Pharmacy Compliance Manager

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Job Title:

Pharmacy Compliance Manager

Department:

East | Pharmacy

Duties and Responsibilities

The Pharmacy Compliance Manager works under the direction of senior pharmacy leadership to ensure enterprise compliance in accordance with applicable state and federal laws. This position leads staff in ensuring oversight of the daily operations of the drug diversion prevention team, as well as maintains up-to-date internal procedures and compliance assessments surrounding local, state, and national rules and regulations.

25% Regulatory Compliance Activities

Under the direction of the senior pharmacy leadership, in coordination with other team members, and according to applicable state and federal law, the Pharmacy Compliance Manager:

Provides highly technical information, explanation, and interpretations of additions and changes to standards, rules, and regulations that relate to pharmacy services at the local, state, and national level. Completes gap analyses for compliance and assesses organizational impact with additions and changes to standards, rules, and regulations. Collaborates with system-wide pharmacy leadership to initiate improvements to ensure compliance with existing and evolving regulatory standards. Develops and/or updates policies and procedures when additions and changes to standards, rules, or regulations warrant. Provides timely and accurate communication, both written and verbal as appropriate, regarding interpretation of such policies, and timelines for compliance. Provides oversight of functional areas to ensure adherence to regulatory requirements through regular audits and reviews of operations. Collaborates with internal and external stakeholders surrounding compliance survey activity.

25% Drug Diversion Prevention Activities

Under the direction of senior pharmacy leadership, in coordination with other team members, and according to applicable state and federal law, the Drug Diversion Prevention Officer:

Ensures compliance with local, state, national and internal compliance of drug diversion policies, protocols, rules and regulations. Provides multidisciplinary leadership of the drug diversion prevention program. Innovates future risk-mitigation strategies to maintain a comprehensive drug diversion monitoring program. Interacts with a third-party drug diversion prevention software to identify and prioritize potential drug diversion. Leads the investigation process of suspected controlled substance diversion events. Develops, maintains, and updates drug diversion prevention policies and procedures. Works collaboratively with risk management; law enforcement and legal services to gather information related to cases of Medication theft and loss. Interfaces with regulatory agencies (Professional boards, DEA, FDA) in matters of narcotic diversion.

25% Teaching/Training/Educational Activities

Creates awareness of drug diversion prevention and regulatory compliance policies and procedures. Serves as an expert for our drug diversion prevention software. Collaborates with key multidisciplinary stakeholders surrounding drug diversion and compliance. Coordinates education efforts for pharmacy personnel on regulatory compliance initiatives and updates including but not limited to education and training materials, effective face-to-face training sessions, and evaluations to assess employee understanding. Coordinates training of volunteers, pharmacy technicians, pharmacists, undergraduate and graduate students, and other hospital staff. Attends department sponsored continuing educ