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Astro Hire
Billings, Montana

Pharmacy Director (Pharmacist in Charge)

PharmacistFull-Time

Listed compensation

$175k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 10m ago · Verified live

Job Description

AstroHire Recruitment has partnered with the Native American Development Corporation (NADC) to help NADC hire its first Pharmacist (Pharmacist in Charge) for the SOON-TO-OPEN Eagle Seeker Community Center & Clinic.

How It Works

**Esteemed candidates will work directly with AstroHire on behalf of and in collaboration with the NADC & Eagle Seeker.

About the Process

1) To expedite and improve your chances, submit your resume to AstroHire here:

2) AstroHire will contact well-matched candidates directly. There's no need to contact NADC at this stage.

3) When candidates are contacted by AstroHire, discussion points may include: history and current position needs, compensation, the candidate's qualifications, career goals, personal motivations, living needs, and logistical/relocation constraints.

4) This is a multi-step interview process, which may include phone calls, 1-to-1 video interviews, group panel interviews, and eventual on-site interviews in Billings, MT, USA.

Summary

The Pharmacy Director serves as the senior pharmacy executive responsible for strategic leadership, regulatory compliance, operational oversight, financial stewardship, workforce development, quality management, and 340B program governance for Eagle Seeker Pharmacy.

The Pharmacy Director is responsible for establishing, implementing, maintaining, and continuously improving a compliant, sustainable, culturally responsive pharmacy operation aligned with Native American Development Corporation's mission, healthcare governance framework, Urban Indian Health Program requirements, HRSA 340B Program requirements, Montana pharmacy laws, and healthcare quality standards.

The position functions as the enterprise pharmacy leader responsible for pharmacy strategy, operational performance, compliance oversight, healthcare integration, population health initiatives, and executive reporting.

The Pharmacy Director provides executive leadership over pharmacy operations while maintaining accountability for program integrity, patient access, clinical quality, workforce performance, financial sustainability, and regulatory compliance.

Requirements

Organizational Complexity

  • The Pharmacy Director operates within a highly regulated healthcare environment involving:
  • HRSA 340B Drug Pricing Program requirements;
  • Urban Indian Health Program requirements;
  • Montana Board of Pharmacy regulations;
  • DEA requirements;
  • Medicare and Medicaid pharmacy billing;
  • Third-party payer contracts;
  • Pharmacy benefit managers (PBMs);
  • HIPAA and HITECH compliance;
  • Controlled substance regulations;
  • Healthcare quality programs;
  • Revenue cycle management;
  • Population health initiatives;
  • Healthcare workforce governance;
  • Enterprise financial accountability;
  • Federal grant compliance requirements.

The Position Requires Integration With

  • Executive Leadership;
  • 340B Healthcare Advisory Committee;
  • Compliance and Risk Management;
  • Finance;
  • Revenue Cycle Management;
  • Clinical Operations;
  • Medical Providers;
  • Behavioral Health;
  • Laboratory Services;
  • Information Technology;
  • Human Resources.

Organizational Scope

  • The Pharmacy Director maintains enterprise accountability for:
  • Eagle Seeker Pharmacy operations;
  • HRSA 340B program integrity;
  • Pharmacy compliance systems;
  • Medication access initiatives;
  • Population health pharmacy programs;
  • Pharmacy workforce planning;
  • Pharmacy quality assurance;
  • Clinical pharmacy service development;
  • Pharmacy financial performance;
  • Vendor management;
  • Contract pharmacy oversight;
  • Pharmacy technology systems;
  • Pharmacy policy and procedure development.

The Position Supports Healthcare Integration Throughout

  • Billings Urban Indian Health & Wellness Center;
  • Eagle Seeker Pharmacy;
  • Healthcare shared services operations;
  • Future healthcare expansion initiatives.

Leadership Responsibilities

The Pharmacy Director shall:

  • Strategic Leadership
  • Develop and implement pharmacy strategic plans;
  • Lead pharmacy service expansion initiatives;
  • Support integrated healthcare delivery models;
  • Advance medication access and health equity initiatives.
  • Workforce Leadership
  • Recruit, mentor, develop, and retain pharmacy personnel;
  • Establish workforce performance expectations;
  • Develop succession planning strategies;
  • Promote accountability and service excellence.
  • Operational Leadership
  • Oversee pharmacy startup implementation;
  • Establish operational workflows and systems;
  • Ensure operational readiness and continuity;
  • Monitor pharmacy performance and service delivery.
  • Executive Reporting
  • Provide regular reports to Executive Leadership;
  • Develop pharmacy performance dashboards;
  • Present recommendations for operational improvements;
  • Support board and advisory committee reporting.

Compliance & Regulatory Oversight

The Pharmacy Director Maintains Responsibility For

  • HRSA 340B Program Compliance
  • Prevention of diversion;
  • Prevention of duplicate discounts;
  • OPAIS maintenance;
  • Annual recertification;
  • Internal auditing;
  • Corrective action planning.
  • Healthcare Compliance
  • HRSA Health Center Program requirements;
  • HRSA Site Visit readiness;
  • Pharmacy credentialing oversight;
  • HIPAA compliance;
  • Quality management systems.
  • Pharmacy Regulatory Compliance
  • Montana Board of Pharmacy requirements;
  • DEA requirements;
  • Controlled substance monitoring;
  • Pharmacy inspections;
  • Licensing and credentialing compliance.

Minimum Qualifications

Education

Required

Doctor of Pharmacy (PharmD) from an ACPE-accredited College of Pharmacy.

Experience

Required

  • Minimum five (5) years of progressively responsible pharmacy experience.
  • Minimum three (3) years of pharmacy leadership or management experience.

Preferred

  • HRSA 340B Program experience.
  • Community health center experience.
  • Urban Indian Health Program experience.
  • Population health pharmacy experience.
  • Multi-site pharmacy operations experience.

Licensure & Certifications

Required

  • Active unrestricted Montana Pharmacist License.
  • Immunization Certification.
  • CPR/BLS Certification.

Preferred

  • Board Certification (BCACP, BCPS, or equivalent).
  • Advanced 340B certification or training.
  • Leadership development certifications.

Physical Demands & Working Conditions

Work Is Performed Within

  • Pharmacy environments;
  • Healthcare facilities;
  • Administrative offices;
  • Community outreach settings.

The Position Requires

  • Standing and walking;
  • Frequent computer usage;
  • Occasional lifting up to 25 pounds;
  • Travel for meetings, conferences, training, and community events;

Availability outside standard business hours during operational emergencies, inspections, startup activities, and implementation periods.

Benefits

  • Full benefits package and information shared during the interview.
  • NADC offers Federal Employee Health Benefits (FEHB)
  • Healthcare
  • Retirement
  • Delta Dental
  • Delta Vision
  • Mental Health
  • Tuition reimbursement

Key Responsibilities

The Pharmacy Director provides strategic leadership and operational oversight for the Eagle Seeker Pharmacy, ensuring regulatory compliance and financial sustainability. They are responsible for managing the 340B program, developing pharmacy services, and leading the pharmacy workforce to support integrated healthcare delivery.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Strategic planningDEA compliance

Pharmacist Career Context

Of the 40 active Pharmacy listings this role was benchmarked against, 18% are remote, 55% have no call, 50% require no weekends.

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$175k midpoint carries the purchasing power of roughly $185k in an average-cost state. 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Pharmacy market look like in Montana?
MeasureThis jobMarket
Listed pay$175kPharmacy median $143k (middle half $138k–$158k)44 comparable listings, Oct 2026
Cost-of-living adjusted pay~$185k in purchasing powerMontana index 94.6 (US = 100)BEA Regional Price Parities (2024)
Pharmacy listings in Montana48 active10,219 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 18% remote · 55% no call · 50% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedUS Pharmacist listings: 21% state a sign-on bonus (median $20k) · 12% offer loan repayment1,000 active listings, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Pharmacist Jobs

19 matches · ranked by pay

Salary Distribution

19 jobs · 14 employers
6
<$160k
10
$160k-195k
1
$199k
2
$230k-265k

Annual compensation range

Benefits & Perks

16 jobs · 14 employers
401k / retirement match
88%
Sign-on bonus
44%
Relocation assistance
6%

Share of similar jobs offering each benefit

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Sharp HealthCare · San Diego, California

$86.69-$125.3/hr
#2

Clinical Pharmacist - Pharmacy Admin

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$75.49-$119.17/hr
#3

Clinical Pharmacist (Formulary & Quality)

$108k-$199k
#4

Clinical Pharmacist Specialist - Specialty (Oncology, Remote-Hybrid)- Full-Time Days

$159k-$185k
+ 17 more · ranked by pay

Work-life snapshot

median 2.8this job 1.5
Better work-life than 10% of Pharmacy listings

Listing-based score, 0–10, across 10,137 comparable listings. Shaded area = the share scoring below this one.

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About Astro Hire

Staffing and Recruiting
Tempe, AZ

Benefits & Perks

Federal Employee Health Benefits (FEHB)
Healthcare
Retirement
Delta Dental
Delta Vision
Mental Health
Tuition reimbursement

Living in Billings

Typical 3-bedroom home value
$387k≈ 2.2× annual pay
Typical market rent
$1,393/mo≈ 10% of gross pay
Residents’ average commute
17 min
Metro price indexU.S. average = 100
93.5
State income tax
Up to 6.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Billings, MT metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.