Director, Specialty, Retail and 340B Pharmacy

CaroMont Health

$120K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • BS in Pharmacy or PharmD from an ACPE-accredited college required; MBA/MHA/MS preferred
  • North Carolina pharmacist license required (or ability to obtain within 90 days)
  • 5+ years of leadership experience in specialty or retail pharmacy operations
  • Expertise in 340B program administration, including audit readiness and split-billing
  • Strong financial acumen in budgeting, revenue integrity, and margin optimization
  • Experience in enhancing patient access and adherence
  • Proficient in pharmacy systems and analytics for operational monitoring

Responsibilities

  • Provide strategic leadership for specialty pharmacy services and retail operations
  • Drive growth and optimize financial performance through patient access strategies
  • Ensure compliance with regulatory and accreditation standards including 340B requirements
  • Collaborate with executive leadership and stakeholders to advance new services and operational standardization
  • Oversee medication safety and quality standards within pharmacy services
  • Manage contract pharmacy oversight and governance of 340B program
  • Influence organizational strategies to position pharmacy as a key asset

Benefits

  • Health and wellness programs
  • Retirement savings plan
  • Paid time off and flexible scheduling
  • Professional development opportunities
  • Support for continuing education and licensure renewals
Full Job Description
Job Summary: The Director of Specialty, Retail, and 340B Pharmacy Programs provides strategic and operational leadership for specialty pharmacy services, retail pharmacy operations, and the 340B program across the health system. This role is accountable for driving growth and optimizing financial performance through patient access strategy, payer/limited-distribution navigation, revenue integrity, and margin optimization while ensuring an exceptional patient experience. The Director ensures compliance with all applicable regulatory, accreditation, and 340B requirements, including program governance, audit readiness, contract pharmacy oversight as applicable, and medication safety and quality standards. In partnership with executive leadership, providers, finance, compliance, IT, and external partners, the Director advances new services, therapy expansion, and operational standardization, positioning pharmacy as a key enterprise asset and sustainable revenue driver.

Qualifications: BS in Pharmacy or PharmD from an ACPE-accredited college of pharmacy required, advanced degree such as MBA, MHA, or MS preferred. Current North Carolina pharmacist license required (or ability to obtain within 90 days of hire); South Carolina pharmacist licensure may be required as services expand. Five (5) years or more of progressive leadership experience in specialty pharmacy and/or retail/community pharmacy operations, including 340B oversight and multi-location responsibility. Demonstrated expertise in 340B program administration, including governance, audit readiness, split-billing/third-party administration, and contract pharmacy management. Strong knowledge of applicable federal and state regulations and relevant accreditation standards. Proven business and financial acumen, including budgeting, revenue integrity, margin optimization, contracting, and growth strategy execution. Experience improving patient access and adherence through payer navigation, prior authorization, limited-distribution networks, and patient assistance programs. Effective organizational leader with strong change-management, communication, and relationship-building skills; able to influence and partner with executive, clinical, compliance, finance, IT, and external stakeholders, as well as patients and families, physicians, and organizational leaders. Proficient with pharmacy systems and analytics to monitor KPIs, drive operational performance, and support continuous improvement.

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