Ian A. Orensky, PharmD, MS, 340B ACE, CPEL (ian.orensky@vcuhealth.org) is the manager of pharmacy business services and 340B program at Virginia Commonwealth University (VCU) Health System in Richmond, VA. Orensky leads the VCU 340B Compliance team and oversees pharmacy analytics and financial stewardship initiatives for the largest safety-net health system in central Virginia.
Orensky has spent over two decades building high-functioning pharmacy programs across Virginia and beyond. He began his career at the VCU Medical Center as a staff pharmacist and pharmacy supervisor supporting automation and technology (2003-2010). He then transitioned to faith-based community health system practice at Bon Secours Mercy Health, where he served as pharmacy operations manager, pharmacy director, administrative director of pharmacy, and system director of medication safety and policy (2011-2022). Orensky then joined HealthTrust as vice president of pharmacy services over HCA’s Capital Division, where he supported the pharmacy operations of 19 for-profit hospitals and central distribution logistics.
Orensky obtained his bachelor’s degree from the College of William and Mary in 1998. He obtained both a Doctor of Pharmacy and Master of Science in pharmacy administration from VCU in 2003.
He has been an active member of both ASHP and VSHP since 2003. He obtained the ASHP Certified Pharmacy Executive Leader (CPEL) credential in 2024. He is a VSHP Region 4 past-president and received a VSHP Collaboration Award for his work on the Virginia EMS box transition plan. Orensky has advocated before the Virginia General Assembly against white bagging and on Capitol Hill in support of the 340B program.
Meet Ian A. Orensky
I have had the privilege of supporting pharmacy teams of an urban academic medical center, a large for-profit integrated delivery network, and a multi-state, non-profit Catholic health system. Each setting has offered unique opportunities to expand pharmacy’s impact, along with distinct challenges in achieving that aim. Despite these differences, several consistent leadership principles have guided my success across diverse practice environments.
As a servant leader, I focus on empowering teams to perform at their best by removing barriers, improving communication, fostering accountability, encouraging professional growth, celebrating achievements, and prioritizing team wellbeing.
I have vigorously fought for advancing the pharmacy profession by promoting practice models that enable team members to work to their fullest ability. This includes implementing novel programs, policies, protocols, and technologies that support efficient, high-quality patient care while maximizing medication safety.
I value evidence-based decision-making and encourage constructive debate to identify the best solutions to complex problems. I also believe in building consensus and leveraging diverse perspectives to strengthen outcomes.
Collaboration is essential. I work closely with patients, clinicians, administrators, legislators, payors, and regulatory bodies to achieve shared goals, including improved patient outcomes, expanded access to care, and financial sustainability.
I envision a future where health system pharmacy professionals in all practice venues feel supported, practice at the top of their license, and deliver safe, accessible, and affordable patient care.
I am honored to be slated as a candidate for the board of directors and for the opportunity to share my experience in support of ASHP’s mission and members.