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Manager, Specialty Pharmacy Operations

Bellin Gundersen · La Crosse, WI · Full time

Posted Oct 3, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you got a team ready for an accreditation survey. What did you find that you had to fix first?

What they are checking: Whether they treat accreditation as daily practice rather than a scramble, and can rank gaps by real risk.

Tell me about a workflow you redesigned. How did you know it actually got better, and not just different?

What they are checking: Whether they measure before and after, and can tell real improvement from change that just moved the work somewhere else.

Tell me about a time a pharmacist or technician on your team was making repeated errors. How did you handle it?

What they are checking: Whether they can coach while still protecting patients, and know when a pattern becomes a formal performance issue.

What would you do

A patient's specialty medication is stuck in prior authorization and they're due for their next dose in three days. What does your team do?

What they are checking: Whether they know the practical levers in medication access, like appeals, bridge supply and manufacturer programs, and keep the patient informed.

A specialty clinic tells you their patients complain that it takes too long to get therapy started. How would you work with that clinic to fix it?

What they are checking: Whether they partner with clinics as equals and look at the whole referral-to-first-dose path, not just pharmacy steps.

This role covers pharmacy services across a growing enterprise. How would you bring consistent practice to sites that each have their own habits?

What they are checking: Whether they can standardize across locations without steamrolling local teams that know their own patients.

An outside partner, like a manufacturer hub or a payer, keeps slowing things down for your patients. How do you push back without burning the relationship?

What they are checking: Whether they can advocate firmly for patients while keeping working relationships with partners the pharmacy depends on.

About the work

Walk me through how you would run a specialty pharmacy that also handles infusion services and medication access. Where do the handoffs usually break?

What they are checking: Whether they understand how specialty dispensing, infusion and access work connect, and where patients actually fall through the gaps.

Which numbers would you look at every week to know whether a specialty pharmacy is healthy, both financially and for patients?

What they are checking: Whether they can balance margin, turnaround time, adherence and fill capture instead of watching only one side of the business.

How do you keep up with payer limited-distribution networks and manufacturer requirements for specialty drugs, and how does that affect which drugs you can dispense?

What they are checking: Whether they grasp the outside rules that decide which therapies a specialty pharmacy can access, which drives revenue and patient options.

How do you handle storage, handling and shipping for high-cost, temperature-sensitive specialty drugs so nothing gets wasted?

What they are checking: Whether they know the cold-chain and inventory controls that protect expensive therapies and the patients waiting on them.

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The full job description

As published by Bellin Gundersen.

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours: 40 Emplify Health by Gundersen is seeking a Manager of Specialty Pharmacy Operations to be part of our growing Pharmacy Services across our Enterprise. What You’ll Do • Oversee specialized pharmacy services including specialty medication management, infusion services, medication access, and other complex pharmacy operations • Lead teams, ensuring regulatory and accreditation compliance, optimize workflows, monitor financial and operational performance, and support high-quality patient care • Collaborate with pharmacy leadership, specialty clinics, providers, and external partners to improve access to complex therapies and support safe, efficient, patient-centered specialty pharmacy operations What You’ll Get: • Competitive salary with additional compensation based on experience • Comprehensive healthcare benefits and a top-rated retirement plan • Supportive departmental leadership • Opportunity to be part of a growing enterprise What You’ll Need: • Bachelor’s degree in Pharmacy, Healthcare Administration, Business, Operations Management, Supply Chain, Information Systems, or related field required within 6 years of hire • Registration as pharmacy technician within the state of primary pharmacy work location; AND Nationally-recognized certification for pharmacy technician credential (CPhT or ExCPT), based on state of primary work location • Minimum 3-5 years progressive leadership experience in pharmacy operations, with a focus on special operations such as specialty pharmacy, infusion services, complex medication management, medication access, or related pharmacy service lines Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities. I f you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future. Equal Opportunity Employer

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