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 Delivery Manager Department: System Hospital Pharmacy Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: 1. 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. 2. Actively manage scope, timeline, risks, and interdependencies to avoid delivery slippage. Ensure projects achieve realized outcomes, not just “go-live” completion. 3. Lead implementation planning and execution, including operational readiness assessments, workflow design and future-state validation and training coordination and go-live support 4. Partner with pharmacy operations leaders to ensure solutions are operationally viable and adopted 5. Identify change-management risks and proactively mitigate resistance, ambiguity, or misalignment. 6. Drive transition from project mode to steady-state ownership, ensuring accountability is clearly transferred. 7. 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) 8. Serve as a bridge between strategy, operations, and technical teams, ensuring solutions align with real-world pharmacy constraints. 9. Identify downstream impacts of project decisions on staffing, revenue, compliance, and patient experience. 10. Support development of business cases, financial assumptions, and ROI tracking for assigned initiatives 11. Track and report performance against agreed-upon metrics (e.g., revenue capture, turnaround time, access rates, margin improvement) 12. Surface risks to financial performance early and propose corrective actions 13. Partner with finance, revenue cycle, and pharmacy leadership to validate outcomes 14. Serve as the day-to-day owner and single point of accountability for assigned projects. 15. Coordinate across pharmacy operations, specialty teams, finance, IT, compliance, vendors, and external partners 16. 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. 17. 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 REQUIRED 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 (If none, please enter “N/A”): Advanced degree (MBA, MPH, PharmD) CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED (If none, please enter “N/A”): N/A CERTIFICATIONS, LICENSES, REGISTRATIONS PREFERRED (If none, please enter “N/A”): 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) (If none, please enter “N/A”): 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: $97,500.00- $141,500.00 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. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to View email address on click.appcast.io or call View phone number on click.appcast.io to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips