Director of Pharmacy Compliance Sterile Compounding focus

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

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 HealthSystem 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 pharmacyspecific requirements.

• Collaborate with leadership to identify and initiate improvements to promote compliance including handson 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 Pharmaceutical Education accredited College of Pharmacy (bachelors degree or PharmD) required. Advanced degree residency or specialized training preferred.

• Licensed as a Pharmacist by the State of Illinois.

• Extensive knowledge of and work experience with pertinent laws regulations and standards affecting pharmacy practice and healthcare operations including all requirements associated with the 340B drug discount program controlled substances opioid stewardship ASHP residency standards and USP <795> <797> <800>. At least two years of relevant experience required.

• A minimum of two years of work experience with computerized pharmacy information and dispensing systems operations and clinical pharmacy services.

• Ability to interpret regulatory language identify compliance gaps and implement processes to close gaps.

• Ability to work with data and draw inferences from multiple sources and types of information and present a highlevel systematic overview of problems and solutions for enterprisewide implementation.

• Interpersonal skills necessary to interact effectively with physicians medical center personnel research leadership and other stakeholders and to maintain a network of internal partners.

• Ability to establish priorities and to react promptly to a large variety of requests and needs including in stressful situations and under deadline.

• Must demonstrate flexibility while maintaining adequate focus on the organizations strategy and objectives as well as the requirements of external entities. Must be decisive and exercise good judgment under pressure.

• Must be comfortable operating in a collaborative shared leadership environment. Must have the ability to effectively lead collaborative teams.

Commitment to Compliance and Integrity:

• Must uphold the highest standards of professional and business conduct adhering to the Code of Conduct and all other applicable policies rules laws and regulations.

• Must promote a culture of compliance throughout the organization and respond to all identified compliance concerns.

Education

Pay Range

At Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO) Paid Holidays and Paid Parental Leave

403(b) with a 5 employer match

Various voluntary benefits:

• Supplemental Life AD&D and Disability

• Critical Illness Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Childrens facilities

• Discount purchasing program

Theres a Place for You with Us

At Lurie Childrens we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds skills and viewpoints recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging and allyship. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.

Lurie Childrens and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.

Support email: