Director, Pharmacy Quality Management and Accreditation

What we are looking for

Optime Care is seeking a Director of Quality & Accreditation to establish, manage, and continuously improve the organization’s quality management framework in support of specialty pharmacy operations. This role provides leadership for accreditation readiness and compliance with all applicable regulatory and accreditation standards, with primary accountability for URAC Specialty Pharmacy Accreditation, ACHC Pharmacy Accreditation, and NABP Drug Distributor Accreditation.

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.

The Director of Quality and Accreditation is responsible for embedding a culture of quality, accountability, and continuous improvement within pharmacy operations. This individual ensures the organization always remains accreditation-ready while using data, process improvement, and technology to drive safer and more efficient pharmacy operations.

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 Audit Oversight

• Ensure ongoing compliance with federal and state pharmacy regulations, accreditation standards, and internal policies.
• Identify and mitigate risks related to quality and regulatory compliance, including contingency planning and corrective actions.
• Lead internal audits and operational quality reviews to ensure continued accreditation readiness.
• Coordinate responses to accreditation surveys, manufacturer audits, and regulatory reviews.
• Maintain documentation supporting accreditation compliance including SOPs, quality reports, and corrective action plans.

Cross-Functional Leadership

• Partner with pharmacy operations, clinical leadership, HUB services, and compliance teams to embed quality standards across the organization.
• Provide training and education to staff on quality expectations, accreditation requirements, and patient safety initiatives.
• Support the launch of new programs or services to ensure alignment with accreditation and quality standards.

Reporting and Governance

• Provide regular reporting to executive leadership on quality performance, accreditation status, operational risks, and improvement initiatives.
• Maintain dashboards and executive level reporting on key quality indicators and CQI performance.
• Ensure leadership maintains visibility into accreditation readiness and quality performance across pharmacy operations.

Necessary Skills, Education & Abilities

• A bachelor’s degree, or 4-year equivalent, is required. An advanced healthcare-related degree is preferred.
• 8 or more years of experience in specialty pharmacy, pharmacy operations, healthcare quality, or accreditation management.
• Direct experience managing URAC Specialty Pharmacy Accreditation strongly preferred.
• Experience working with ACHC accreditation standards required.
• Experience with pharmacy quality management programs and CQI processes.
• Strong oral, written, and consultative communication skills
• URAC Specialty Pharmacy Standards expertise
• NABP accreditation knowledge
• Experience in VAUD, Specialty pharmacy dispensing operations, Medication safety and error prevention, Continuous Quality Improvement (CQI) leadership, Regulatory and accreditation compliance, and Process improvement and workflow optimization preferred.
• Experience with data analytics and quality reporting, and strong knowledge of Lean Six Sigma, is helpful.
• Cross-functional leadership and obtaining stakeholder engagement
• Demonstrated experience using operational data and analytics to drive quality improvements.
• Knowledge of business principles and processes for providing leadership. This includes needs assessment, meeting quality standards for services, and evaluation of current practice.
• Ability to budget for multiple projects, including monitoring and controlling costs.
• Ability to thrive in a fast-paced environment with constantly changing priorities.
• Excellent analytical skills and the ability to provide solutions to complex problems.
• A detail-oriented approach with an ability to switch between job responsibilities quickly and seamlessly.
• Ability to be highly transparent, ethical, and driven. Relentless attention to detail, and the ability to be a creative self-starter and team player.
• Excellent written and verbal communication skills and interpersonal skills are required.
• Ability to communicate with all levels within an organization and with partners, vendors, and even clients.
• Ability to think and act independently, formulate, and support new ideas, and champion new initiatives within and beyond the scope of own responsibilities.
• Proficient in Microsoft Office Suite, specifically Excel, Word, PowerPoint, and Outlook
• Ability to travel up to 20% of the time to other company locations.

Ready to make an impact? Join us on our mission to transform specialty pharmaceutical services and improve patient lives. We’re looking for passionate professionals who share our commitment to excellence and innovation. Apply today and become part of a team that’s shaping the future of healthcare.

About Us

Optime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. We focus on securing insurance coverage, coordinating care, and complying with therapy regimens are only a few examples. Our mission is to minimize the daily impact of living with unique disorders. After just one call, our experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.

Optime Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.