Director of Pharmacy Services

Position Summary

The Director of Pharmacy serves as the Pharmacist-in-Charge (PIC) and holds clinical, compounding, and regulatory ownership of the pharmacy. The role is accountable for the clinical soundness of every therapy Pharmko prepares, the integrity of its sterile compounding operation under USP 797, and the pharmacy's standing with ACHC and every state board of pharmacy in which it is licensed. This is a clinical and compliance leadership role. It works alongside the operational, billing, and licensing functions rather than absorbing them, and it sets the clinical and quality standard the rest of the organization is built around.

Key Responsibilities

Clinical Leadership

• Provide clinical oversight of home parenteral nutrition therapy, including TPN, IDPN, and IPN, with attention to formulation accuracy, compatibility, stability, and patient-specific dosing.

• Provide final clinical verification of compounded sterile preparations, confirming that each is clinically appropriate, accurate, and tailored to the individual patient.

• Apply specialized clinical expertise in complex parenteral nutrition, including the metabolic and catheter-related complications common in this patient population.

• Serve as the senior clinical resource for the pharmacy team and for referring physician practices, delivering practical, patient-centered guidance.

• Maintain clinical protocols and beyond-use dating standards consistent with current evidence and regulatory requirements.

Sterile Compounding Compliance and Quality

• Own compliance with applicable USP sterile compounding standards, including USP 797 end to end: facility and engineering controls, personnel training and qualification, garbing and aseptic technique, hand hygiene, cleaning and disinfection, viable and nonviable environmental monitoring, media fill testing, and ongoing competency assessment.

• Maintain the full body of USP 797 compliance documentation, including standard operating procedures, master formulation and compounding records, certification records, environmental monitoring trends, and corrective action logs, and keep this documentation survey-ready at all times.

• Oversee the sterility, endotoxin, and stability testing program so that assigned beyond-use dating is supported by validated data rather than assumption, and ensure refrigerated storage and handling are maintained within required parameters.

• Maintain and continuously improve the pharmacy's quality management system, including deviation handling, root cause analysis, corrective and preventive action, and adverse and negative outcomes reporting.

• Lead patient safety and medication error management, including error and near-miss reporting, trending, and the implementation of preventive measures.

• Own the pharmacy's clinical and compounding policy and procedure set, including authoring, reviewing, approving, version-controlling, and periodically updating standard operating procedures.

• Maintain readiness for and oversight of hazardous drug handling under USP 800, including containment and personnel protection, should the pharmacy's hazardous drug scope expand.

• Ensure the pharmacy operates within the requirements of FDA Section 503A compounding, including compounding pursuant to valid patient-specific prescriptions and within the limits that distinguish 503A practice from manufacturing.

Regulatory, Accreditation, and PIC Accountability

• Serve as Pharmacist-in-Charge of record and maintain the pharmacy in good standing with the New York State Board of Pharmacy.

• Hold ownership of ACHC accreditation and any other applicable accreditations, including continuous compliance with accreditation standards, accreditation and resurvey readiness, mock surveys, and remediation.

• Own compliance with all state boards of pharmacy in every jurisdiction where Pharmko is licensed, resident and nonresident, across the 30-plus states in which the pharmacy operates, including meeting each state's compounding and operational requirements and responding to board inquiries, deficiencies, and inspections, in partnership with the licensing function that handles applications and renewals.

• Ensure compliance with DEA requirements for controlled substances, including ordering, security, recordkeeping, and reconciliation.

• Maintain drug integrity obligations, including supplier qualification, compliance with the FDA Drug Supply Chain Security Act (DSCSA) for product traceability, and the handling of drug recalls and quarantines.

• Ensure the pharmacy's compounding, dispensing, billing, and documentation practices comply with applicable CMS and Medicare billing, reimbursement, and coverage regulations, including DMEPOS supplier standards and coverage documentation requirements, and stay current with regulatory changes affecting covered therapies.

Clinical Team Leadership

• Supervise, mentor, and develop the clinical pharmacy staff, including pharmacists and pharmacy technicians, and oversee their training and competency.

• Build and maintain clinical staffing depth so that specialized therapies are not dependent on a single individual.

• Participate in and oversee the pharmacist on-call rotation, including alternating weekends and holidays, and take personal responsibility for ensuring clinical coverage is continuous.

Financial and Budget Management

• Develop and manage the pharmacy's operating and capital budgets, including drug, supply, labor, and equipment costs, and manage performance against budget.

• Oversee drug and supply inventory, including par levels, expiry and waste control, and physical inventory accuracy.

• Monitor the cost of care by therapy line and identify efficiency opportunities that do not compromise clinical quality.

• Evaluate and justify capital equipment acquisitions, including compounding and infusion technology.

Pharmacy Systems and Compounding Technology

• Maintain the integrity and accuracy of clinical and compounding data within the pharmacy management and dispensing platforms (such as Brightree), ensuring prescriptions, patient records, and compounding records are complete, consistent, and audit-ready.

• Oversee compounding technology, including automated compounding devices, covering calibration, accuracy verification, and integration with compounding records.

• Oversee asset management of the infusion device fleet, including ambulatory infusion pumps and enteral feeding pumps, covering assignment, tracking, preventive maintenance, recovery, and repair or replacement.

Qualifications

Required

• Doctor of Pharmacy (PharmD) or equivalent.

• Active, unrestricted New York pharmacist license in good standing, with eligibility to serve as Pharmacist-in-Charge.

• At least five years of experience in a sterile compounding or infusion pharmacy setting, with working knowledge of USP 797.

• At least three years of experience directly supervising and developing pharmacy staff.

• Strong clinical foundation in nutrition support, home infusion, or a closely related specialty.

Preferred

• Experience in home infusion or home parenteral nutrition specifically.

• Familiarity with ACHC accreditation standards and survey processes.

• Board certification relevant to nutrition support or pharmacotherapy (for example BCNSP or BCPS).

• Multi-state licensure or willingness to pursue additional state licenses.

• Familiarity with CMS and Medicare reimbursement and coverage regulations for compounded and infused therapies.

• Experience developing and managing pharmacy budgets.

Work Environment

This is an on-site role in a sterile compounding facility. The Director works in and around cleanroom environments and is expected to maintain compounding competency, including garbing and aseptic technique, as part of the PIC responsibility. The role requires the focus and accountability appropriate to a setting where compounding errors can directly affect medically fragile patients. Because patient care does not stop at the close of business, the Director shares in the pharmacist on-call rotation, including evenings, alternating weekends, and holidays, and takes personal responsibility for ensuring the pharmacy is properly staffed and safely covered at all times.

***Salary will be matched to qualification and experience***