Specialty Pharmacy Operations & Compliance Manager

Baptist Health Ventures, Inc.; Pensacola (FL); On-site; USD 110,000 - 150,000; Full time

Job summary

The Manager - Specialty Pharmacy at Baptist Health Ventures, Inc. provides operational, clinical, fiscal, and regulatory leadership for the health system's specialty pharmacy in Pensacola, FL, ensuring readiness and compliance with URAC, ACHC, and payer requirements.

This role leads medication-access services, including benefits investigation, prior authorization, appeals, patient onboarding, refill coordination, and safe delivery to patients and infusion centers, while also performing

Qualifications

• Pharmacist degree required (B.Pharm or PharmD).
• Post-licensure pharmacist experience required (3 years).
• At least 1 year in specialty pharmacy preferred; leadership experience preferred.

Responsibilities

• Leads daily specialty pharmacy operations and performs pharmacist functions as needed, including clinical and legal review of prescriptions; verifications, dispensing, counseling, intervention documentation, and oversight of procurement, storage, handling, and distribution.
• Maintains accreditation readiness for URAC, ACHC and other bodies; leads self‑assessments, survey prep, corrective‑action plans, and ongoing compliance after accreditation.
• Manages end‑to‑end medication‑access workflow with physician practices, including benefits investigation, prior authorization submission and follow‑up, step‑therapy and formulary‑exception requests, appeals, copay or foundation assistance, and required documentation.
• Builds and maintains relationships with physicians, clinics, infusion centers, home‑infusion teams, nursing, revenue cycle, payers, manufacturers, and distributors; establishes communication processes for continuity of care.
• Oversees safe, accurate, and timely delivery to patients and approved sites of care, including delivery scheduling, temperature control, shipment tracking, and documentation of receipt.

Education

Bachelor of Pharmacy (B.Pharm)

Doctor of Pharmacy (PharmD)

Job description

The Manager - Specialty Pharmacy at Baptist Health Ventures, Inc. provides operational, clinical, fiscal, and regulatory leadership for the health system's specialty pharmacy in Pensacola, FL, ensuring readiness and compliance with URAC, ACHC, and payer requirements.

This role leads medication-access services, including benefits investigation, prior authorization, appeals, patient onboarding, refill coordination, and safe delivery to patients and infusion centers, while also performing