Vice President, Specialty Operations

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Formulate and implement a long-term specialty operations strategy that aligns with Option Care Health's growth goals and plans for specialty market expansion.

• Oversee national specialty pharmacy operations, which encompass dispensing, fulfillment, patient onboarding, pharmacy services, care coordination, admissions, reimbursement support, and operational centers of excellence.

• Develop scalable operating models that facilitate growth in chronic, rare, orphan, oncology, immunology, neurology, and other specialty therapeutic areas.

• Promote operational consistency, service excellence, productivity, and improved patient outcomes across various sites and functions.

• Act as an integral member of the Specialty and Enterprise Leadership Team.

• Manage operational performance within specialty pharmacy and buy-and-bill revenue cycle functions.

• Implement strategies to enhance reimbursement, speed up cash collections, minimize revenue leakage, boost clean claim rates, and optimize gross-to-net performance.

• Supervise patient access, benefits investigation, prior authorization, financial assistance, copay support, claims management, collections, and reimbursement operations.

• Collaborate with Finance and Commercial leaders to foster profitable growth, margin expansion, and operational leverage.

• Administer a multi-hundred-million-dollar operating budget while achieving growth and EBITDA targets.

• Provide executive oversight of specialty pharmacy dispensing operations and therapeutic categories.

• Enhance patient experience, adherence, persistence, and therapy outcomes.

• Ensure preparedness for new specialty medications, limited distribution drugs, manufacturer programs, and innovative care models.

• Lead network optimization and operational scalability for national expansion.

• Champion specialty operations digital transformation initiatives utilizing AI, machine learning, predictive analytics, RPA, workflow intelligence, and patient engagement technologies.

• Revamp operating models and develop data-driven dashboards, predictive metrics, and advanced analytics.

• Establish operational excellence through Lean, Six Sigma, process engineering, and continuous improvement methodologies.

• Spearhead initiatives for productivity, cycle-time reduction, capacity optimization, quality enhancement, and cost reduction.

• Implement performance management frameworks and enterprise KPI governance.

• Ensure accountability for operational, service, quality, compliance, and financial results.

• Lead a large national organization comprising vice presidents, regional leaders, directors, pharmacists, operations leaders, revenue cycle teams, reimbursement specialists, and support functions.

• Cultivate, mentor, retain, and develop executive and emerging leadership talent.

• Collaborate with the EVP Specialty Sales & Solutions on initiatives involving manufacturers, payers, providers, health systems, and strategic growth.

• Support due diligence and integration for acquisitions, strategic partnerships, and new business opportunities.

• Translate market trends, competitive insights, and customer feedback into operational capabilities.

• Represent Option Care Health before manufacturers, payers, health systems, accreditation organizations, and industry associations.

• Ensure compliance with federal, state, and regulatory standards.

• Maintain readiness for URAC, ACHC, NABP, and other relevant standards.

• Oversee patient safety, pharmacy quality programs, audit readiness, and enterprise risk management.

⛳️ Requirements

• 15+ years of progressive leadership experience in specialty pharmacy, healthcare operations, specialty therapeutics, infusion services, or related fields.

• Significant executive leadership experience managing national, multi-site specialty pharmacy operations.

• Extensive experience leading specialty pharmacy revenue cycle management, reimbursement, patient access, and buy-and-bill operations.

• Proven track record in managing large-scale national organizations with 1,000+ team members across diverse geographies and functions.

• Demonstrated capability to spearhead enterprise transformation initiatives utilizing digital technologies, automation, analytics, and artificial intelligence.

• Strong history of achieving sustained growth, margin expansion, productivity improvements, and operational excellence.

• Experience with substantial P&L responsibility, including accountability for revenue, EBITDA, budgets, and capital planning.

• Deep knowledge of specialty therapeutics, including chronic, rare, orphan, oncology, immunology, neurology, and other complex disease states.

• Proven success in implementing Lean, Six Sigma, operational excellence, and process transformation initiatives.

• Executive leadership experience in a national specialty pharmacy organization, PBM specialty platform, integrated healthcare delivery organization, specialty infusion company, or large pharmaceutical services organization is preferred.

• Experience with limited distribution drug networks, manufacturer services programs, and specialty commercialization efforts is preferred.

• Experience in integrating acquisitions and scaling enterprise operations during rapid growth periods is preferred.

• Black Belt or Master Black Belt certification is preferred.

• A Bachelor's degree is required, with a preference for life sciences.

• A Master's degree is strongly preferred.

• An MBA, MHA, R.Ph, PharmD, or another advanced healthcare/business degree is highly desirable.

• Travel Requirements: 25-40%.

🏝️ Benefits

• Medical, Dental, & Vision Insurance.

• Paid Time Off.

• Bonding Time Off.

• 401K Retirement Savings Plan with Company Match.

• HSA Company Match.

• Flexible Spending Accounts.

• Tuition Reimbursement.

• myFlexPay.

• Family Support.

• Mental Health Services.

• Company Paid Life Insurance.

• Award/Recognition Programs.