Pharmacy Strategy Delivery Senior Manager

Boston Medical Center; Boston (MA); On-site; USD 97,500 - 141,500; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Flexible Spending Accounts

Paid time off

Career advancement opportunities

Job summary

Boston Medical Center is seeking a Senior Manager to lead the strategy, design, and execution of key pharmacy initiatives. This pivotal role requires overseeing projects that impact a pharmacy organization generating approximately $1B annually.

The ideal candidate will have 8-12+ years of experience in health-system pharmacy or consulting, with a track record in managing complex programs. The position offers a competitive compensation range of $97,500 to $141,500, along with comprehensive benefits.

Qualifications

• 8–12+ years of progressive experience in health-system pharmacy or healthcare strategy consulting.
• Demonstrated success leading large, complex, cross-functional programs with measurable outcomes.
• Valid license as a pharmacist in Massachusetts preferred.

Responsibilities

• Own delivery of pharmacy initiatives from charter through stabilization.
• Translate high-level strategy into detailed workplans.
• Ensure projects achieve realized outcomes, not just go-live completion.
• Drive transition from project mode to steady-state ownership.

Skills

Leadership

Change management

Stakeholder management

Financial acumen

Project management

Education

Advanced degree (MBA, MPH, PharmD)

Job description

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.

Essential Responsibilities & Duties

• 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.

Job Requirements

• 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 in a matrixed healthcare environment.

Preferred Education & Experience

• Advanced degree (MBA, MPH, PharmD).

Certifications, Licenses & Registrations

• Valid license as a pharmacist in the State of Massachusetts (preferred). Candidates without licensure must demonstrate equivalent depth through healthcare strategy consulting or senior health‑system operational leadership in pharmacy.

Knowledge, Skills & Abilities (KSAs)

• Deep working knowledge of specialty pharmacy operations: access workflows, prior authorization, LDD programs, payer dynamics, gross margin, DIR, and specialty drug economics.
• Track record of driving complex, multi‑workstream programs from strategy through sustained operational performance in an academic medical center, integrated delivery network, or major consulting firm.
• Exceptional executive communication and stakeholder management skills; able to prepare crisp, decision‑ready materials for C‑suite and board‑level audiences.
• Strong financial acumen: able to build and validate business cases, model ROI, and hold teams accountable to financial commitments.
• Expertise in change management; experienced navigating large‑scale organizational change in clinical and operational healthcare environments.
• Strategic thinking paired with ground‑level execution discipline – able to set direction and roll up sleeves to get things done.
• Experience building delivery infrastructure: playbooks, frameworks, governance models, and team capability at scale.
• Formal project management or delivery methodology experience (PMP, Agile, Lean, or comparable); hands‑on delivery excellence is prioritized over certification.
• Prior management or mentorship experience; ability to develop junior team members and cultivate a high‑performance delivery culture.
• Experience with pharmacy revenue cycle, specialty platform technologies, and vendor or payer relationship management preferred.

Compensation

Compensation Range: $97,500.00 – $141,500.00. This range offers an estimate based on the minimum job qualifications; additional factors including education, experience, skills, and certifications/registrations will be considered when making an offer.

Boston Medical Center offers generous total compensation including medical, dental, vision, pharmacy benefits, discretionary annual bonuses, merit increases, Flexible Spending Accounts, 403(b) savings match, paid time off, career advancement opportunities, and resources to support employee well‑being.

Equal Opportunity Employer

Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non‑job‑related characteristic.

Accommodation: If you need accommodation for any part of the application process because of a medical condition or disability, please e‑mail [e-mail] or call 617‑638‑8582.

BMC requires all staff to be vaccinated against COVID‑19 and flu and to receive a booster dose of the COVID‑19 vaccine. BMC participates in the Electronic Employment Verification Program.