Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary care, pharmacy services, and chronic disease management under one roof, creating a new, lower-cost site of care for underserved communities.
We operate across multiple states and are rapidly expanding a network of rural clinics co-located with pharmacies. Our goal is to deliver scalable, high-quality care while improving access, outcomes, and cost efficiency.
Role Overview
The VP, Clinical Services, will lead the design, development, and deployment of new clinical programs across Pharmacy1st’s clinic network.
This is not a purely administrative role. You will be responsible for translating clinical insight into scalable service lines that drive both patient outcomes and sustainable revenue. You will work at the intersection of care delivery, operations, and product, building programs that can be deployed consistently across rural markets and deliver measurable impact.
Key Responsibilities
Clinical Program DevelopmentDesign and launch new clinical service lines across primary care, urgent care, and chronic disease management
Identify high-impact opportunities based on patient needs, payer incentives, and operational feasibility
Develop standardised care protocols, workflows, and clinical pathways
Ensure programs are optimised for rural populations with limited access to care
Build and refine team-based care models leveraging physicians, nurse practitioners, pharmacists, and care coordinators
Develop and implement Collaborative Practice Agreements (CPAs) to extend clinical capacity
Integrate pharmacy and medical services into a unified patient experience
Pilot new services in select markets and scale successful programs across the network
Define KPIs for each clinical service line, including utilisation, outcomes, and financial performance
Partner with operations teams to ensure consistent execution across sites
Establish clinical quality standards aligned with CMS, payer programs, and evidence-based guidelines
Monitor outcomes, patient safety, and adherence to protocols
Drive improvements in metrics such as HEDIS measures and Medicare Star Ratings
Collaborate with product and engineering teams to build workflows into the EHR
Work with finance and leadership to ensure services are economically viable
Support payer strategy by aligning services with reimbursement opportunities (RHC, value-based care, etc.)
Serve as a clinical leader and mentor for physicians, nurse practitioners, and pharmacists
Support recruitment, onboarding, and ongoing training of clinical staff
Help build a strong, mission-driven clinical culture
Qualifications
Required
MD/DO or Nurse Practitioner (NP) with an active U.S. license
5+ years of clinical experience in primary care, urgent care, or ambulatory settings
Demonstrated leadership experience in a clinical or healthcare delivery organisation
Experience designing or implementing clinical programs or care models
Strong understanding of U.S. healthcare reimbursement, including Medicare and value-based care
Will consider remote for the right candidate.
Experience working in rural or underserved communities
Familiarity with pharmacy integration or team-based care models
Experience with RHCs, FQHCs, or similar settings
Track record of scaling clinical operations across multiple sites
Skills Required
- MD/DO or Nurse Practitioner (NP) with an active U.S. license
- 5+ years of clinical experience in primary care, urgent care, or ambulatory settings
- Demonstrated leadership experience in a clinical or healthcare delivery organization
- Experience designing or implementing clinical programs or care models
- Strong understanding of U.S. healthcare reimbursement, including Medicare and value-based care
- Experience working in rural or underserved communities
- Familiarity with pharmacy integration or team-based care models
- Experience with RHCs, FQHCs, or similar settings
- Track record of scaling clinical operations across multiple sites
What We Do
Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Their model combines primary care, pharmacy services, and chronic disease management under one roof, creating a new, lower-cost site of care for underserved communities with the goal of making every pharmacy the front door to exceptional primary care.

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