Duke Specialty Clinical Pharmacist

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States.

The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Work Location: Duke Specialty Pharmacy - Duke University Hospital - Durham, NC

Working Hours

40 hours/week

Monday-Friday

8.5 hours/shift (operating hours between 8:00 am - 6:00 pm)

Opportunity for weekend coverage

Position Summary

The Clinical Pharmacist position at the Duke Specialty Pharmacy is responsible for the safe, accurate, and efficient preparation and dispensing of medications within the Duke Specialty Pharmacy Network. This role ensures compliance with all regulatory, accreditation, and organizational standards while supporting high-quality patient care through operational excellence and interdisciplinary collaboration.

Key Responsibilities

Medication Preparation & Dispensing

Accurately review, verify, and dispense specialty and non-specialty prescriptions in accordance with state and federal regulations

Ensure medications are prepared, labeled, and dispensed following manufacturer requirements (including REMS and limited distribution drugs)

Maintain compliance with payer and manufacturer requirements related to dispensing (e. g., original container requirements, documentation standards, metric requirements)

Perform final verification of prescriptions and oversee pharmacy technicians involved in dispensing processes

Operational Excellence

Support daily pharmacy workflow to ensure timely medication access and delivery

Identify and resolve operational issues impacting dispensing efficiency, turnaround time, or patient access

Maintain and assist with controlled and non-controlled inventory, including specialty medications with high cost and limited availability

Ensure compliance with accreditation standards (e. g., URAC, ACHC) and participate in audit readiness and response

Clinical Oversight

• Evaluate prescriptions for appropriateness, safety, and potential drug interactions
• Provide drug information and counseling to patients and providers as needed
• Collaborate with clinical pharmacists, providers, residents and care teams to optimize therapy outcomes

Regulatory & Compliance

• Adhere to all applicable pharmacy laws, regulations, and organizational policies
• Ensure compliance with REMS programs and manufacturer distribution requirements
• Participate in internal and external audits, including payer and manufacturer reviews

Collaboration & Communication

• Work closely with pharmacy technicians, pharmacists and the leadership team to ensure seamless operations
• Communicate effectively with prescribers, nurses, and other healthcare professionals
• Support training and onboarding of pharmacy staff as needed
• Support training and teaching of pharmacy students and residents as appropriate

Skills & Competencies

• Strong attention to detail and accuracy in dispensing
• Knowledge of specialty pharmacy operations, workflow management, and regulatory requirements
• Ability to work in a fast-paced, high-volume environment
• Excellent communication and teamwork skills
• Proficiency with pharmacy management systems and electronic health records

Work Environment

• Fast-paced specialty pharmacy setting within an integrated health system
• Collaborative, team-based environment focused on patient-centered care
• Primarily onsite role with standard weekday hours (may vary based on operational needs)

Minimum Qualifications

Education

Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required

• With a Doctor of Pharmacy degree, no experience is required
• 3+ years of experience in a retail or specialty pharmacy environment preferred
• Experience in specialty pharmacy is preferred
• Experience with specialty pharmacy accreditation standards (URAC, ACHC) preferred
• Knowledge of payer requirements, prior authorizations, and reimbursement processes preferred

Degrees, Licensures, Certifications

Licensed Pharmacist or eligible to practice pharmacy in North Carolina

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.