The Pharmacist Lead – Specialty & Infusion Operations is responsible for the operational, clinical, regulatory, and
financial oversight of specialty pharmacy and ambulatory infusion pharmacy services. This role includes oversight
of specialty and infusion services delivered within a licensed outpatient retail pharmacy, supporting prescription
dispensing within the pharmacy, including specialty medications and sterile and non-sterile compounded therapies,
and contributing to both patient care and organizational revenue generation. This position serves as the designated
pharmacy lead for specialty medications, infusion therapy programs, specialty and infusion-specific patient access
support functions, and related 340B optimization opportunities. The role operates in close collaboration with the
Director of Outpatient Pharmacy for program strategy and performance, and with the Pharmacist-in-Charge to
ensure compliance with pharmacy operations, regulatory requirements, and dispensing standards. The Pharmacist
Lead collaborates with providers, nursing, pharmacy operations, revenue cycle, and informatics teams to ensure
safe, compliant, and patient-centered medication management while supporting organizational growth and
sustainability. This position provides direct patient care, oversees specialty and infusion pharmacy workflows, leads
quality improvement initiatives, and serves as a subject matter expert for specialty medications, infusion therapies,
payer requirements, and medication access programs.

Essential Functions:

Outpatient Pharmacy Operations:

Oversees daily operations of specialty and infusion pharmacy services within the
licensed outpatient pharmacy, including prescription processing, verification, dispensing, and patient counseling.
Ensures safe and efficient workflow for specialty and infusion-related medications, including sterile and non-sterile
compounded products in accordance with USP <797> and <800> standards.
Maintains regulatory and operational compliance with all dispensing, labeling, and documentation requirements.
Optimizes staffing models, workflow design, production capacity, and inventory mangement to support prescription
volume, patient access, and financial performance.
Partners with the Pharmacist-in-Charge to ensure alignment with pharmacy-wide policies, regulatory
requirements, and operational standards. Functions within the licensed pharmacy under the supervision and
regulatory authority of the Pharmacist-in-Charge.
Supports general outpatient (Class A) pharmacy operations, including medication fulfillment, dispensing workflows,
and pharmacist coverage as needed.

Specialty Pharmacy Program Management:

Oversees specialty pharmacy operations, including medication
procurement, prescription fulfillment, dispensing, patient onboarding, refill management, and adherence
monitoring.
Develops and maintains specialty medication workflows and service standards; monitors adherence, turnaround
times, patient retention, and financial performance; and coordinates with manufacturers, specialty distributors,
and payer organizations to support medication procurement and reimbursement processes.
Oversees specialty medication procurement strategy, including sourcing through wholesalers, specialty
distributors, and 340B channels; manages inventory levels, product selection, and purchasing decisions to optimize
cost, reimbursement, and product availability; and partners with supply chain and finance teams to support
contract optimization and margin performance.

Infusion Pharmacy Program Management:

Leads and is accountable for pharmacy-related aspects of ambulatory
infusion services, including oversight of sterile compounding activities and preparation of infusion medications in
accordance with USP <797> and <800> standards, storage, inventory management, and administration support.
Ensures compliance with USP <797>, USP <800>, state and federal regulations, and accreditation standards;
collaborates with nursing leadership on infusion workflows, scheduling, and monitoring processes; and supports
implementation of new infusion therapies and service line expansion.

Clinical Leadership:

Provides clinical oversight and advanced practice leadership for specialty and infusion
medication services; reviews and verifies medication orders for appropriateness, safety, and compliance; develops
treatment plans, monitoring parameters, and clinical workflows; collaborates with providers and nursing staff to
optimize therapy outcomes; serves as a resource for complex medication questions; and monitors adverse drug
reactions, infusion reactions, and medication safety events.

Medication Access and Financial Stewardship:

Partners with medication access, prior authorization, and medication
assistance teams, as well as revenue cycle functions, to support specialty and infusion-specific patient access
support functions and improve therapy initiation and continuity of care.
Identifies opportunities to maximize 340B program benefits while maintaining compliance; monitors drug
utilization trends; optimizes inventory management strategies; assists with specialty and infusion contracting
initiatives; and participates in budget development and financial performance reviews.
Quality and Regulatory Compliance: Ensures compliance with Texas State Board of Pharmacy regulations, USP
<797>, USP <800>, 340B Program requirements, accreditation standards, and organizational policies and
procedures.
Leads quality assurance and improvement initiatives, participates in audits and corrective action planning, and
monitors medication safety indicators and regulatory requirements.

Leadership and Team Development:

Provides Provides functional oversight of pharmacy operations within specialty
and infusion services, including workflow accountability and performance expectations.
Provides day-to-day leadership and guidance for pharmacists, technicians, and support staff assigned to specialty
and infusion services. Assists with onboarding, training, competency assessments, and performance development;
promotes a culture of patient-centered care, accountability, collaboration, and continuous improvement; and leads
department projects and strategic initiatives.

Informatics and Program Development:

Collaborates with pharmacy informatics and EMR teams to optimize
specialty and infusion workflows.
Assists with build, maintenance, and optimization of medication protocols, order sets, and documentation tools;
uses data analytics to identify opportunities for growth, operational improvement, and enhanced patient outcomes;
and supports implementation of new technologies and service offerings.

Patient-Centered Medication Management:

Provides direct patient care and supports safe, compliant, and patient centered
medication management for specialty and infusion therapies, including patient education, monitoring,
adherence support, and coordination with multidisciplinary care teams.

Program Sustainability and Growth:

Serves as the operational and clinical leader responsible for developing a
sustainable specialty and infusion pharmacy program that improves patient access, health outcomes, and
organizational financial performance.

Performance Indicators and Operational Reporting:

Monitors key indicators including specialty prescription capture
rate, medication adherence, prior authorization turnaround time, infusion prescription volume and growth,
dispensing turn around time, patient satisfaction, 340B savings and optimization, medication safety event rates,
refill compliance, revenue and margin performance, and regulatory and accreditation readiness.
Support Class A pharmacy operations, including medication fulfillment, dispensing workflows, and pharmacist
coverage as needed.
Performs any other duties as needed to drive the vision, fulfill the mission, and abide by the values of this
organization.

Knowledge, Skills and Abilities:

Strong knowledge of specialty medications and infusion therapies. 
Knowledge of payer requirements, prior authorization processes, and medication access programs 
Knowledge of USP <797>, USP <800>, and sterile compounding requirements. 
Understanding of 340B Program operations and compliance. 
Ability to analyze operational and financial data. 
Strong problem-solving and project management skills. 
Excellent verbal and written communication skills. 
Ability to build collaborative relationships across multidisciplinary teams. 
Strong organizational skills and attention to detail.

Education:

• Bachelor's Degree in Pharmacy (BS Pharmacy) required.
• Doctor of Pharmacy (PharmD) preferred.

Licenses/Certifications:

• Registered Pharmacist in good standing with the Texas State Board of Pharmacy required.
• Current Health Care Provider Cardiopulmonary Resuscitation (CPR) certification through American Heart Association or American Red Cross required.

Work Experience:

• 7 years  of pharmacist experience. -Required
• 5 years of experience in specialty pharmacy, infusion pharmacy, ambulatory care, or related clinical practice. - Required
• Leadership or supervisory experience. -Preferred
• Experience in a Federally Qualified Health Center, integrated health system, or ambulatory care setting. -Preferred
• Experience with 340B Program operations, specialtyvaccreditation standards, and implementation of new clinical pharmacy services. -Preferred
• Experience with specialty pharmacy, infusion pharmacy, ambulatory care, medication access, payer requirements, or revenue cycle considerations is -Preferred
• Experience implementing new specialty or infusion clinical pharmacy services is highly preferred.