Pharmacy Innovation Lead

MCS Puerto Rico; San Juan (PR); On-site; USD 120,000 - 170,000; Full time

Job summary

MCS Puerto Rico is seeking a senior leader to drive strategic transformation across pharmacy operations in a healthcare insurance context. You will lead cross-functional initiatives, implement innovative solutions, and align projects with regulatory standards and organizational goals.

You will analyze workflows, develop KPIs, and communicate progress to executives, while guiding change management and training for new processes and technologies.

Qualifications

• Bachelor’s degree in Pharmacy, Healthcare, Business Admin, or related field.
• At least five years in healthcare administration with PBM, managed care, or healthcare innovation.
• Proven track record leading cross-functional initiatives in healthcare.

Responsibilities

• Lead strategic pharmacy transformation initiatives from planning through execution.
• Drive innovation in pharmacy operations to improve outcomes and cost-efficiency.
• Analyze workflows, performance metrics and data trends to identify improvement opportunities.
• Collaborate with cross-functional teams to design and implement process enhancements and programs.
• develop, monitor, and report KPIs to measure initiative impact.
• Prepare executive-level reports and presentations on progress and recommendations.
• Lead training and change management for new processes and technologies.

Skills

Cross-functional leadership

Data analysis

Presentation skills

Strategic thinking

Stakeholder management

Education

Bachelor’s degree in Pharmacy, Healthcare, or related field

Tools

Power BI

Excel

PowerPoint

Word

Job description

GENERAL DESCRIPTION:

Responsible for driving strategic initiatives that transform pharmacy operations, enhance patient outcomes, and optimize cost-efficiency within the healthcare insurance industry. Leads cross-functional initiatives, implements innovative solutions, and ensures the evolution of pharmacy services in alignment with organizational goals and regulatory standards.

Regular
Exempt

GENERAL DESCRIPTION:

Responsible for driving strategic initiatives that transform pharmacy operations, enhance patient outcomes, and optimize cost-efficiency within the healthcare insurance industry. Leads cross-functional initiatives, implements innovative solutions, and ensures the evolution of pharmacy services in alignment with organizational goals and regulatory standards.

ESSENTIAL FUNCTIONS:

• Lead strategic pharmacy transformation initiatives from planning through execution, ensuring alignment with organizational goals.
• Drive innovation in pharmacy operations to enhance patient outcomes, improve service delivery, and optimize cost-efficiency.
• Analyze pharmacy workflows, performance metrics, and data trends to identify opportunities for improvement and implement evidence-based solutions.
• Collaborate with cross-functional teams and internal stakeholders to design and execute process enhancements and innovative programs.
• Support clinical, operational, and financial pharmacy initiatives, ensuring compliance with regulatory standards and best practices.
• Develop, monitor, and report key performance indicators (KPIs) to measure success and impact of transformation initiatives.
• Serve as a liaison between leadership, internal teams, and external partners, fostering effective communication and coordination.
• Build and maintain strong relationships with external stakeholders, including suppliers, healthcare providers, and regulatory agencies.
• Prepare and deliver executive-level reports and presentations on initiatives progress, outcomes, and recommendations.
• Organize and facilitate planning sessions, workshops, and off-site meetings to drive alignment and engagement.
• Lead training and change management efforts to ensure smooth adoption of new processes and technologies across pharmacy teams.
• Stay current with industry trends, regulatory changes, and emerging technologies, leveraging insights to inform innovation strategies.

ADDITIONAL FUNCTIONS:

• Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
• May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.

MINIMUM QUALIFICATIONS:

Education and Experience: Bachelor’s Degree in Pharmacy, Healthcare, Business Administration, or related areas. At least five (5) years of experience performing similar responsibilities, healthcare administration, with a strong focus on pharmacy benefit management (PBM), managed care, or healthcare innovation. Proven track record in leading cross-functional initiatives and driving process improvements within healthcare organizations or PBM companies.

“Proven experience may be replaced by previously established requirements.”

Certifications / Licenses: A Valid Lean Six Sigma certification is preferred.

Other: Advanced proficiency in Microsoft PowerPoint, Word, and Excel, with strong ability to create professional presentations and reports. Advanced knowledge in analyzing pharmacy-related data using Excel, Power BI, or similar analytics tools to identify trends, opportunities, and actionable insights. Solid understanding of industry program policies, procedures, regulations, and laws within the pharmacy and healthcare sectors, with a strong emphasis on PBM industry standards and compliance requirements.

Languages:

Spanish – Advanced (comprehensive, writing and verbal)
English – Advanced (comprehensive, writing and verbal)

“We are an Equal Employment Opportunity Employer and take