Director, Pharmacy Quality Management and Accreditation

Requirements

• The position requires deep knowledge of specialty pharmacy workflows, dispensing operations, and specialty pharmacy accreditation standards, along with the ability to use data and analytics to identify risk and drive operational improvements.
• The director partners closely with pharmacy leadership, clinical teams, operations, IT, compliance, and senior executives to drive quality oversight, patient safety, audit readiness, performance monitoring, and continuous improvement across the organization.
• This position will be based out of our office in Berwyn, PA. It is expected to be a hybrid role with a minimum of three (3) days in the office after an introductory period. This position is expected to travel approximately 20% of the time to other Optime Care locations.
• What the position will be doing
• Quality Management Program
• Design, implement, and oversee the organization's Quality Management Program supporting specialty pharmacy dispensing, patient management, and operational services.
• Establish quality metrics aligned with URAC, ACHC, and NABP standards including medication adherence, patient outcomes, dispensing accuracy, and patient safety.
• Lead development and oversight of the Quality Management Committee and related governance processes.
• Ensure quality policies and procedures are implemented consistently across pharmacy operations.
• Lead quality improvement initiatives and oversee the implementation of best practices.
• Establish, monitor, and analyze key performance indicators (KPIs) to drive quality improvements.
• Build standard reports for quality performance and present to leadership regularly.
• Hold quarterly or ad hoc quality meetings to present the status of quality performance and initiatives to leadership
• Accreditation Management
• Serve as the organizational subject matter expert for URAC Specialty Pharmacy Accreditation standards, ACHC accreditation requirements, NABP Drug Distributor standards, and VAUD.
• Lead the preparation, maintenance, and successful renewal of all specialty pharmacy accreditations, 3PL, Wholesaler, and pharmacy licensing.
• Maintain continuous accreditation readiness through structured documentation, policy management, and internal audits.
• Coordinate accreditation surveys, document submissions, policy reviews, and corrective action plans.
• Interpret accreditation standards and translate requirements into operational policies, procedures, and workflows.
• Dispensing Error Oversight and CQI
• Review and investigate all dispensing errors, near misses, and quality events related to pharmacy operations.
• Conduct root cause analysis to determine underlying process failures and systemic risks.
• Develop and implement Continuous Quality Improvement (CQI) initiatives designed to prevent recurrence of dispensing errors and operational issues.
• Track and trend error data to identify systemic risks, training gaps, or workflow issues requiring intervention.
• Work closely with the Pharmacist in Charge (PIC) to prepare and facilitate quarterly CQI and compliance meetings, including presentation of quality metrics, error trends, and improvement initiatives.
• Ensure CQI documentation and reporting meet accreditation and regulatory requirements.
• Data Analytics and Quality Insights
• Utilize data analytics to monitor operational performance and quality indicators across pharmacy operations.
• Conduct deep analysis of dispensing, operational, and patient service data to identify trends, performance gaps, and risk areas.
• Develop dashboards, reporting frameworks, and monitoring tools to support proactive quality oversight.
• Translate quality data into actionable operational improvements.
• Process Improvement and Technology Enablement
• Partner with operations and IT teams to implement technology enabled controls and workflow improvements that reduce operational risk and improve quality outcomes.
• Identify opportunities for automation, system edits, or reporting enhancements that prevent quality issues before they occur.
• Lead process redesign initiatives aimed at improving patient safety, operational efficiency, and regulatory compliance.
• Regulatory and Au

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