Overview The Director will have end-to-end responsibility for the business, including operations, compliance, business development, strategic partnerships, financial performance, and long-term growth initiatives. This individual will serve as the primary driver of the organization’s success and will work closely with ownership to scale the business while maintaining exceptional patient care and operational excellence. The ideal candidate will be equally comfortable reviewing operational metrics, negotiating strategic partnerships, building referral relationships, developing teams, solving complex reimbursement challenges, and identifying new opportunities for growth. Responsibilities: Operational Leadership Oversee all pharmacy operations from intake through fulfillment and ongoing patient support Ensure compliance with all state, federal, accreditation, and payor requirements Build scalable workflows, systems, and processes that support growth Establish and monitor operational KPIs, service levels, and financial performance metrics Lead continuous improvement initiatives across all departments Strategic Business Development Develop and execute growth strategies that increase prescription volume and profitability Build and maintain relationships with physicians, health systems, specialty providers, payors, and industry partners Identify and secure new referral sources and strategic opportunities Create partnership opportunities with larger pharmacy networks and healthcare organizations Represent the organization in key business and industry relationships Network & Partnership Development Integrate the pharmacy into larger networks of pharmacies, providers, and healthcare organizations Evaluate and negotiate strategic alliances that drive patient access and business growth Expand manufacturer, provider, and specialty program relationships Serve as the executive point person for major partnerships and growth initiatives Financial & Business Performance Own revenue growth, profitability, and operational efficiency Participate in budgeting, forecasting, and strategic planning Monitor reimbursement trends, margins, and business performance Identify opportunities to improve profitability while maintaining exceptional service Team Leadership Recruit, develop, and lead a high-performing team Establish a culture of accountability, ownership, responsiveness, and patient-centered care Mentor managers and create leadership succession plans Ensure alignment between operational goals and business objectives Qualifications: 7+ years of leadership experience in specialty pharmacy, healthcare services, infusion, pharmacy operations, or a related healthcare environment Demonstrated success leading operations and business growth initiatives Strong understanding of specialty pharmacy reimbursement, payors, prior authorizations, and accreditation requirements Experience developing strategic partnerships and referral relationships Proven ability to build teams, systems, and scalable operations Strong financial acumen and business judgment Entrepreneurial mindset with the ability to think like an owner Exceptional communication and relationship-building skills Compensation: Executive-level base salary $225,000-$275,000 Performance-based 20%-30% target bonus tied to growth, profitability, and operational performance 3%-10% profit share above agreed baseline Potential for long-term incentive of equity participation Significant opportunity for career and financial growth as the business expands About the Employer: This position is for a growing specialty pharmacy focused on delivering exceptional patient outcomes while creating a seamless experience for physicians, patients, payors, and pharmaceutical manufacturers. EEO Statement: Topaz HR is an Equal Opportunity Employer, and we do not discriminate on the basis of race, color, religion, gender, national origin, age, disability, or any other status protected by applicable law. We value and are committed to creating an inclusive environment for all employees. Please Note: Topaz HR is conducting this search on behalf of one of our clients. The employer’s name will be disclosed during the interview process, and all hiring decisions will be made directly by the client. Skills needed: specialty pharmacy