Pharmacy Regulatory Compliance & Diversion Coord

Winchester Hospital Beverly , MA 01915

Posted 7 months ago

Welcome To

Beverly Hospital is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

Beverly Hospital, A member of Lahey Health, promotes the culture and philosophy which enables employees to give and receive the best of care. You can become a part of the team that achieves this success through our CREATE values of Compassion, Respect, Excellence, Accountability, Teamwork, and Empathy.

Position Summary:

Under the direction of the Pharmacy Operations Manager and Pharmacy Director, the Pharmacy Regulatory, Compliance, and Diversion Coordinator is responsible for:

  • Assuring compliance with all regulations including Joint Commission, CMS, DPH, DEA, FDA, Board of Pharmacy, USP 797 and USP 800.

  • Overseeing and auditing all pharmacy controlled substance record keeping requirements and policies under the direction of the Pharmacy Operations Manager and Pharmacy Director.

  • Establishing and maintaining a comprehensive surveillance program to detect potential medication diversion.

  • Maintaining continued readiness for regulatory reviews including Joint Commission, CMS, and Board of Pharmacy.

  • Serving as a Pharmacy Liaison on all compliance and regulatory committees.

  • Conducting regular audits to assure compliance with all regulations.

  • Maintaining policies to meet regulatory compliance.

  • Conducting training for pharmacy, nursing, and providers on regulations.

  • Reporting any deviations to the Operations Manager and Pharmacy Director and helping to develop reports required for external reporting.

Scheduled Hours
40 hours per week, exempt.

About Us

The Lahey Model of Careright care, right time, right placeis exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.



  • Bachelors of Pharmacy or Pharm D required

  • At least two years hospital or regulatory experience required.


Must be a Registered Pharmacist in the State of Massachusetts


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Pharmacy Regulatory Compliance & Diversion Coord

Winchester Hospital