Health Systems Redefine Pharmacy Workforce Skills for an Era of Complex Care and AI Integration
核心洞察
Health system pharmacists are taking on expanded roles in data analytics, supply chain navigation, payer access, and AI-driven clinical decision-making, according to McKesson's 2026 outlook report.
Pharmacy technicians are being upskilled for advanced tasks including medication history intakes, quality and safety verification, and management of automated EHR and inventory systems.
Specialty pharmacy services increasingly demand expertise in value-based care models, oncology, immunotherapy, gene/cell therapies, and insurance navigation including 340B and CMS reimbursement rules.
Health system pharmacies are undergoing a fundamental workforce transformation as clinical responsibilities expand well beyond traditional pharmacotherapy, according to McKesson's Health System Pharmacy Market Outlook Report for 2026. Rafael Saenz, Vice President of Knowledge Management and Thought Leadership at McKesson, highlights emerging trends reshaping pharmacy staffing, skill requirements, and organizational structures to meet the demands of increasingly complex patient care.
The report underscores that pharmacists today are tasked with responsibilities spanning data analytics and informatics, supply chain navigation, payer and manufacturer access, change management, policy issues, advanced clinical support, and new leadership roles. This growing complexity, Saenz notes, requires pharmacy leaders to rethink their organizational structure, staffing and skill needs, technology stack, and training budgets.
Evolving the Clinical Pharmacist Role on Care Teams
Clinical pharmacists are being called to develop longitudinal clinical reasoning and care coordination that extends throughout the continuum of care. In environments increasingly powered by artificial intelligence, pharmacists must hone clinical decision-making skills that allow them to practice at the "top of their license" and maximize time at the bedside. The report also emphasizes integrated medication access, adherence, and follow-up management as essential competencies for the modern clinical pharmacist.
Pharmacy Technicians Taking on Advanced Responsibilities
The transformation extends to pharmacy technicians, who are being tapped for more advanced tasks that were previously outside their scope. These include conducting medication history intakes to ease clinical staffing pressures, receiving advanced quality and safety training to verify accuracy while keeping pharmacists focused on clinical tasks, and managing automated systems that require enhanced training and certification—particularly within electronic health records and inventory management systems.
Specialty, Ambulatory, and Infusion Therapy Services
As specialty pharmacy continues to grow, the workforce must develop a firm grasp of value-based care models to manage high-cost, specialized therapies and chronic conditions. The report identifies specialization in high-demand areas such as oncology, immunotherapy, and gene and cell therapies as critical. Additionally, pharmacists and technicians alike must become knowledgeable in insurance navigation, including 340B program management, CMS reimbursement rules, and ever-changing formularies.
Automation and AI Integration Across All Skill Levels
Perhaps the most sweeping change involves the ramp-up of automation and AI integration. The report calls for proficiency with emerging tools for inventory management, order verification, prior authorizations, and more. Informatics and technology management skills are needed to launch and oversee these systems, alongside policymaking capabilities to vet and govern the use of new AI tools. A willingness to offload repetitive tasks to automation while pursuing high-value, top-of-license activities is identified as a key cultural shift.
By upskilling their pharmacy teams, health systems are increasingly transforming them into future-forward assets capable of delivering optimized clinical care, improved financial outcomes, and sustained operational resilience in an era of unprecedented complexity.
