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Pharmacy Director

Job Summary:

The Pharmacy Director is an integral position within the Plan. This position is responsible for managing the daily pharmacy operations for the Plan. The Pharmacy Director monitors pharmacy performance to ensure the pharmacy program meets all federal, state and contractual requirements. Sets quality standard goals and operational efficiency goals for the coverage determination process. Develops and implements policies and procedures for operational processes. Manages pharmacists and pharmacy technician staff. Participates in the hiring and mentoring of the pharmacy staff.

Essential Duties and Responsibilities include the following:

  • Manages Pharmacy Operations clinical managers, pharmacists and staff to ensure operational goals are met.
  • Ensures pharmacy department meets all regulatory compliance requirements.
  • Supports financial goals and objectives of the Pharmacy Department and the Plan.
  • Attends all necessary department and inter-department meetings including Pharmacy & Therapeutics, Operations, and department meetings.
  • Oversees and supports internal and external audits.
  • Ensures pharmacy budget goals are met.
  • Performs special projects as needed.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

  • Required A Bachelor’s Degree in Pharmacy
  • Preferred Other Master’s Degree and/or Doctorate in Pharmacy
  • Required 7 years of experience in the pharmacy industry
  • Required 3 years of management experience
  • Required Other experience in managed care
  • Knowledge of federal healthcare laws, regulations and guidance.
  • Solid knowledge of CMS, Medicare Part C and Part D regulations.
  • Ability to work independently, manage multiple projects and meet scheduled deadlines.
  • Ability to identify root cause issues and ensure appropriate corrective actions.
  • Strong analytical and organizational skills with attention to detail.
  • Proficiency in applying and interpreting rules associated with Medicare regulations.
  • Excellent written and verbal communication skills required
  • Ability to effectively lead, supervise and interact with employees in all levels within the organization
  • Ability to use pharmaceutical and medical reference, literature to provide drug information to the health plan
  • Ability to evaluate financially the impact of drug products

Licenses and Certifications:

  • Licensed pharmacist in state of operation; licensed consultant in state of operation


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Experienced Medicare staff: Ready when you are!

BluePeak knows how difficult it can be for Medicare Advantage plans and TPAs to find knowledgeable resources with experience in Medicare, especially when demands increase sharply given the Medicare annual cycle. BluePeak maintains a wide variety of experienced Medicare personnel to help you with seasonal projects, operational backlogs, compliance monitoring, remediation activities, and more.

Examples of projects that BluePeak has assisted plans in 2022 include:

  • Clinical chart review by licensed clinicians
  • Call center oversight, including listening to calls for accurate classification and calibration
  • Operational support to resolve grievance backlogs and provider directory compliance
  • Pharmacy support to resolve coverage determination backlogs
  • Program area specific operational and administrative responses to a corrective action (initiated internally or externally)
  • Compliance resources to support compliance program initiatives

Whether you need one resource or many, BluePeak can quickly staff any project, train resources, track results, and deliver success.

Contact us today!