and procedures of the organization and department.

• Responsible for the creation and maintenance of a healthy work environment.

• A healthy work environment is one where people feel supported, held accountable, where standards are applied and expectations are clear.

• A healthy work environment is one where leadership supports and leads, models behavioral standards and sets the example for how to do all things right.

• Critical responsibilities related to this

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required)

JOB REQUIREMENTS

EDUCATION AND EXPERIENCE:

• 8–12+ years of progressive experience in health-system pharmacy, specialty pharmacy, healthcare strategy consulting, or senior operations/implementation roles.

• Demonstrated success leading large, complex, cross-functional programs with measurable financial and operational outcomes.

• Proven ability to operate at the intersection of strategy and execution in a matrixed healthcare environment

PREFERRED EDUCATION AND EXPERIENCE:

• Advanced degree (MBA, MPH, PharmD)

CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED:

• Valid license as a pharmacist in the State of Massachusetts is preferred.

• Candidates without licensure must demonstrate equivalent depth through healthcare strategy consulting or senior health-system operational leadership in pharmacy.

KNOWLEDGE, SKILLS & ABILITIES (KSAs):

• Deep working knowledge of specialty pharmacy operations: access workflows, prior authorization, LDD programs, payer dynamics, gross margin, DIR, and specialty drug economics.

• Demonstrated track record of driving complex, multi-workstream programs from strategy through sustained operational performance in an academic medical center, integrated delivery network, or major consulting firm.

• Exceptional executive communication and stakeholder management skills; able to prepare crisp, decision-ready materials for C-suite and board-level audiences.

• Strong financial acumen: able to build and validate business cases, model ROI, and hold teams accountable to financial commitments.

• Sophisticated change management capability; experienced navigating large-scale organizational change in clinical and operational healthcare environments.

• Strategic thinking paired with ground-level execution discipline — able to set direction and roll up sleeves to get things done.

• Experience building delivery infrastructure: playbooks, frameworks, governance models, and team capability at scale.

• Formal project management or delivery methodology experience (PMP, Agile, Lean, or comparable); demonstrated hands-on delivery excellence is prioritized over certification.

• Prior management or mentorship experience; ability to develop junior team members and cultivate a high-performance delivery culture.

• Experience with pharmacy revenue cycle, specialty platform technologies, and vendor or payer relationship management preferred.

Compensation Range:

$104,000.00- $151,000.00

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. 

NOTE : This range is based on Boston-area data, and is subject to modification based on geographic location.

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