This position actively provides medication management oversight and completes associated tasks to support and promote safety and quality, proactively prevent diversion, and assure pharmacy department and organizational compliance with regulatory and accreditation standards. This position reports to the Pharmacy Compliance Manager for hiring, termination and annual evaluation.

1. Actively provides medication management oversight and completes associated tasks to assure organizational compliance related to regulatory statutes and quality standards for designated state, federal and quality agencies. (Arizona State Board of Pharmacy (BOP); Food and Drug Administration (FDA); Drug Enforcement Agency (DEA); Centers for Medicaid and Medicare Services (CMS); The Joint Commission (TJC) and other agencies as required).
2. Responsible and accountable for developing, managing, maintaining, and executing all policies and procedures, regulatory and survey requirements that assures organizational compliance.
3. Actively participates in organizational compliance, regulatory and survey readiness committees, leads designated compliance committees and reports up to identified committee or leadership structures.
   • Proactively identifies risk areas and opportunities for improvement in compliance
   • Assures compliance with regulations, standards and identified improvements
   • Co-Leads the Medication Management Compliance Sub-Committee
   • Meets at designated intervals with the Chief of Pharmacy and the Chief Compliance Officer
   • Provides routine and standard reports to the Pharmacy and Therapeutics Committee and the OBI
   • Provides ad hoc reports to other pharmacy, quality and safety, nursing, medical staff and executive leadership committees
4. Serves as the primary contact and interface for all regulatory agencies for on-site and remote surveys and assures continuous readiness.
   • Reports to the PIC and Chief of Pharmacy and Pharmacy and Therapeutics
   • Reports to the Accreditation/Quality, Office of Business Integrity (OBI), Risk and Legal departments
5. Proactively directs the activities, prepares and provides reports related to medication control, compliance and diversion activities and maintains documentation for the organization.
   • Optimizes automated dispensing machine structure for best practice
   • Develops proactive diversion monitoring tools and reports and conducts follow up
   • Directs and executes improvement activities organizationally for medication control and compliance
6. Actively works in conjunction with the Nursing, Quality, Risk, Office of Business Integrity (OBI), Legal, PCMG, Security, HR departments, Executive Leadership, Sr. Leadership, Medical Staff, and other ad hoc groups related to medication compliance and integrity to assure compliance with standards, statues, and regulations.
7. Provides direct oversight and direction of duties for the Compliance Technician assigned to medication management and control and other pharmacy technical and professional staff as required.
8. Develops a comprehensive formal program for medication management compliance, diversion prevention, safety and control.
   • Provides an ongoing surveillance program structure and process
   • Develops and implements a proactive auditing program structure and plan to maintain compliance
   • Actively involved with direct and indirect medication management compliance oversight, investigation and accountability
   • Plans, develops and provides education for organization staff related to regulations, prevention and awareness related to medication control and compliance
   • Implements Best Practice Strategies related to medication management and proactive medication diversion prevention
9. Ability to serve in the role of a staff pharmacist when needed for patient care and compliance.
10. Performs miscellaneous job related duties as requested.

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable