Director of Ambulatory Pharmacy

Cincinnati Children's Office of Academic Affairs and Career Development; Cincinnati (OH); On-site; USD 163,000 - 212,000; Full time

Job summary

Cincinnati Children’s seeks a Director of Ambulatory Pharmacy to lead an integrated portfolio including Specialty Pharmacy and outpatient sites at Base, Liberty, Eastgate, and College Hill. The Director will oversee 83 staff and annual revenues exceeding $250 million while advancing access, quality, safety, and patient-family experience across ambulatory medication-use services.

The leader will partner with pharmacy, ambulatory, clinical, finance, and compliance to ensure services align with our

Qualifications

• PharmD degree and Ohio pharmacist license.
• Minimum seven years of pharmacy leadership experience or PGY2 with ≥4 years leadership.
• Experience with pediatric pharmacy and 340B is highly desirable.

Responsibilities

• Provide strategic direction and daily leadership for Specialty Pharmacy and outpatient services at Base, Liberty, Eastgate, and College Hill.
• Advance a patient- and family-centered ambulatory pharmacy model to improve access and adherence.
• Lead operations across dispensing, counseling, inventory, access, QA and regulatory compliance.
• Partner with ambulatory clinics and service lines to expand embedded pharmacy services.
• Develop and coach managers, pharmacists, technicians, learners, fostering engagement and continuous improvement.
• Monitor financial performance, medication margins, payer trends, 340B opportunities.
• Ensure compliance with Board of Pharmacy, accreditation, policies.
• Lead change management for growth, technology, workflow redesign, staffing.
• Collaborate with Revenue Cycle and Finance for prior authorization and billing coordination.

Skills

Ambulatory leadership

Strategic thinking

Collaborative partner

Data-driven

People development

Patient advocacy

Regulatory awareness

Education

PharmD degree

Ohio Pharmacist license

Job description

• Expected Starting Pay Range $162,531.20 - $211,619.20
• Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status.

Primary Location

Lincoln Building

Department

Home Care Pharmacy

Shift

Day (United States of America)

Schedule

Full time

Weekly Hours

40

FTE

1

Employee Status

Regular

• Expected Starting Pay Range $162,531.20 - $211,619.20
• Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status.

Director of Ambulatory Pharmacy

Cincinnati Children’s is seeking an accomplished, collaborative, and forward-thinking pharmacy leader to serve as Director of Ambulatory Pharmacy. This role will provide strategic and operational leadership for a broad ambulatory pharmacy portfolio that includes Specialty Pharmacy and outpatient pharmacy sites at Base, Liberty, Eastgate, and College Hill. The Director will oversee a staff of 83 and annual revenues of more than $250 million while helping advance access, quality, safety, financial performance, team development, and patient-family experience across ambulatory medication-use services.

The Director of Ambulatory Pharmacy will lead an integrated portfolio of services that connects specialty medication access, outpatient dispensing, patient counseling, payer and prior authorization support, 340B stewardship, regulatory readiness, and site-based operational excellence. The leader will partner closely with pharmacy, ambulatory, clinical, finance, information services, compliance, supply chain, and physician leaders to ensure that pharmacy services are aligned with Cincinnati Children’s mission to improve child health and transform care delivery.

Role Scope

The Director of Ambulatory Pharmacy will lead an integrated portfolio of services that connects specialty medication access, outpatient dispensing, patient counseling, payer and prior authorization support, 340B stewardship, regulatory readiness, and site-based operational excellence. The leader will partner closely with pharmacy, ambulatory, clinical, finance, information services, compliance, supply chain, and physician leaders to ensure that pharmacy services are aligned with Cincinnati Children’s mission to improve child health and transform care delivery.

Key Responsibilities

• Provide strategic direction and daily leadership for Specialty Pharmacy and outpatient pharmacy services at Base, Liberty, Eastgate, and College Hill.
• Advance a patient- and family-centered ambulatory pharmacy model that improves access to medications, supports adherence, and reduces fragmentation for patients with complex and chronic conditions.
• Lead operational performance across dispensing, patient counseling, inventory management, medication access, quality improvement, and regulatory compliance.
• Partner with ambulatory clinics and specialty service lines to expand embedded pharmacy services, strengthen provider relationships, and retain appropriate prescription volume within Cincinnati Children’s.
• Develop, coach, and support managers, pharmacists, technicians, learners, and other team members while fostering a culture of engagement, accountability, inclusion, and continuous improvement.
• Monitor financial performance, productivity, medication margin, payer trends, 340B opportunities, and business growth initiatives to support sustainable ambulatory pharmacy services.
• Ensure compliance with applicable Board of Pharmacy requirements, accreditation standards, organizational policies, controlled substance expectations, and specialty pharmacy standards.
• Lead change management efforts related to growth, technology optimization, workflow redesign, space planning, staffing models, patient capture, and service-line expansion.
• Partner with Revenue Cycle and Finance for prior authorization, billing coordination.

Ideal Candidate Profile

The successful candidate will be a visible and trusted leader with strong ambulatory, outpatient, or specialty pharmacy experience and a demonstrated ability to lead teams through growth and operational complexity. Candidates should have at least seven years of pharmacy leadership experience or completion of a PGY2 residency program with at least four years of pharmacy leadership experience. This leader should bring sound judgment, business acumen, regulatory awareness, and the ability to build productive partnerships across clinical and operational environments. Experience with pediatric pharmacy, specialty pharmacy accreditation, 340B, medication access services, retail/outpatient pharmacy operations, or health-system pharmacy leadership is highly desirable. Candidates must have PharmD degree, and State of Ohio Pharmacist license.

Leadership Attributes

• Strategic thinker who can translate growth opportunities into practical operating plans.
• Collaborative partner who builds trust with physicians, ambulatory leaders, finance, compliance, and frontline teams.
• Operationally disciplined leader who uses data, standards, and continuous improvement to drive results.
• People-centered coach who develops talent, clarifies expectations, and creates an environment where teams can thrive.
• Patient-focused advocate who understands the importance of timely medication access, family experience, and safe medication-use systems.

Why Cincinnati Children’s

Cincinnati Children’s offers an exceptional environment for a pharmacy leader who wants to improve child health through integrated clinical care, operational excellence, research, education, and innovation. The Director of Ambulatory Pharmacy will join a nationally recognized pediatric health system with a strong commitment to advancing pharmacy practice, developing future leaders, improving medication access, and designing services that meet the needs of patients, families, providers, and the organization.

About The Portfolio

The ambulatory pharmacy portfolio includes a growing Specialty Pharmacy and outpatient pharmacy services across Base, Liberty, Eastgate, and College Hill. Together, these services represent a large, high-impact operation with 83 staff members and more than $250 million in annual revenues. The portfolio supports children and families across the continuum of care by providing medication access, dispensing, counseling, coordination with clinical teams, prior authorization and benefit support, inventory management, and site-based operational leadership.

About Us

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

Cincinnati Children's Is

• Recognized by U.S. News & World Report as atop 10 best Children’s Hospitals in the nation for more than 15 years
• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH)Funding
• Recognized as one of America’s Best Large Employers (2025), America’s Best Employers for New Grads (2025)
• One of the nation'sAmerica’s Most Innovative Companiesas noted by Fortune
• Consistently certified as great place to work
• A Leading Disability Employeras noted by theNational Organization on Disability
• Magnet® designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC)

We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.

Comprehensive Job Description Provided Upon Request.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability