VP, Risk and Pharmacy Compliance

🔥 2 hours ago

🏈 Alabama, Idaho, +3 more states – Remote

🏈 Alabama – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🤠 Texas – Remote 🧀 Wisconsin – Remote

💵 $240k - $270k / year

⏰ Full Time

🔴 Lead

🚔 Compliance

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Fuze Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

☁️ SaaS

🤝 B2B

💊 Pharmaceuticals

SaaS • B2B • Pharmaceuticals

Fuze Health is a technology-led healthcare company that provides integrated pharmacy solutions, clinical services, and data-driven software to healthcare organizations, payers, employers, and life sciences partners. Through its FuzeRx digital pharmacy, Fuze Services clinical programs, and Fuze Technologies platform, it delivers API-powered prescription fulfillment, telehealth, diagnostics and genomics, patient engagement, and analytics to improve access, adherence, early identification of conditions, and outcomes at scale.

📋 Description

• Establish and lead an enterprise-wide pharmacy compliance and risk management program aligned with organizational objectives and regulatory requirements • Serve as the senior compliance advisor to executive leadership on pharmacy regulatory matters, compliance risks, and emerging regulatory trends • Develop and execute a long-term compliance strategy that supports business growth while maintaining regulatory excellence • Promote a culture of ethics, integrity, accountability, and compliance across the organization • Ensure compliance with applicable federal and state laws and regulations, including HIPAA, HITECH, Medicare Part D, Medicaid, state pharmacy regulations, and other healthcare regulatory requirements • Oversee pharmacy licensing, accreditation, certification, and regulatory reporting activities • Lead responses to regulatory audits, inspections, investigations, complaints, and inquiries from government agencies and pharmacy boards • Direct enterprise pharmacy compliance risk assessments and develop risk mitigation strategies • Identify and proactively address areas of regulatory risk, including drug diversion, fraud, waste and abuse, privacy, data security, and operational compliance • Oversee compliance monitoring, auditing, and reporting programs to assess effectiveness and identify opportunities for improvement • Partner with clinical, operations, product, technology, and legal teams to embed compliance requirements into business processes and product development • Advise leadership on regulatory implications associated with strategic initiatives, new products, partnerships, and expansion opportunities • Lead, mentor, and develop a high-performing compliance organization

🎯 Requirements

• Bachelor's degree required; advanced degree (JD, PharmD, MPH, MBA, or related field) preferred • 12+ years of progressive experience in healthcare compliance, pharmacy compliance, regulatory affairs, or risk management within a highly regulated healthcare environment • Significant leadership experience overseeing enterprise compliance programs and managing teams • Deep expertise in healthcare regulatory requirements, including HIPAA/HITECH, Medicare, Medicaid, OIG guidance, pharmacy regulations, accreditation standards, and privacy laws • Experience serving as a senior compliance leader, Compliance Officer, Head of Compliance, VP of Compliance, or similar role within a pharmacy, PBM, health plan, specialty pharmacy, or healthcare organization • Demonstrated experience managing regulatory audits, investigations, licensing, accreditation, and enterprise risk management initiatives • Prior experience within a Pharmacy Benefit Manager (PBM), specialty pharmacy, health plan, or large pharmacy organization • Experience interacting directly with executive leadership, boards, regulators, and accrediting bodies preferred • Familiarity with regulatory intelligence tools and compliance management systems preferred • Experience advising organizations on compliance implications of digital health, AI, privacy, and data governance initiatives preferred • CIPP, CHC, CHPC, or similar compliance/privacy certification preferred

🏖️ Benefits

• dental, vision, and multiple group medical plans to choose from • a 401(k) retirement savings plan • group life insurance • accidental death and dismemberment (AD&D) insurance • flexible spending account (FSA) and health savings account (HSA) • commuter benefits • employer-paid short-term (STD) and long-term disability (LTD) insurance • additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program) • flexible vacation time • accrued paid sick time • 10 paid holidays • 2 floating holidays for full time non-exempt employees • eight weeks of paid parental leave for eligible employees • additional paid weeks for the birthing parent • 4 weeks paid caregiver leave • a Lifestyle Spending Account allowance each month