合规主管
Compliance Supervisor
职位地点：
远程职位薪资范围：
80,000.00 - 117,200.00美元职位概述
合规主管负责确保专科药房遵守联邦、州和付款人特定的法规，同时领导维护和获得认证（例如URAC、ACHC等）的工作。该职位重点在于管理内部和外部审计，制定并执行合规政策，进行风险评估，并确保运营流程支持复杂、高成本的专科药物的高质量患者护理。主管与药房运营、临床和领导团队合作，以降低风险、准备检查，并推动持续合规和质量改进的文化。该职位还将协助合规经理对财务援助、收入和合规团队进行日常管理和领导工作。展示对该职位所有方面的了解，相关法规以及组织和部门的政策和程序。按照监管要求和组织的政策和程序履行所有职责。
关键绩效领域
KPA 1 – 认证与合规
• 积极参与药房质量管理计划，通过理解、汇总、分析趋势和呈现数据。
• 跟踪并报告与认证相关的指标（例如，标准符合率、调查结果）。
• 监督高风险领域的内部审计和自我评估，如患者入组/注册、临床监测、依从性项目、计费/报销、药品储存/处理以及患者咨询和结果的记录。
• 准备来自认证机构（URAC/ACHC调查）、监管机构（FDA、DEA、州药房委员会）、付款人、制造商和其他利益相关者的外部审计和检查。
• 及时完成差距分析、模拟调查和纠正措施；确保100%准备好认证调查。
• 监控和跟踪联邦/州法规、认证标准、付款人要求和行业指南的变化；解释对组织的影响，并相应更新政策、程序和培训。
• 确保部门符合认证标准，所需文件始终完整且随时可供审计。
KPA 2 – 培训与员工发展
• 实施结构化的入职和持续培训计划。
• 完成员工能力评估
查看英文原文
Location:
Remote PositionHiring Range:
$80,000.00 - $117,200.00Position Summary
The Compliance Supervisor oversees the specialty pharmacy's adherence to federal, state, and payer-specific regulations, while leading efforts to maintain and achieve accreditations (e.g.URAC, ACHC, etc). This role focuses on managing internal and external audits, developing and enforcing compliance policies, conducting risk assessments, and ensuring operational processes support high-quality patient care for complex, high-cost specialty medications. The supervisor collaborates with pharmacy operations, clinical, and leadership teams to mitigate risks, prepare for inspections, and promote a culture of continuous compliance and quality improvement. This role will also support the Compliance Manager with daily management and leadership for the Financial Assistance, Revenue and Compliance teams. Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures. Performs all duties in accordance with regulatory requirements and organizational policies and procedures.
Key Performance Areas
KPA 1 – Accreditation & Regulatory Compliance
• Will actively contribute to the Pharmacy Quality Management Program by understanding, compiling, trending, and presenting data.
• Track and report accreditation-related metrics (e.g., standards compliance rate, survey outcomes).
• Oversee internal audits and self-assessments of high-risk areas such as patient intake/enrollment, clinical monitoring, adherence programs, billing/reimbursement, drug storage/handling, and documentation of patient counseling and outcomes
• Prepare for external audits and inspections from accrediting organizations (URAC/ACHC surveys), regulatory agencies (FDA, DEA, State Board of Pharmacy), payers, manufacturers, and other stakeholders.
• Complete timely gap analyses, mock surveys, and corrective actions; ensure 100% readiness for accreditation surveys.
• Monitor and track changes in federal/state regulations, accreditation standards, payer requirements, and industry guidelines; interpret implications for the organization and update policies, procedures, and training accordingly.
• Departmental compliance with accreditation standards maintained and required documentation is completed and audit-ready at all times.
KPA 2 – Training & Staff Development
• Structured onboarding and ongoing training programs implemented.
• Staff competency assessments completed and documented.
• Identified skill gaps addressed through development plans.
• Regular coaching, feedback, and performance evaluations conducted
• Training materials and documentation maintained and up to date.
KPA 3 – Leadership & Operational Management
• Team productivity and morale maintained at high levels.
• Regular team meetings and individual check-ins conducted
• Departmental goals aligned with organizational strategic objectives.
• Operational reports prepared and submitted accurately and timely.
• Collaborative relationships maintained across departments.
KPA 4 – Financial Assistance Program and Revenue Oversight
• Monitor Financial assistance applications are processed accurately and within established turnaround times.
• Pull reporting for approvals, denials, trends, and program outcomes accurately.
• Assist with the development of metrics and ensuring compliance with federal, state and organizational guidelines as well as established timelines and benchmarks.
• Assist with timecards and PTO requests of team members.
Position Qualifications
Education
· College degree or equivalent combined work experience in specialty pharmacy
Minimum Relevant Experience
· Minimum of three (3) years’ experience in pharmacy required
- Experience in Hematology/Oncology preferred
Certifications/Licenses
· Must hold a current, unrestricted pharmacy technician license/permit in their home state and be willing to obtain Florida licensure.
Travel: 0-25%
Originally posted on Himalayas