Director of Value-Based Care Pharmacy

About the role

Greenbrook Medical is building the new standard in primary care. We deliver high-touch, relationship-based care through neighborhood clinics, grounded in a simple belief that every senior deserves the kind of care we would want for our own families. Our model emphasizes time with patients, coordination, and a personalized approach that improves outcomes while lowering total cost of care. We take full accountability for patient outcomes and overall cost of care, aligning clinical excellence with disciplined execution. The results speak for themselves, with a patient Net Promoter Score of 91 compared to 32 for typical healthcare organizations, reflecting our belief that happier patients are healthier patients. Rooted in Tampa Bay, our partnership with Tampa General Hospital has supported our growth as we expand across the region. Backed by strong unit economics, experienced operators, and a clear playbook, Greenbrook is entering its next phase of growth. We are looking for builders and operators who want to help scale a platform designed to deliver better care, better coordination, and better outcomes for seniors. We're seeking a visionary Director of Value-Based Care Pharmacy to build our pharmacy program from the ground up. This is a rare opportunity to architect the entire clinical pharmacy infrastructure for a rapidly growing senior-focused primary care organization - from formulary strategy and Part D cost optimization to HEDIS quality improvement and provider education. As our first pharmacy leader, you'll collaborate with the Chief Medical Officer and physician teams to design the strategic roadmap for medication management across our expanding network (currently 4 clinics. You'll work closely with clinical leadership to establish collaborative practice agreements, build strong provider relationships, and create the systems that will drive significant cost savings while dramatically improving patient outcomes. Operating under collaborative practice agreements, you will directly influence medication therapy, optimize clinical outcomes, and reduce total cost of care through evidence-based, protocol-driven interventions. Reporting to our Chief Medical Officer, this role balances strategic thinking with hands-on building - perfect for an entrepreneurial pharmacist who thrives in startup environments and wants to see the direct impact of their work. You'll visit each clinic monthly to provide direct patient care for complex chronic diseases, while simultaneously developing the analytics, workflows, and team structure that will scale as we grow. This role is ~30% clinical, ~40% program building, and ~30% strategic/analytics. Compensation range: $170,000-$180,000 annually with a generous performance bonus. At Greenbrook Medical, we value fair and equitable pay. Your salary within this range will be based on your relevant, transferable experience and professional achievements. Location: Tampa Bay area. This position requires regular in-person presence at clinic locations (at least monthly visits to each clinic). Office Hours: Monday-Friday, standard business hours with flexibility for clinic schedules.

Responsibilities

• Pharmacy Strategy & Program Build
• Build and lead pharmacy program infrastructure from the ground up, including formulary development, medication management protocols, and clinical workflows
• Drive Part D and Part B cost optimization through therapeutic alternatives, formulary compliance, and patient assistance programs
• Own pharmacy-related HEDIS quality measures and medication adherence improvement initiatives
• Represent pharmacy at insurance partner meetings and contribute to managed care strategy
• Clinical Care & Medication Management
• Provide direct patient care for complex chronic disease management under collaborative practice agreements
• Conduct comprehensive medication reviews evaluating safety, efficacy, cost, side effects, and barriers to adherence, particularly for high-risk and polypharmacy patients
• Reduce polypharmacy and improve medication adherence through targeted interventions aligned with value-based care goals
• Manage chronic diseases (e.g., diabetes, hypertension, anticoagulation, heart failure) through proactive medication optimization and monitoring
• Order, interpret, and apply laboratory results to guide medication therapy decisions and ensure safety and effectiveness
• Care Coordination & Provider Enablement
• Improve transitions of care by identifying and resolving medication discrepancies post-discharge and reducing avoidable readmissions
• Partner with care teams to ensure seamless coordination between primary care, specialists, and pharmacy services
• Develop and deliver provider education programs on medication optimization and value-based care strategies
• Analytics, Performance & Impact
• Build analytics dashboards and reporting systems to track program impact, cost savings, and ROI
• Use data to identify opportunities to improv

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