Pharmacist

POSITION SUMMARY

The Pharmacy Director serves as the senior pharmacy executive responsible for strategic leadership, regulatory compliance, operational oversight, financial stewardship, workforce development, quality management, and 340B program governance for Eagle Seeker Pharmacy.

The Pharmacy Director is responsible for establishing, implementing, maintaining, and continuously improving a compliant, sustainable, culturally responsive pharmacy operation aligned with Native American Development Corporation's mission, healthcare governance framework, Urban Indian Health Program requirements, HRSA 340B Program requirements, Montana pharmacy laws, and healthcare quality standards.

The position functions as the enterprise pharmacy leader responsible for pharmacy strategy, operational performance, compliance oversight, healthcare integration, population health initiatives, and executive reporting.

The Pharmacy Director provides executive leadership over pharmacy operations while maintaining accountability for program integrity, patient access, clinical quality, workforce performance, financial sustainability, and regulatory compliance.

ORGANIZATIONAL COMPLEXITY

The Pharmacy Director operates within a highly regulated healthcare environment involving:

• HRSA 340B Drug Pricing Program requirements;
• Urban Indian Health Program requirements;
• Montana Board of Pharmacy regulations;
• DEA requirements;
• Medicare and Medicaid pharmacy billing;
• Third-party payer contracts;
• Pharmacy benefit managers (PBMs);
• HIPAA and HITECH compliance;
• Controlled substance regulations;
• Healthcare quality programs;
• Revenue cycle management;
• Population health initiatives;
• Healthcare workforce governance;
• Enterprise financial accountability;
• Federal grant compliance requirements.

The position requires integration with:

• Executive Leadership;
• 340B Healthcare Advisory Committee;
• Compliance and Risk Management;
• Finance;
• Revenue Cycle Management;
• Clinical Operations;
• Medical Providers;
• Behavioral Health;
• Laboratory Services;
• Information Technology;
• Human Resources.

ORGANIZATIONAL SCOPE

The Pharmacy Director maintains enterprise accountability for:

• Eagle Seeker Pharmacy operations;
• HRSA 340B program integrity;
• Pharmacy compliance systems;
• Medication access initiatives;
• Population health pharmacy programs;
• Pharmacy workforce planning;
• Pharmacy quality assurance;
• Clinical pharmacy service development;
• Pharmacy financial performance;
• Vendor management;
• Contract pharmacy oversight;
• Pharmacy technology systems;
• Pharmacy policy and procedure development.

The position supports healthcare integration throughout:

• Billings Urban Indian Health & Wellness Center;
• Eagle Seeker Pharmacy;
• Healthcare shared services operations;
• Future healthcare expansion initiatives.

LEADERSHIP RESPONSIBILITIES

The Pharmacy Director shall:

Strategic Leadership

• Develop and implement pharmacy strategic plans;
• Lead pharmacy service expansion initiatives;
• Support integrated healthcare delivery models;
• Advance medication access and health equity initiatives.

Workforce Leadership

• Recruit, mentor, develop, and retain pharmacy personnel;
• Establish workforce performance expectations;
• Develop succession planning strategies;
• Promote accountability and service excellence.

Operational Leadership

• Oversee pharmacy startup implementation;
• Establish operational workflows and systems;
• Ensure operational readiness and continuity;
• Monitor pharmacy performance and service delivery.

Executive Reporting

• Provide regular reports to Executive Leadership;
• Develop pharmacy performance dashboards;
• Present recommendations for operational improvements;
• Support board and advisory committee reporting.

COMPLIANCE & REGULATORY OVERSIGHT

The Pharmacy Director maintains responsibility for:

HRSA 340B Program Compliance

• Prevention of diversion;
• Prevention of duplicate discounts;
• OPAIS maintenance;
• Annual recertification;
• Internal auditing;
• Corrective action planning.

Healthcare Compliance

• HRSA Health Center Program requirements;
• HRSA Site Visit readiness;
• Pharmacy credentialing oversight;
• HIPAA compliance;
• Quality management systems.

Pharmacy Regulatory Compliance

• Montana Board of Pharmacy requirements;
• DEA requirements;
• Controlled substance monitoring;
• Pharmacy inspections;
• Licensing and credentialing compliance.

MINIMUM QUALIFICATIONS

Education

Required:

Doctor of Pharmacy (PharmD) from an ACPE-accredited College of Pharmacy.

Experience

Required:

• Minimum five (5) years of progressively responsible pharmacy experience.
• Minimum three (3) years of pharmacy leadership or management experience.

Preferred:

• HRSA 340B Program experience.
• Community health center experience.
• Urban Indian Health Program experience.
• Population health pharmacy experience.
• Multi-site pharmacy operations experience.

Licensure & Certifications

Required:

• Active unrestricted Montana Pharmacist License.
• Immunization Certification.
• CPR/BLS Certification.

Preferred:

• Board Certification (BCACP, BCPS, or equivalent).
• Advanced 340B certification or training.
• Leadership development certifications.

KEY PERFORMANCE INDICATORS (KPIs)

Go-Live & Implementation

• Go-live milestone completion.
• Policy completion.
• Vendor readiness.
• Workforce onboarding completion.
• Mock inspection performance.

340B Program Integrity

• Diversion incidents.
• Duplicate discount incidents.
• Audit completion.
• Recertification timeliness.
• Internal compliance review pass rates.

Financial Performance

• Net revenue.
• Gross margin.
• Denial rates.
• Inventory turns.
• Budget performance.

Quality & Population Health

• Medication adherence metrics.
• MTM completion rates.
• Immunization rates.
• Medication reconciliation performance.
• Patient outcome improvement initiatives.

Workforce & Culture

• Employee retention.
• Training completion.
• Performance evaluation completion.
• Workforce engagement.

Patient Experience

• Wait times.
• Prescription turnaround.
• Patient satisfaction.
• Access improvement metrics.

CONFIDENTIALITY, ETHICS & WORKFORCE TRUST RESPONSIBILITIES

The Pharmacy Director maintains access to highly confidential:

• Patient information;
• Protected Health Information (PHI);
• Workforce information;
• Financial information;
• Pharmacy records;
• Controlled substance records;
• Compliance investigations;
• Strategic organizational information.

The Pharmacy Director must maintain strict compliance with:

• HIPAA;
• HITECH;
• HRSA requirements;
• Pharmacy confidentiality standards;
• NADC workforce governance standards.

PHYSICAL DEMANDS & WORKING CONDITIONS

Work is performed within:

• Pharmacy environments;
• Healthcare facilities;
• Administrative offices;
• Community outreach settings.

The position requires:

• Standing and walking;
• Frequent computer usage;
• Occasional lifting up to 25 pounds;
• Travel for meetings, conferences, training, and community events;
• Availability outside standard business hours during operational emergencies, inspections, startup activities, and implementation periods.