[Hiring] Director of Pharmacy Operations @PurposeMed

Role Description

We're looking for a Director, Pharmacy Operations to step in as the senior pharmacy leader for Affirming Care's US network. In this role, you will own how our pharmacies run, scale, and show up for patients nationwide. At PurposeMed, our group of Affirming Care Pharmacies doesn’t just provide a service; it’s the backbone of how we deliver accessible, affirming care. We need a leader with deep, hands-on experience running high-volume pharmacy networks to anchor our US expansion and architect the future of our operations.

Your job is to make that network feel like one pharmacy: consistent, high-quality, and reliable no matter which site fills a given prescription. You'll report to the VP of Operations and make your mark by turning a set of individual pharmacies into one coherent, scalable operation that patients can count on.

In this role, you’ll make an impact by:

• Running and scaling our US Pharmacy Network
• Operating an efficient, high-volume national mail-order operation, with our Texas hub as the operational center of the network
• Owning the pharmacy operating model, including workflow design, fill throughput, turnaround times, and capacity planning—building it to scale as prescription volume from Freddie grows
• Bringing expert command of retail and mail-order fundamentals: dispensing accuracy, shipping logistics, refill management, and the service standards that make a pharmacy experience great
• Standing up each regional site as the primary fulfillment hub for its area, while keeping Texas as the largest national hub
• Standardizing processes, systems, and patient experience across every site, so quality never depends on which pharmacy fills a prescription
• Owning insurance, coverage, and billing
• Bringing a strong working understanding of the US insurance and coverage landscape, such as claims adjudication, prior authorizations, coordination of benefits, and the billing operations that keep a pharmacy financially healthy
• Monitoring and maintaining enrollment and pharmacy benefit manager (PBM) contracts so the operation stays compliant and in good standing
• Partnering with internal and external specialists on net-new PBM contracting and complex payer setup, knowing when to bring in expert support
• Setting the quality and compliance bar
• Owning quality assurance and regulatory compliance across the network, including incident management, root-cause analysis, corrective actions, and inspection readiness across multiple state boards and the DEA
• Building the standard operating procedure and quality backbone (procedures, version control, and training) for a defensible, inspection-ready operation in every state
• Designing for compliance by default, while respecting the statutory accountabilities of each site's Pharmacist-in-Charge (PIC)
• Scaling the pharmacy team & partnering cross-functionally across PurposeMed
• Leading, developing, and holding accountable the PICs and site managers across the network, with clear expectations and a deliberate performance cadence
• Building a pharmacy leadership bench that can run sites independently as we scale
• Coaching site leaders to develop their own teams, not just manage tasks
• Serving as the connective tissue between pharmacy and our Clinical, Patient Experience, Tech, Finance, and People teams, so pharmacy stays aligned with the wider patient journey
• Representing the pharmacy operation to the executive team with clear, decision-ready communication that surfaces issues, trade-offs, and recommendations
• Recommending on headcount, budget, capital, and technology needs, with clear rationale and sequencing

Qualifications

• 8+ years in US pharmacy operations, including 2+ years running a multi-site operation
• A pharmacy degree (PharmD or equivalent) is strongly preferred; we're also open to candidates who bring the right hands-on pharmacy operations experience in its place
• Deep, hands-on experience running an efficient, high-volume US mail-order or retail pharmacy
• Fluency in the US coverage landscape on the operational side (claims, prior authorization, coordination of benefits), plus enough contracting awareness to manage PBM relationships and know when to bring in specialists
• A track record of standing up or scaling pharmacy sites and integrating existing operations without breaking them
• The instincts of a systems thinker who turns individual pharmacies into a coherent network, and a people builder who measures success partly by how well their sites run without them

Requirements

• Active pharmacist licensure in one or more of Texas, California, New York, or Florida
• A working knowledge of the 340B Drug Pricing Program (we're not a covered entity, but the familiarity helps)
• Familiarity with mail-order or digital pharmacy accreditation standards, such as those from URAC (Utilization Review Accreditation Commission), the Accreditation Commission for Health Care (ACHC), or the National Association of Boards of Pharmacy (NABP)

Benefits

• Work flexibly within a team that’s remote friendly; we believe that work should fit around your life
• 20 vacation days and a team that will remind you to use them!
• Annual winter break closure
• Comprehensive medical, dental, and vision care from your first day of work—we cover 100% of your premiums, with coverage available for dependents
• 8 health/sick days
• Extended mental health coverage
• $20,000 of lifetime coverage for gender-affirming care and procedures (Canada)
• $500 learning fund to use towards courses and other professional development
• Our unique People Potential program, in which you'll partner with your manager to identify opportunities to grow and achieve your full potential