Director of Pharmacy Compliance

at Ann & Robert H. Lurie Children's Hospital of Chica in Lake Forest, Illinois, United States

Job Description

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Day (United States of America)

LocationOlympia Center

Job Description
General Summary of Position Responsibility:

The Director of Pharmacy Compliance tracks, monitors, reviews, interprets, and communicates all aspects of existing, proposed, and newly enacted federal and local rules and regulations, accreditation standards, and Centers for Medicare and Medicaid Conditions of Participation relative to the practice of pharmacy. This includes compliance with all requirements associated with the 340B drug discount program, controlled substances, opioid stewardship, American Society of Health-System Pharmacists (ASHP) Residency Accreditation, Illinois Pharmacy Practice Act, and US Pharmacopeia (USP) Chapter <795>, Chapter <797>, and Chapter <800>. The Director of Pharmacy Compliance is a subject matter expert in industry best practices, including those set forth by the American Society of Health System Pharmacists, and fosters best practices in operations. The Director of Pharmacy Compliance is a collaborative people leader and resource to pharmacy and clinical leadership and all pharmacy and clinical staff. The Director of Pharmacy Compliance develops policies and procedures, facilitates auditing and monitoring, conducts targeted and organizational educational initiatives, and ensures governance effectiveness through management committees and executive leadership and board member reporting.

Principal Duties and Responsibilities:

Serve as an integrated resource to pharmacy and clinical leadership and staff and provide broad oversight for compliance with accreditation standard; federal and local rules and regulations; the Centers for Medicaid and Medicare Conditions of Participation; USP Chapter <795>, Chapter <797>, and Chapter <800>; ASHP pharmacy residency program; Illinois Pharmacy Practice Act and Controlled Substances Act; participation in the 340B drug discount program; and other pharmacy-specific requirements.

Collaborate with leadership to identify and initiate improvements to promote compliance, including hands-on project management and performance improvement efforts.

Maintain subject matter expertise and act as a collaborative resource, effectively tailoring education and communication campaigns for all stakeholders.

Develop and maintain working knowledge of developments in standards, rules, and regulations that relate to pharmacy services, their interpretation, current trends and issues, and associated timelines.

Complete gap analyses for compliance with new developments related to relevant standards, rules, and regulations and effectively marshal the organizational response to close gaps.

Develop and continuously update policies and procedures, including through ongoing quality improvement and to address developments to standards, rules, and regulations.

Evaluate employees' understanding of requirements to meet standards, rules, and regulations and maintain survey readiness through preparing staff for accreditation and collaborating with Accreditation Readiness, control functions, and other key parties.

Conduct investigations and audits of current or potential areas of risk. Develop audit processes as well as processes to track and trend progress. Effectively and timely convey findings to key stakeholders. Escalate serious concerns through the chain of command and to appropriate executives and board members.

Collaborate with stakeholders at all levels of the organization to ensure knowledge of and active participation in pharmacy compliance efforts. This includes daily collaboration with pharmacy and clinical staff and leadership, such as through management and other committees, as well as regular and effective communications with executive leaders and board members.

Maintain and continuously improve upon organizational standards for pharmacy processes and ensures clear and consistent communication of these standards. This includes orienting and otherwise informing stakeholders and intervening in the case of noncompliance with or potential drift from pharmacy compliance standards.

Manages staff and resources associated with pharmacy compliance oversight and leads with cost efficiency. This includes having the authority to hire, separate, promote, demote, write up, and administer performance evaluations.

Other duties as assigned.

Knowledge, Skills, and Abilities:

Graduation from an American Council for... For full info follow application link.

EEO/AA Employer/Vets/Disability