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.

• 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, future‑state validation, 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: referral intake and access workflows, prior authorization, 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, and escalated issues with clear options and recommendations.
• Apply consistent delivery discipline, including charters, 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.
• Maintain commitment to uphold system values, enhance organizational culture, and focus on employee engagement.
• Responsible for compliance with all Federal, State and Local laws, regulations and rules; accreditation standards; and policies and procedures of the organization and department.
• Responsible for creating and maintaining a healthy work environment.

• 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…