About the Role

We're seeking a visionary Director of Value-Based Care Pharmacy to build our pharmacy program from the ground up. This is a rare opportunity to architect the entire clinical pharmacy infrastructure for a rapidly growing senior-focused primary care organization - from formulary strategy and Part D cost optimization to HEDIS quality improvement and provider education.

As our first pharmacy leader, you'll collaborate with the Chief Medical Officer and physician teams to design the strategic roadmap for medication management across our expanding network (currently 4 clinics. You'll work closely with clinical leadership to establish collaborative practice agreements, build strong provider relationships, and create the systems that will drive significant cost savings while dramatically improving patient outcomes. Operating under collaborative practice agreements, you will directly influence medication therapy, optimize clinical outcomes, and reduce total cost of care through evidence-based, protocol-driven interventions.

Reporting to our Chief Medical Officer, this role balances strategic thinking with hands-on building - perfect for an entrepreneurial pharmacist who thrives in startup environments and wants to see the direct impact of their work. You'll visit each clinic monthly to provide direct patient care for complex chronic diseases, while simultaneously developing the analytics, workflows, and team structure that will scale as we grow.

This role is ~30% clinical, ~40% program building, and ~30% strategic/analytics.

Compensation range: $170,000-$180,000 annually with a generous performance bonus.

At Greenbrook Medical, we value fair and equitable pay. Your salary within this range will be based on your relevant, transferable experience and professional achievements.

Location: Tampa Bay area. This position requires regular in-person presence at clinic locations (at least monthly visits to each clinic).

Office Hours: Monday-Friday, standard business hours with flexibility for clinic schedules.

Key Responsibilities

Pharmacy Strategy & Program Build

• Build and lead pharmacy program infrastructure from the ground up, including formulary development, medication management protocols, and clinical workflows
• Drive Part D and Part B cost optimization through therapeutic alternatives, formulary compliance, and patient assistance programs
• Own pharmacy-related HEDIS quality measures and medication adherence improvement initiatives
• Represent pharmacy at insurance partner meetings and contribute to managed care strategy

Clinical Care & Medication Management

• Provide direct patient care for complex chronic disease management under collaborative practice agreements
• Conduct comprehensive medication reviews evaluating safety, efficacy, cost, side effects, and barriers to adherence, particularly for high-risk and polypharmacy patients
• Reduce polypharmacy and improve medication adherence through targeted interventions aligned with value-based care goals
• Manage chronic diseases (e.g., diabetes, hypertension, anticoagulation, heart failure) through proactive medication optimization and monitoring
• Order, interpret, and apply laboratory results to guide medication therapy decisions and ensure safety and effectiveness

Care Coordination & Provider Enablement

• Improve transitions of care by identifying and resolving medication discrepancies post-discharge and reducing avoidable readmissions
• Partner with care teams to ensure seamless coordination between primary care, specialists, and pharmacy services
• Develop and deliver provider education programs on medication optimization and value-based care strategies

Analytics, Performance & Impact

• Build analytics dashboards and reporting systems to track program impact, cost savings, and ROI
• Use data to identify opportunities to improve adherence, reduce cost, and elevate clinical outcomes

Field Leadership

• Visit clinic locations regularly for in-person provider engagement and patient care
• Develop and mentor future clinical pharmacy team members, with the opportunity to build and lead a team as the organization scales

Accountabilities

• Financial Performance: Part D cost reduction, formulary compliance optimization, and PAP savings generation
• Quality Metrics: High-star HEDIS ratings on pharmacy measures and improved medication adherence rates
• Program Development: Timely launch of core pharmacy programs including formulary, PAP, HEDIS tracking, and provider education
• Provider Engagement: Strong provider satisfaction scores and high engagement with pharmacy education programs

About You

• Education & Licensure: Doctor of Pharmacy (PharmD) degree and active Florida pharmacist license in good standing
• Training: PGY1 Pharmacy Residency (required); PGY2 Ambulatory Care Residency (preferred)
• Certification: Board Certified Ambulatory Care Pharmacist (BCACP) preferred
• Experience: 4-7 years of clinical pharmacy experience with 3-5 years in leadership or program management roles
• Clinical Expertise: Demonstrated expertise in ambulatory care and chronic disease management (diabetes, hypertension, anticoagulation, heart failure)
• Value-Based Care Experience: Experience with managed care organizations, Part D cost reduction, and HEDIS quality measures required.
• Builder Mentality: Track record of building pharmacy programs from scratch or launching new clinical services
• Skills:
  • Strategic thinking balanced with hands-on execution (comfortable moving from building formularies to seeing patients to analyzing data)
  • Financial acumen with understanding of medication economics, formulary management, and ROI tracking
  • Strong data analytics and reporting skills (Excel, Tableau, or similar tools)
  • Exceptional communication and presentation skills - able to influence physicians, train staff, and present to executives
  • Entrepreneurial mindset with comfort in ambiguity and rapid growth environments
  • Collaborative mindset with a willingness to learn and grow
  • High attention to detail and commitment to excellence
• Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork

Why You Should Be Excited

• Build Something from Scratch: This is a true ground-floor opportunity. You'll design every workflow, choose every system, and set the strategic direction for pharmacy services across our entire organization. Your fingerprints will be on everything.
• Massive Impact: Drive $500K-$1M in annual value while directly improving outcomes for vulnerable seniors. You'll see the immediate results of your work - both in the numbers and in patient lives.
• Growth & Ownership: As we scale, you'll build and lead your own clinical pharmacy team. This role grows with you - from individual contributor to department leader.
• Innovation: Be part of an innovative organization setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care and gives you the autonomy to innovate.
• Clinical Variety: Balance strategic work with hands-on patient care. One day you're building formularies and analyzing Part D trends; the next you're in a clinic managing complex diabetes patients. Never boring.
• Compensation & Benefits: Competitive base salary ($170K-$180K) with performance bonus opportunities, comprehensive health/dental/vision benefits, 401K with company match, 15 days PTO, 5 paid CME days, and $2,500 annual professional development budget.

Our Selection Process

Our selection process typically includes an online application, initial interview, second round interview, values interview, case study + clinic visit, and reference check.