This position will lead planning, design, implementation, and maintenance of system-wide processes to support pharmacy program compliance. The leader in this role will be serve as the pharmacy-related compliance subject matter expert and resource for CHI. Scope of responsibility of the Director, CRP Pharmacy, will include system oversight of appropriate controls for pharmacy practices from the point of purchase through dispensation and administration, the 340B Drug Pricing Program, opioid monitoring, specialty and retail pharmacies, USP 795/797/800 regulations, revenue cycle compliance, CMS Conditions of Participation and other relevant areas.
This position requires an in-depth understanding of the CHI enterprise and MBO/entity (herein referred to as entity) business and operational practices as well as regulations and laws impacting those practices. The individual must have the ability to communicate effectively and provide formal reports to CHI leadership and governance. This individual will build collaborative relationships with the CHI National Pharmacy leaders, as well as market-based Pharmacy leaders, and will provide consultative and supportive services to CHI National, Market Based/Entity Organizations (Entities), and Community Health Service Organizations (CHSOs). This position works closely with many functional areas within CHI including: Vice President of Clinical Pharmacy Services, system and entity Pharmacy Leaders, Finance, Internal Audit, Legal Services Group, Revenue Cycle, Clinical Services, and regional and local Corporate Responsibility, Privacy and Security Officers.
This position will reduce organizational risk and create processes to ensure CHI Pharmacy Services are fully compliant with all applicable external regulatory and internal compliance requirements and support compliance with CHI's CRP.
Provides leadership for the development, implementation, maintenance, and evaluation of pharmacy controls, including facility standards, uniform processes, policies, procedures, risk assessment process, and tools and templates for monitoring activities to address changes in current laws and regulations and/or revisions to current laws and regulations related to pharmacy compliance.
Serves as the CHI National compliance subject matter expert (SME) for pharmacy matters and acts as a resource for CHI Pharmacy Services. Reduces organization pharmacy risk by designing systems to detect ineffective processes that may inhibit achieving desired results, and identifying risks related to pharmacy operations by developing and managing work plans to address those identified risks.
Assist market pharmacy leaders with responding to regulatory findings and developing corrective action plans to mitigate impact to licensing and regulatory standing. Track and trend MBO federal and state pharmacy citations to proactively identify and address areas of risk.
Monitors and disseminates pertinent new laws and regulations and/or revisions to current laws and regulations as they pertain to pharmacy compliance. Such laws and regulations may come from many agencies including but not limited to: Office of the Inspector General (OIG), Centers for Medicare and Medicaid (CMS), Health Resources & Services Administration (HRSA), and the United States Pharmacopeia (USP).
Works closely with CHI Pharmacy Services, CHI Legal Services Group, Finance, and other applicable functional areas to ensure proper interpretation, dissemination and ongoing internal auditing and monitoring of compliance with laws and regulations affecting pharmacy business relationships.
Bachelor's Degree in pharmacy required, Masters or Doctorate preferred.
Certification in Compliance required within one year of hire.
Two (2) years of demonstrable work in pharmacy compliance.
Leadership experience in compliance is preferred.
Must have the ability to work effectively in a large, geographically diverse system.
Catholic Health Initiatives