
Sr Director of Pharmacy
EmergencyMD, city of elmira, ny, United States
Centralus Health Mission
Our mission is to deliver high-quality care, empower our teams to success and improve the wellbeing of the communities we serve.
Job Summary
The Centralus Sr. Director of Pharmacy provides executive leadership and strategic oversight of pharmacy services across the Centralus Health enterprise. This role is responsible for enterprise-wide financial performance, 340B optimization, medication standardization, formulary governance, and vaccine portfolio strategy. The Sr. Director partners with executive leadership to position pharmacy as a strategic contributor to organizational performance; driving quality, safety and regulatory compliance with a focus on cost containment and margin improvement.
Financial & Operational Stewardship
- Provides system-level fiscal oversight for pharmacy operations.
- Responsible for enterprise-wide financial performance optimization.
- Develops and monitors operating, labor, and capital budgets.
- Identifies enterprise cost-saving opportunities and margin improvement initiatives.
- Implements performance dashboards and financial accountability measures.
- Partners with Revenue Cycle to ensure appropriate charge capture and reimbursement optimization.
Enterprise Innovation & Strategic Advancement
- Identify and lead enterprise-wide innovation initiatives that enhance operational efficiency, clinical integration, and financial performance.
- Develop scalable strategies to expand service capabilities across the system.
- Partner with executive leadership to pilot and implement forward-thinking solutions that position the organization competitively within the market.
- Evaluate emerging technologies, vendor partnerships, and care delivery models to enhance system performance.
340B Program Oversight, Expansion & Optimization
- Provide executive oversight for the health system's 340B Drug Pricing program across all eligible entities and contract pharmacy relationships.
- Ensure full regulatory compliance with HRSA requirements, audit readiness, and internal governance standards.
- Develop and implement enterprise-wide strategies to optimize 340B program performance while maintaining compliance integrity.
- Lead enterprise strategy for evaluation and conversion of eligible outpatient sites to Article 28 designation (as applicable) to optimize 340B program eligibility and financial performance.
Specialty Pharmacy Strategy & Growth
- Provide strategic oversight and expansion planning for system specialty pharmacy services.
- Drive growth initiatives focused on market expansion, payor alignment, limited distribution drug access, and service line integration.
- Oversee financial performance, revenue cycle integrity, and payer contracting collaboration with executive leadership.
- Evaluate and implement innovative specialty pharmacy models to enhance enterprise market positions, such as MTM, Meds to Beds, and home infusion.
Enterprise Pharmacy Strategy & Standardization
- Develops and implements a unified system pharmacy strategy aligned with Centralus Health's strategic plan.
- Leads system-wide medication and operational standardization initiatives.
- Reduces inter-facility variation in formulary, workflows, and inventory practices.
- Establishes governance structures for system formulary and therapeutic interchange oversight.
- Oversees harmonization of pharmacy policies across all system entities.
Vaccine Portfolio & Contract Optimization
- Serves as executive lead for system vaccine portfolio strategy.
- Directs vendor negotiations and purchasing optimization in partnership with supply chain and finance.
- Implements forecasting and utilization controls to minimize waste and maximize reimbursement.
- Standardizes vaccine inventory management and distribution processes.
Enterprise Governance & Fiduciary Oversight
- Serves as Centralus Health's designee to the Captis Board.
- Represents system interests in group purchasing governance.
- Evaluates and executes financial commitments.
- Reviews and assesses Letter of Commitment (LOC) obligations.
- Advises executive leadership on financial exposure and contractual risk.
- Partners with Revenue Cycle to ensure appropriate charge capture and reimbursement optimization.
Leadership & Organizational Oversight
- Provides direct supervision of Supervising Pharmacists and Assistant Director.
- Aligns site pharmacy leaders with enterprise goals and performance standards.
- Establishes accountability structures and performance metrics.
- Leads workforce planning, succession development, and leadership growth strategies.
Regulatory, Quality & Accreditation Oversight
- Ensures compliance with all federal, state, and accreditation standards.
- Coordinates system readiness for surveys and regulatory reviews.
- Oversees medication safety initiatives and performance improvement programs.
- Ensures pharmaceutical care meets professional standards and supports measurable patient outcomes.
Executive Collaboration & Governance
- Serves as strategic advisor to the ELT on pharmacy-related enterprise decisions.
- Participates in executive committees and long-range planning activities.
- Collaborates with medical staff leadership, infection prevention, quality, and supply chain to align clinical and operational priorities.
Success Factors (4-6)
- You think strategically and execute operationally to translate enterprise vision into actionable initiatives that drive measurable improvements in financial performance, quality, and patient outcomes.
- You lead through influence and collaboration - building strong partnerships with executive leadership, clinical teams, finance, supply chain, and operational leaders to align pharmacy strategy with system priorities.
- You bring clarity to complex systems - able to analyze multifaceted operational regulatory, and financial challenges and develop structured solutions that support enterprise standardization and sustainability.
- You demonstrate strong financial and business acumen - understanding the economic drivers of pharmacy services including reimbursement, drug spend management, contracting, and revenue optimization.
- You cultivate high-performing teams and leaders - developing pharmacy leadership talent, establishing accountability structures, and fostering a culture of continuous improvement and professional growth.
- You pursue innovation and continuous improvement - identifying opportunities to enhance pharmacy service delivery through technology, new care models, and strategic partnership that strengthen the organization's market position.
Education / Experience Qualifications
- Doctor of Pharmacy (PharmD) required. Advanced degree (MBA, MHA, or equivalent preferred.
- Current New York State pharmacist licensure required.
- Minimum of five (5) years of progressive pharmacy leadership experience, including multi-site or system-level oversight preferred. Demonstrated success in enterprise standardization, cost containment, and vendor negotiations.
Physical Requirements
- Primarily administrative and executive in nature with minimal physical demands consistent with an office-based leadership role.