Regulatory Compliance Pharmacist

8a-4:30p / Full Time / 40 Hours

At least 3 years of experience as an inpatient hospital pharmacist. Experience in medication safety compliance drug diversion and/or regulatory.

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits valuable resourcesongoing mentorship and leadership programs for all types of jobs and asupportive environment that enables you to reach new heights in your careerand be what you want to be. We provide:

• Comprehensive health benefits that start day one
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship and leadership programs
• And more!

We are seeking an experienced pharmacist to oversee our regulatory and compliance program as it relates to federal and state requirements (i.e. GA BOP DEA DSCSA FDA) diversion prevention controlled substance accountability proper medication handling accreditation survey readiness adherence to USP standards and patient safety initiatives.

Operational Excellence:

1. Oversees and optimizes data analytics related to the identification and prevention of controlled substance mismanagement and drug diversion.

2. Coordinates timely investigations of suspected drug diversion in collaboration with the appropriate site leaders and the Drug Diversion Response Team.

3. Assists with education and coaching following a confirmed case of diversion and reports/ documentation is complete timely adhering to regulatory requirements.

4. Provides education coaching and training as necessary following discrepancies and / or deviation from standard operating procedures.

5. Performs audits related to regulatory requirements including but not limited to manual and electronic USP and compliance related documentation.

6. Assists with investigating pharmacy medication safety events and participates in relevant multi-disciplinary meetings.

7. Evaluates and facilitates workflow modifications to prevent diversion and/or meet regulatory and accreditation requirements.

8. Serves as the primary backup to the controlled substance coordinator as needed and as applicable.

9. Participates in proactive review and audits of high-risk diversion practices and required clinical and operational documentation.

10. Reviews and presents key performance indicator data related to regulatory compliance and accreditation to local and system leadership.

Collaboration and Communication:

1. Works collaboratively with both internal and system pharmacy operational and clinical leadership.

2. Maintains open and effective communication with all stakeholders providing updates and insights into findings.

3. Attends and participates in system and key stakeholder meetings related to drug diversion compliance safety security and accreditation.

4. Provides education sessions for pharmacy nursing and/or provider teams as needed.

5. Identifies opportunities to improve patient safety medication management and accreditation best practices.

6. Promotes standardization and best practice implementation where appropriate.

7. Prepares financial/operational/clinical/quality analysis materials for process improvement. 8. Serves as the primary liaison between pharmacy operations compliance and leadership to ensure consistent adherence to accreditation and regulatory requirements. Regulatory and

Compliance Program Development:

1. Completes and maintains documentation as it relates to investigational activities compliance tasks and third-party audits as applicable.

2. Coordinates and/or participates in safety event response team meetings and ensures timely follow-up.

3. Tracks and assists with REMS program compliance and audits.

4. Audits receiving ordering and processing of controlled substances and other high-risk medications.

5. Ensures adherence to federal state and local regulations including licensing certifications training and collaborative practice agreements as applicable

6. Assists leadership in inspection or survey preparation and readiness related to BOP GDNA DEA TJC URAC ACHC and any other regulatory agencies.

7. Supports adherence to USP standards including <659> <795> <797> and <800> as applicable.

8. Leads outcomes reporting and benchmarking related to accreditation as applicable.

9. Supports controlled substance regulatory compliance and accreditation policy procedure and best practice development and implementation.

Travel: Less than 10% of the time may be required.

Work Type: In person

Minimum Qualifications:

Education:

Graduate of an accredited school of Pharmacy.

Experience:

3 years of applicable experience Licensure:

Current Georgia Pharmacist License

Preferred Qualifications:

Education: ASHP accredited residency

Experience: Previous diversion oversight accreditation and/or safety experience

PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs. 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking Occasional sitting Close eye work (computers typing reading writing) Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste chemicals/gases/fumes/vapors Communicable diseases Electrical shock Floor Surfaces Hot/Cold Temperatures Indoor/Outdoor conditions Latex Lighting Patient care/handling injuries Radiation Shift work Travel may be required. Use of personal protective equipment including respirators and environmental conditions may vary depending on assigned work area and work tasks.