Key Responsibilities

1. Vendor Strategy & Relationship Management

• Own the pharmacy vendor portfolio: primary, backup, regional, and specialty partners across both compounded and branded tiers
• Design and maintain vendor scorecards; lead business reviews (QBRs) against SLAs for speed, accuracy, fill rate, and cost
• Serve as the lead operator on pharmacy RFPs, contract renewals, and onboarding of new partners
• Maintain contractual SLA documentation; flag compliance gaps and drive remediation with vendors
• Build and own the vendor escalation playbook for supply disruptions, quality events, and service failures

2. Pharmacy Cost & Margin

• Build and maintain a pharmacy cost model: acquisition cost by drug, formulation, strength, and vendor; track actuals vs. budget monthly
• Lead pricing benchmarking across compounded and branded partners; surface optimization opportunities to leadership
• Identify and model COGS levers: vendor-mix shifts, volume-tiered pricing, formulation substitutions, and compounding cost inputs
• Partner with growth/finance on the pharmacy P&L; be the ops counterpart in monthly close reviews

3. Clinical & Product Partnership

• Collaborate with clinical ops on formulary updates, titration protocol changes, and how they ripple into pharmacy workflows
• Own the operational side of the order-to-ship pipeline; partner with product and engineering on pharmacy integration health
• Bring the vendor and ops perspective into the pharmacy roadmap; flag where tech gaps create manual work or member risk

4. Member Shipment Experience

• Own the end-to-end member experience for medication/prescription shipment SLA: define what we promise, measure adherence, and lead improvement initiatives
• Partner with MX to build proactive shipment communication triggers (delay alerts, exception workflows) that reduce inbound contacts
• Design and maintain the lost/delayed shipment playbook; own resolution workflows with vendors and MX
• Drive data integration between pharmacy partners and internal systems to enable self-serve shipment tracking for members

5. Compliance & Quality Operations

• Maintain working knowledge of 503A vs. 503B regulatory distinctions as they apply to our compounded network
• Track third-party testing requirements (potency, sterility, endotoxins) across compounded partners; ensure testing cadence is met
• Own the operational side of pharmacy recall and product withdrawal workflows
• Support state board of pharmacy registration tracking across the vendor network
• Partner with legal/compliance on any pharmacy-related regulatory inquiries or audits

6. Inventory, Capacity & Shortage Management

• Track FDA shortage list and vendor allocation signals proactively; maintain a real-time view of network supply health
• Develop and maintain substitution and allocation playbooks for shortage scenarios across compounded and branded products
• Build a 30/60/90-day demand forecast in partnership with the clinical and growth teams; translate into vendor capacity conversations
• Own the compounding batch timing and inventory cycle in coordination with 503A/503B partners

What We’re Looking For

Required

• 7+ years of experience in pharmacy operations, healthcare supply chain, or a closely related function; prior experience at a Senior Manager or Director level preferred
• PharmD — we expect this person to bring clinical credibility alongside operational depth
• Proven track record owning pharmacy vendor relationships end-to-end, including SLA accountability, QBRs, and contract negotiations
• Hands-on experience with pharmaceutical cost structures and drug acquisition — you can build a pharmacy P&L model and defend it in a finance review
• Experience operating in or adjacent to compounded pharmacy (503A or 503B) with a working understanding of USP compliance and third-party testing requirements
• Strong analytical skills: you build your own models, spot anomalies, and come to conversations with data
• Demonstrated ability to lead cross-functional work and influence without direct authority at a senior level
• Comfortable in an early-stage, fast-moving environment where you are often writing the playbook for the first time

Nice to Have

• Experience at a telehealth, direct-to-consumer pharmacy, or digital health company
• Familiarity with GLP-1 therapies, semaglutide or tirzepatide supply dynamics, or compounded peptide operations
• Experience running vendor RFPs or negotiating pharmacy contracts
• Exposure to pharmacy data integrations 
• Experience building or contributing to a pharmacy P&L model