Summary of Primary Function/General Purpose of Position
The Pharmacy Director Infusion and Patient Assistance Programs is responsible for the oversight of BSMH ambulatory (hospital outpatient, physician practice, and home infusion/injection clinic based) pharmacy infusion services and system pharmacy patient assistance program. These areas of responsibility have significant strategic and financial implications on the current and future success of Bon Secours Mercy Health and this position will serve as the strategic pharmacy leader for these service areas. This leader partners with local and system leaders in the areas of strategic growth, operations, automation & technology, quality improvement,, reimbursement, revenue cycle management, and financial performance. All responsibilities are accomplished in collaboration with the pharmacy leadership team under the direction of the Vice President of Ambulatory Pharmacy. The scope and complexity of the position requires successful leaders to possess a diverse and highly developed skill set including but not limited to: time-management, written and verbal communication, creativity, vision, teamwork, personnel management, leadership, clinical knowledge base/skills, mentorship, change management, and project management.
Essential Job Functions:
Serve as a subject matter expert for infusion and pharmacy patient assistance programs (PAP). This leader will manage all internal (service line, legal, internal audit, compliance, finance, reimbursement, managed care, etc.) and external (vendors, wholesalers, pharmaceutical manufacturers) stakeholder relationships to maintain successful services that are compliant with applicable regulations and aligned with national best practices.
(Infusion services) Responsible for all business activities, financial performance, and strategic growth for pharmacy infusion services. This leader will assist in developing strategies to standardize infusion, services, optimize operations, drive financial performance, and ensure regulatory compliance across the ministry. Works collaboratively with local and system leadership to operationalize initiatives.
(Patient assistance program) Responsible for all strategic, operational, and financial performance for pharmacy patient assistance program. This leader will work to standardize and expand pharmacy PAP services across the ministry, optimize operations, drive financial performance, and ensure regulatory compliance. Works collaboratively with local and system leadership to operationalize initiatives.
Responsible for publishing monthly dashboards to report out financial and operational program performance. Monitors financial reports, recommends, and implements necessary changes to meet and exceed budget expectations. In conjunction with revenue integrity, monitors reimbursement effectiveness to achieve revenue cycle targets.
Collaborates with service line leaders and other BSMH key stakeholders to ensure high quality patient centered care is provided throughout areas of oversight. Works to technology and automation to provide a high level of service to patients across the ministry.
Monitors and interprets any new legislation or policy releases from all infusion & PAP external stakeholders (legislation, payers, pharmaceutical manufacturers, CMS, etc.) and conducts a financial & operational impact analysis (as supported by managed care, legal, etc.). Creates and launches corresponding mitigation plans, operational changes, and budget adjustments accordingly. Communicates and collaborates with other BSMH stakeholders and vendors as appropriate to accommodate any necessary changes.
Identifies and operationalizes initiatives which represent system opportunities for cost savings, improvements in efficiency, increased patient capture, and enhanced financial performance. Works collaboratively with key BSMH committees to reduce avoidable denials, maximize revenue capture, and increase efficiency of infusion and patient assistance related elements of revenue cycle management.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
Required Minimum Education:
BS or PharmD
Masters, Residency, Fellowship
Business or Healthcare Administration
Licensing/ Certification - If registration, certification or licensure is required, include the name of the accrediting or licensing body.
NHIA Home Infusion Therapy Program Certification
Minimum Years and Type of Experience
5+ years – progressive health system pharmacy leadership
Other Knowledge, Skills and Abilities Required
Diverse and highly developed skill set including but not limited to: time-management, communication, creativity, vision, teamwork, management, leadership, clinical knowledge base/skills, mentorship, change management, and project management.
Other Knowledge, Skills and Abilities Preferred
Strong interest in pharmacy practice advancement and pharmacy services leadership
Ability to work in a complex team environment and to collaborate with both external and internal professionals and other customers
Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding.
Ability to ensure a high level of customer service for all customers including patients, local sites, local and home office employees, physicians and other medical professionals, visitors, and external stakeholders
Computer skills – word processing, spreadsheets, PowerPoint®, drug databases
Familiarity with various software, equipment and technology necessary to provide pharmacy services
Able to demonstrate skills in prioritization, development of SMART goals and objectives, problem solving, team building, decision making, time management and strategic planning
Knowledge of pharmacy services within acute and ambulatory care environments of an integrated health system and an ever-changing environment
Knowledge of laws and regulations regarding pharmacy and external medication related quality metrics
Inspires confidence, appropriate risk taking and achievement of high standards. Exercises good judgment and ability to act decisively at the right time
Self-starter with a willingness to try new ideas and positive, can-do attitude coupled with a sense of urgency
Ability to positively affect collaboration, promote teamwork and achieve consensus
Ability to create win/win solutions and relationships
Employer will assist with relocation costs.
About Bon Secours Mercy Health
Mercy Health is part of Bon Secours Mercy Health, one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. Mercy Health is the largest health system in Ohio and among the top five employers in the state, with more than 33,500 employees serving communities throughout Ohio and in Kentucky. Mercy Health provided care for patients more than 6.8 million times in 2017.
The system includes assets of $6.8 billion and nearly 500 care facilities including 23 hospitals and 26 post-acute care facilities including senior living communities, hospice programs and home health agencies. Its clinically integrated network of more than 2,700 health care providers coordinates more effective and efficient care for more than 350,000 patients, saving money for taxpayers through the Medicare Shared Savings Program. As part of Bon Secours Mercy Health, the ministry provides nearly $2 million per day in community benefit. For more information, visit www.mercy.com.