Director of Pharmacy Operations

About this role

About us:

PurposeMed is a Canadian-founded healthtech company established in 2019 with a mission to improve access to complex care for underserved communities. We’ve combined our clinical roots with a drive to scale, and now our exceptional team provides specialized care to thousands of patients every month.

PurposeMed consists of three complex care business units: Freddie, Frida, and Foria, and partners with Affirming Care Pharmacy.

• Freddie improves sexual health through education, prevention, and treatment with a focus on the LGBTQ2S+ community. As the #1 rated PrEP provider in North America, we’re proudly dismantling barriers to sexual healthcare for patients across both Canada and the USA.

• Frida transforms the lives of patients through easier access to adult ADHD diagnosis and fast, affordable treatment.

• Foria provides trans, non-binary, and gender-diverse Canadians with specialized, gender-affirming healthcare.

• Affirming Care Pharmacy provides discreet, specialty prescription delivery across North America. Operating from Calgary, Mississauga, Toronto, and San Antonio, they provide our patients with an integrated, end-to-end healthcare experience.

We are proud to be ranked #2 on Deloitte’s 2024 list of Canada’s 50 fastest-growing tech companies and recognized as one of Canada’s Most Admired Corporate Cultures for two consecutive years. Driven by a strong mission, our team is passionate about making healthcare accessible to those who need it most—and we make sure to have fun along the way!

Permanent, full-time opportunity

Location: Remote (USA)

Travel Required : This role will require frequent travel (estimated two to three trips a quarter) to our existing pharmacy locations across the USA and Canada.

Though we have an office based in Calgary, Canada, and pharmacies in San Antonio, Los Angeles, and New York City, this is a remote position that is open to candidates across the United States.

Affirming Care Pharmacy San Antonio is located on the unceded and traditional territories of the Payaya people, part of the Coahuiltecan bands Indigenous to this region, and the homelands of the Tonkawa, Lipan Apache, and Comanche Nations. The city of San Antonio, also known as Yanaguana, remains home to many Indigenous Peoples from across the continent and around the world.

Who we hope to find:

We're looking for a Director, Pharmacy Operations to step in as the senior pharmacy leader for Affirming Care's US network. In this role, you will own how our pharmacies run, scale, and show up for patients nationwide. At PurposeMed, our group of Affirming Care Pharmacies doesn’t just provide a service; it’s the backbone of how we deliver accessible, affirming care. We need a leader with deep, hands-on experience running high-volume pharmacy networks to anchor our US expansion and architect the future of our operations.

Our pharmacy network runs on a national fulfillment hub in Texas alongside regional hubs in other states, all serving a growing wave of prescriptions from our HIV prevention and care service: Freddie . Your job is to make that network feel like one pharmacy: consistent, high-quality, and reliable no matter which site fills a given prescription. You'll report to the VP of Operations and make your mark by turning a set of individual pharmacies into one coherent, scalable operation that patients can count on.

In this role, you’ll make an impact by:

Running and scaling our US Pharmacy Network

• Operating an efficient, high-volume national mail-order operation, with our Texas hub as the operational center of the network

• Owning the pharmacy operating model, including workflow design, fill throughput, turnaround times, and capacity planning—building it to scale as prescription volume from Freddie grows

• Bringing expert command of retail and mail-order fundamentals: dispensing accuracy, shipping logistics, refill management, and the service standards that make a pharmacy experience great

• Standing up each regional site as the primary fulfillment hub for its area, while keeping Texas as the largest national hub

• Standardizing processes, systems, and patient experience across every site, so quality never depends on which pharmacy fills a prescription

Owning insurance, coverage, and billing

• Bringing a strong working understanding of the US insurance and coverage landscape, such as claims adjudication, prior authorizations, coordination of benefits, and the billing operations that keep a pharmacy financially healthy

• Monitoring and maintaining enrollment and pharmacy benefit manager (PBM) contracts so the operation stays compliant and in good standing

• Partnering with internal and external specialists on net-new PBM contracting and complex payer setup, knowing when to bring in expert support

Setting the quality and compliance bar

• Owning quality assurance and regulatory compliance across the network, including incident management, root-cause analysis, corrective actions, and inspection readiness across multiple state boards and the DEA

• Building the standard operating procedure and quality backbone (procedures, version control, and training) for a defensible, inspection-ready operation in every state

• Designing for compliance by default, while respecting the statutory accountabilities of each site's Pharmacist-in-Charge (PIC)

Scaling the pharmacy team & partnering cross-functionally across PurposeMed

• Leading, developing, and holding accountable the PICs and site managers across the network, with clear expectations and a deliberate performance cadence

• Building a pharmacy leadership bench that can run sites independently as we scale

• Coaching site leaders to develop their own teams, not just manage tasks

• Serving as the connective tissue between pharmacy and our Clinical, Patient Experience, Tech, Finance, and People teams, so pharmacy stays aligned with the wider patient journey

• Representing the pharmacy operation to the executive team with

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