Specialty Outpatient Pharmacy Manager

Job Responsibilities

• Operational
  • Direct and supervise all outpatient and specialty pharmacy operations, ensuring safe, timely, and accurate dispensing of medications.
  • Develop and implement workflow processes to optimize efficiency and patient satisfaction.
  • Ensure compliance with Tennessee Board of Pharmacy, DEA, FDA, OSHA, Joint Commission, and specialty accreditation standards (URAC/ACHC).
  • Monitor operational KPIs including turnaround time, adherence rates, abandonment rates, and financial performance metrics.
  • Partner with IT and revenue cycle teams to optimize specialty pharmacy systems, claims adjudication, split-billing, and reimbursement accuracy.
• Staff Management & Leadership
  • Recruit, hire, train, and evaluate outpatient pharmacy staff.
  • Schedule and assign duties to pharmacists and technicians to ensure adequate coverage.
  • Provide ongoing staff development, mentorship, and performance feedback.
  • Foster a collaborative, supportive, and patient‑focused work environment.
• Employee Relations
  • Recruit, select, train, and supervise outpatient pharmacy staff.
  • Actively recruit potential employees for the outpatient pharmacy department.
  • Interview and select department staff properly.
  • Orient and train new employees for the department.
  • Help plan and provide educational opportunities for pharmacists and technicians within the department.
  • Arrange work schedules and assign employees to appropriate areas to maximize efficiency and meet business needs.
  • Prepare employee performance appraisals according to designated schedules and review with employees.
  • Consult with Human Resources Department on serious disciplinary matters.
  • Conduct performance evaluations and manage disciplinary actions in collaboration with Human Resources.
  • Initiate disciplinary action or termination according to Hospital Authority Rules and Regulations.
  • Maintain appropriate documentation.
• Vendor Relations
  • Develop and manage strategic relationships with specialty pharmacy vendors, including wholesalers, limited distribution drug manufacturers, technology platforms, and third‑party support programs to maximize operational and financial performance.
  • Monitor vendor performance metrics including turnaround times, reimbursement accuracy, inventory access, patient support services, and contractual compliance.
  • Collaborate with pharmacy director to review and evaluate vendor agreements, identify cost‑saving opportunities, and ensure alignment with organizational goals and accreditation standards (URAC/ACHC if applicable).
  • Partner with manufacturers and HUB programs to streamline patient enrollment, financial assistance access, and limited distribution medication procurement.
  • Conduct regular performance reviews and business meetings with vendors to ensure continuous improvement and measurable value to the specialty pharmacy program.
• Inventory Control
  • Implement inventory controls to optimize on‑hand quantities based on referral pipeline, prior authorization approvals, and patient onboarding timelines.
  • Ensure proper storage and handling of specialty medications, including cold‑chain management, temperature monitoring documentation, and compliance with manufacturer requirements.
  • Maintain strict oversight of controlled substances, including secure storage, perpetual inventory reconciliation, DEA compliance, and narcotic chain‑of‑custody monitoring.
  • Coordinate the safe and compliant disposal of expired, damaged, or unusable medications through appropriately certified reverse distributors and vendors.
  • Oversee regular cycle counts, audits, and discrepancy investigations to reduce shrinkage and maintain financial integrity.
  • Submit occurrence and incident reports to Compliance and Pharmacy Leadership for review, corrective action, and regulatory reporting when required.
  • Partner with finance and 340B (if applicable) teams to ensure accurate inventory tracking, split‑billing compliance, and cost containment strategies.
• Professional Consultation and Collaboration
  • Collaborate with physicians, advanced practice providers, nurses, and clinic staff to optimize specialty medication therapy, including dosing, side effect management, adherence strategies, and monitoring parameters.
  • Accurately enter…