SVP, Pharmacy
Denver, CO - USA
Job Summary
The Senior Vice President Pharmacy provides enterprise leadership for InnovAges pharmacy strategy operations clinical pharmacy model pharmacy distribution capabilities medication use management and financial performance. This role is accountable for leading an integrated pharmacy organization that supports participant care operational scalability regulatory compliance growth and total cost of care objectives across InnovAge markets.
The SVP Pharmacy oversees both Clinical Pharmacy and Distribution Pharmacy including enterprise clinical pharmacy strategy Part D optimization medication utilization pharmacy operations dispensing and adherence packaging Pharmacy Benefit Manager relationships and pharmacy-related financial performance. This role also maintains executive accountability for the partnership with outside partners ensuring alignment on service delivery performance growth compliance operational integration and participant outcomes. This role is responsible for building a scalable compliant financially disciplined and clinically integrated pharmacy model that supports InnovAges growth strategy and care delivery priorities.
Essential Functions & Responsibilities
Functional Category: Enterprise Pharmacy Strategy Growth and Executive Leadership
Estimated % of Time: 30%
- Establishes and leads the enterprise pharmacy strategy across clinical pharmacy distribution pharmacy medication use management Part D and pharmacy operations.
- Serves as the senior pharmacy advisor to executive leadership on pharmacy performance participant care growth strategy risk compliance and financial impact.
- Aligns pharmacy strategy with InnovAges care model operational priorities enterprise growth objectives and total cost of care goals.
- Leads the integration and standardization of pharmacy practices workflows policies and performance expectations across markets.
- Evaluates pharmacy growth opportunities service model expansion operational investments technology needs and pharmacy infrastructure requirements.
- Monitors industry trends payer dynamics regulatory changes emerging therapies and pharmacy innovation to inform enterprise decision-making.
- Drives pharmacy transformation initiatives that improve quality safety adherence service levels scalability and financial performance.
- Builds and leads a high-performing pharmacy leadership team with clear accountability decision rights and succession planning.
Functional Category: P&L Financial Performance and Cost Management
Estimated % of Time: 20%
- Holds accountability for pharmacy-related P&L performance including revenue expense management cost optimization margin performance financial forecasting and budget discipline.
- Partners with Finance Clinical Analytics Operations and executive leadership to establish pharmacy financial targets dashboards reporting frameworks and performance improvement plans.
- Leads enterprise medication cost management strategies including formulary optimization utilization controls adherence programs and reduction of avoidable medication-related spend.
- Identifies opportunities to improve pharmacy economics while maintaining high-quality participant care regulatory compliance and service reliability.
- Establishes KPIs to monitor drug spend cost trends pharmacy utilization distribution performance service levels clinical outcomes and compliance performance.
- Supports business case development for pharmacy growth new capabilities operational investments vendor partnerships and service model changes.
- Partners with Finance and clinical leadership to align pharmacy performance with total cost of care participant outcomes and enterprise financial goals.
Functional Category: Clinical Pharmacy Medication Use Management and Part D Oversight
Estimated % of Time: 20%
- Provides executive oversight of clinical pharmacy strategy medication use management Part D performance and clinical pharmacy integration within the care model.
- Ensures pharmacy programs support safe effective evidence-based and cost-conscious medication use for a complex geriatric population.
- Oversees Part D strategy regulatory compliance audit readiness medication utilization formulary management and pharmacy-related CMS requirements.
- Partners with clinical leadership to integrate pharmacy into interdisciplinary care teams primary care workflows chronic disease management deprescribing initiatives and participant education.
- Leads strategies to improve medication adherence medication safety transitions of care participant outcomes and caregiver support.
- Oversees PBM relationships contract performance compliance obligations formulary strategy and utilization management programs.
- Identifies and mitigates fraud waste abuse medication safety risks and regulatory exposure.
- Uses data from EMR PBM claims MedWise and pharmacy systems to identify opportunities for intervention quality improvement and cost management.
Functional Category: Distribution Pharmacy and Operational Performance
Estimated % of Time: 20%
- Provides executive oversight of InnovAge pharmacy distribution operations including medication adherence packaging dispensing operations pharmacy production inventory management site performance and service delivery.
- Ensures distribution pharmacy operations meet all applicable federal and state pharmacy laws Board of Pharmacy requirements DEA and FDA requirements HIPAA obligations and internal policies.
- Maintains accountability for operational performance including accuracy cycle time service levels quality inventory controls staffing productivity and participant-centered service delivery.
- Ensures appropriate site leadership Pharmacist-in-Charge coverage controlled substance controls security procedures recordkeeping and regulatory compliance.
- Oversees pharmacy systems dispensing equipment quality assurance processes and corrective action plans when performance systems or equipment do not meet expectations.
- Drives standardization of pharmacy operations and scalable processes across current and future distribution capabilities.
- Partners with operational leaders vendors and internal stakeholders to resolve service issues support growth and improve pharmacy operational performance.
- Provides executive oversight for pharmacy training workforce planning leadership development and operational readiness.
Compliance Quality and Risk Management and External Relationship Management
Estimated % of Time: 10%
- Serves as the executive relationship owner for InnovAges partnership with AnewHealth.
- Ensures the AnewHealth partnership supports InnovAges clinical operational financial compliance and growth priorities.
- Establishes governance performance expectations issue escalation protocols and accountability structures for the partnership.
- Monitors service delivery quality financial performance operational integration participant impact compliance and contractual obligations.
- Partners with AnewHealth leadership to identify opportunities for innovation improved pharmacy outcomes expanded capabilities and scalable growth.
- Ensures internal stakeholders are aligned on AnewHealth performance opportunities risks and required decisions.
- Ensures enterprise pharmacy operations remain compliant with all applicable federal state CMS Part D DEA FDA Board of Pharmacy HIPAA and company requirements.
- Oversees audit readiness corrective action processes policy development quality assurance and compliance monitoring across pharmacy functions.
- Partners with Legal Compliance Clinical Operations and Quality to identify assess and mitigate pharmacy-related risk.
Travel Requirements
- Travel required including overnight travel as needed
Qualifications
- 15 years of progressive pharmacy leadership experience across clinical pharmacy pharmacy operations medication use management PBM Part D distribution pharmacy or related healthcare settings.
- 7 years of senior leadership experience with oversight of leaders multiple functions enterprise programs or multi-site operations.
- Demonstrated experience managing pharmacy financial performance budgets cost optimization and/or P&L accountability.
- Experience leading pharmacy strategy in a complex regulated healthcare environment.
- Strong knowledge of Part D CMS requirements medication utilization management PBM operations formulary strategy and regulatory compliance.
- Experience overseeing or partnering with distribution pharmacy dispensing operations adherence packaging mail-order pharmacy central fill or similar pharmacy operating models.
- Demonstrated experience building scalable operations improving service performance and leading transformation across cross-functional teams.
- Experience managing strategic vendor or external partner relationships.
Preferred Qualifications
- Experience in PACE value-based care Medicare Medicaid capitated care or complex geriatric care models.
- Experience leading pharmacy strategy across a multi-state or multi-market healthcare organization.
- Experience overseeing both clinical pharmacy and pharmacy operations/distribution functions.
- Strong background in pharmacy analytics population health medication utilization modeling and total cost of care strategy.
- Experience working with PBMs pharmacy vendors clinical technology partners and/or external pharmacy operating partners.
- Proven success influencing C-suite leaders board-level stakeholders and cross-functional executive teams.
- Demonstrated ability to lead growth initiatives evaluate business cases and scale pharmacy services in support of organizational expansion.
- Strong understanding of Board of Pharmacy requirements DEA requirements controlled substance oversight audit readiness and pharmacy compliance frameworks.
InnovAge is dedicated to empowering seniors to live independently allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE) which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge youll work alongside talented respectful and passionate colleagues within a patient-centered care model.
InnovAge is committed to equal opportunity and affirmative action and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race color religion sex sexual orientation gender identity/expression national origin disability protected veteran status pregnancy or any other protected status. Salaries are determined by various factors such as qualifications experience and location and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance short and long-term disability life insurance and AD&D supplemental life insurance flexible spending accounts 401(k) savings paid time off and company-paid holidays.
Applicants are considered until the position is filled.
Compensation Disclaimer
The pay may vary depending on job related factors such as work location experience knowledge skills education certifications training and internal equity. InnovAge offers a comprehensive benefits package which includes medical dental vision 401(k) plan with company match short and long-term disability life insurance supplemental life insurance ADD flexible spending account paid time off and company paid holidays.
Attention Florida Applicants
This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse.
For more information please visit the Clearinghouse Education and Awareness website:
Agency Disclaimer
InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.
Fraud Disclaimer
InnovAge is committed to maintaining a safe transparent and respectful hiring process for all candidates.
Please be aware that all legitimate email communication regarding InnovAge job opportunities will come exclusively from an email address ending in @.
At no point in our hiring process will InnovAge:
- Request payment from candidates for equipment background checks onboarding training or any other employmentrelated purpose
- Ask for financial information (such as bank account details) before a formal offer and onboarding process is completed through our official systems
If you receive a message claiming to represent InnovAge that does not align with the above it may be fraudulent. We encourage you to exercise caution and refrain from engaging or sharing personal information.
If you believe you have been contacted by someone misrepresenting InnovAge please report the activity to or apply directly through our official career site to ensure the opportunity is legitimate.
Your trust matters to us and we appreciate your interest in joining InnovAge.
Required Experience:
Senior Exec