[Remote] Director of Pharmacy Operations

Note: The job is a remote job and is open to candidates in USA. PurposeMed is hiring a Director of Pharmacy Operations to lead and scale Affirming Care Pharmacy’s US network. The role oversees pharmacy operations, insurance and billing, quality and regulatory compliance, and pharmacy team development while coordinating with cross-functional teams.

Responsibilities

• Operating an efficient, high-volume national mail-order operation, with our Texas hub as the operational center of the network
• Owning the pharmacy operating model, including workflow design, fill throughput, turnaround times, and capacity planning—building it to scale as prescription volume from Freddie grows
• Bringing expert command of retail and mail-order fundamentals: dispensing accuracy, shipping logistics, refill management, and the service standards that make a pharmacy experience great
• Standing up each regional site as the primary fulfillment hub for its area, while keeping Texas as the largest national hub
• Standardizing processes, systems, and patient experience across every site, so quality never depends on which pharmacy fills a prescription
• Bringing a strong working understanding of the US insurance and coverage landscape, such as claims adjudication, prior authorizations, coordination of benefits, and the billing operations that keep a pharmacy financially healthy
• Monitoring and maintaining enrollment and pharmacy benefit manager (PBM) contracts so the operation stays compliant and in good standing
• Partnering with internal and external specialists on net-new PBM contracting and complex payer setup, knowing when to bring in expert support
• Owning quality assurance and regulatory compliance across the network, including incident management, root-cause analysis, corrective actions, and inspection readiness across multiple state boards and the DEA
• Building the standard operating procedure and quality backbone (procedures, version control, and training) for a defensible, inspection-ready operation in every state
• Designing for compliance by default, while respecting the statutory accountabilities of each site's Pharmacist-in-Charge (PIC)
• Leading, developing, and holding accountable the PICs and site managers across the network, with clear expectations and a deliberate performance cadence
• Building a pharmacy leadership bench that can run sites independently as we scale
• Coaching site leaders to develop their own teams, not just manage tasks
• Serving as the connective tissue between pharmacy and our Clinical, Patient Experience, Tech, Finance, and People teams, so pharmacy stays aligned with the wider patient journey
• Representing the pharmacy operation to the executive team with clear, decision-ready communication that surfaces issues, trade-offs, and recommendations
• Recommending on headcount, budget, capital, and technology needs, with clear rationale and sequencing

Skills

• 8+ years in US pharmacy operations, including 2+ years running a multi-site operation
• We're also open to candidates who bring the right hands-on pharmacy operations experience in its place
• Deep, hands-on experience running an efficient, high-volume US mail-order or retail pharmacy
• Fluency in the US coverage landscape on the operational side (claims, prior authorization, coordination of benefits), plus enough contracting awareness to manage PBM relationships and know when to bring in specialists
• A track record of standing up or scaling pharmacy sites and integrating existing operations without breaking them
• The instincts of a systems thinker who turns individual pharmacies into a coherent network, and a people builder who measures success partly by how well their sites run without them
• A pharmacy degree (PharmD or equivalent) is strongly preferred
• Active pharmacist licensure in one or more of Texas, California, New York, or Florida
• A working knowledge of the 340B Drug Pricing Program (we're not a covered entity, but the familiarity helps)
• Familiarity with mail-order or digital pharmacy accreditation standards, such as those from URAC (Utilization Review Accreditation Commission), the Accreditation Commission for Health Care (ACHC), or the National Association of Boards of Pharmacy (NABP)

Benefits

• Be part of a team of great people who don’t take themselves too seriously; we believe in having fun along the way.
• Make an impact every single day by providing compassionate, affirming care.
• Be confident in bringing your whole self to work; inclusivity is core, and we create spaces that are safe and affirming.
• Work flexibly within a team that’s remote friendly.
• 20 vacation days
• Annual winter break closure
• Comprehensive medical, dental, and vision care from your first day of work—we cover 100% of your premiums, with coverage available for dependents.
• 8 health/sick days
• Extended mental health coverage
• $20,000 of lifetime coverage for gender-affirming care and procedures (Canada)
• $500 learning fund to use towards courses and other professional development
• People Potential program, in which you'll partner with your manager to identify opportunities to grow and achieve your full potential

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