Director of Pharmacy

Job Summary:

The Director of Pharmacy Operations provides strategic and operational leadership for nationwide specialty pharmacy services supporting patients with rare and ultra-rare diseases. This role oversees distribution operations, regulatory compliance, distribution and logistics, inventory, financial stewardship, staff development, and key partner relationships to ensure safe, timely, patient-centered service. The below is intended to describe the general content of and requirements for the performance of this job and is not to be construed as an exhaustive statement of essential functions, responsibilities, or requirements. 

Primary Duties and Responsibilities

Distribution & Logistics

• Lead nationwide dispensing, packaging, cold-chain, shipping, and delivery operations to ensure safe, accurate, timely service.


• Establish and enforce compliant medication, prescription-processing, counseling, packaging, temperature-control, chain-of-custody, and documentation practices.


• Recruit, develop, schedule, supervise, and evaluate pharmacy staff while maintaining credentialing, competency, staffing-ratio, and scope-of-practice requirements.


• Manage workflow and staffing to meet accuracy, turnaround-time, and service commitments for time-sensitive and limited-distribution therapies.


• Manage manufacturers, wholesalers, carriers, couriers, packaging suppliers, reverse distributors, and other logistics partners.


• Resolve delivery exceptions, including delays, loss, damage, temperature excursions, failed deliveries, returns, recalls, quarantine, disposition, and replacement shipments.


• Coordinate delivery needs across internal teams and partners to protect therapy continuity, monitor performance and cost, and lead improvements.

Inventory, Financial & Business Stewardship

• Oversee procurement, storage, rotation, and inventory control for high-cost therapies to minimize waste and prevent stock-outs.


• Maintain accurate perpetual inventory and reconciliation for controlled substances and high-risk products.


• Support billing accuracy, reimbursement integrity, audit defense, budgeting, cost control, and operational reporting.

Quality, Safety & Accreditation

• Support quality assurance and continuous improvement, including error prevention, root-cause analysis, and corrective and preventive action.


• Maintain readiness for specialty pharmacy accreditation, surveys, and audits, including URAC and ACHC standards.


• Oversee diversion prevention, security, controlled-substance accountability, and required quality, safety, and patient-outcome reporting.

Regulatory & Compliance Responsibilities (Nationwide/Multi/State)

• Serve as the Board-accountable pharmacist and meet the required on-duty schedule: at least 50% of operating hours, capped at a 40-hour weekly average.


• The Director may also serve as Pharmacist in Charge (PIC), with accountability to applicable Boards of Pharmacy and responsibility for maintaining compliant operations at the resident site and across all approved service areas. 


• Maintain compliance and licensing across all 50 states and U.S. territories, including resident and nonresident permits, DEA and controlled-substance registrations if applicable, counseling, labeling, dispensing, shipping, and reporting requirements.


• Track regulatory changes, renewals, pharmacist licenses, continuing education, technician registrations, inspections, surveys, filings, and board communications in coordination with licensing staff, counsel, and vendors.


• Ensure compliance with the Tennessee Pharmacy Practice Act and Board rules, DEA and FDA requirements, USP standards, and all applicable federal and state laws.


• Manage required Board notifications and controlled-substance inventories for PIC changes, pharmacy sale, transfer, closure, prolonged disability, or other reportable events.


• Maintain complete controlled-substance inventory records for at least two years and report medication events involving serious injury, death, or other Board-reportable circumstances.


• Regular and reliable attendance is expected. 


• Other work-related duties as assigned by supervisor/manager. 

Minimum Knowledge, Abilities, and Skills Required

• PharmD or BS in Pharmacy from an ACPE-accredited program.


• Active, unrestricted Tennessee or Arizona pharmacist license in good standing, or reciprocity eligibility before start.


• Eligibility for PIC designation and applicable site DEA registration.


• Three to five years of licensed practice, including management, supervisory, or PIC experience.


• Knowledge of Tennessee Board rules, DEA/FDA requirements, USP standards, multi-state regulation and licensing, specialty pharmacy operations, reimbursement, and patient management programs.


• Strong clinical judgment for complex, individualized therapies.


• Effective leadership, communication, team development, organization, and problem-solving skills.


• Strong attention to detail, documentation, patient safety, and regulatory compliance.


• Patient-centered approach to serving medically complex patients and caregivers.


• Schedule flexibility to meet operating-hour and on-duty coverage requirements.

Preferred Qualifications

• Experience in nationwide mail-order or central-fill specialty pharmacy and multi-state licensing.


• Experience with rare or ultra-rare disease, orphan drugs, biologics, limited-distribution products, REMS, hazardous-drug handling, and cold-chain logistics.


• URAC, ACHC, or Joint Commission accreditation experience.


• Board certification or relevant specialty credential.


• Experience with dispensing and specialty patient-management systems.

This description is intended to be only a general outline of major activities. It is expected that the employee performs these and any other activities which may be assigned, or which may occur in the normal course of work. This description is not a contract or guarantee of employment. AnovoRx is an Equal Opportunity Employer.