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National Director of Specialty Infusion Operations

4 weeks ago

Grand Prairie, Texas, United States Elevance Health Full time
About the Role

A key member of the Elevance Health team, this National General Manager for Specialty Infusion Operations will oversee operations on a nationwide scale, managing multiple specialty infusion pharmacies in various states while ensuring non-resident pharmacy state licensure. This critical role involves managing pharmacy operations related to clinical program implementations, ensuring responses meet healthcare plan needs and satisfy clinical quality standards.

Key Responsibilities
  • Oversight of specialty therapy referral and dispensing teams responsible for supporting IVIG, bleeding disorders, and other high-touch complex infusion therapies.
  • Significant collaboration and coordination with cross-functional teams and leaders, including Sales, Clinical Compliance & Quality, Patient Access & Reimbursement, RCM, Infusion Center Operations, IT, Implementation, and Procurement.
  • Oversight and participation in strategic growth initiatives aligned with annual operational performance and financial goals.
  • Oversight of Specialty infusion P&L.
  • Delivery of services to support high patient satisfaction with specialty infusion pharmacy.
  • Oversight of specialty infusion pharmacy people, process, and technology activities to meet and/or exceed key performance indicators.
  • Maintenance of pharmacy licensure and support for all activities related to accreditation and certifications associated with specialty pharmacy locations.
  • Management of specialty staffing needs and development of staffing to support growth.
Requirements

A PharmD, RPh, or other advanced degree in a health-related field and a minimum of 5 years of experience in managed care, or any combination of education and experience providing an equivalent background.

Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

Preferred Skills and Experiences
  • Experience overseeing pharmacy operations and P&L for multi-location, multi-state, high-touch therapeutic operations for Specialty, Infusion, IVIG, or Hemophilia Pharmacies.
  • Experience with coordination of infusion care, home health, and nursing services.
  • Knowledge of infusion reimbursement landscape for specialty pharmacies.
  • Experience in organizational design associated with high growth teams.
  • Experience leading large strategic initiatives, arranging and streamlining operations to scale a business, and enterprise-wide integration work streams.
  • Experience with transformational work during high growth business expansions and acquisitions.