Director Medication Compliance & Regulatory

Montefiore Health System • City of Newburgh, NY

13d

About The Position

The Director of Medication Compliance & Regulatory is responsible for the strategic oversight, development, and continuous advancement of the medication safety and compliance program across the health system. This role ensures a proactive, data-driven approach to identifying and mitigating medication-related risks, promoting a culture of safety, and ensuring regulatory compliance. The Director leads the design and implementation of innovative safety and compliance initiatives by leveraging data from Medication Safety Committees, incident reports, rounding feedback, and other key sources to identify trends and root causes. In collaboration with clinical, pharmacy, nursing, and administrative teams, the Director develops and operationalizes strategies that reduce medication errors, ensure compliance with all federal and state regulations and standards, improve patient outcomes, and enhance system-wide safety and compliance practices. This position plays a critical role in driving measurable improvements in medication use processes, reducing adverse drug events, and ensuring alignment with best practices and regulatory standards. The Director also oversees compliance with medication-related policies and supports continuous education and engagement of staff in safe medication practices.

Requirements

• PharmD
• Valid NYS Pharmacist license and registration.
• Candidates must possess comprehensive knowledge of healthcare operations, with a minimum of five (5) years of experience in medication safety/compliance within a large, complex healthcare environment that includes both faculty and private practice providers.
• Additionally, three (3) years of direct experience in accreditation/regulatory affairs, performance improvement, and/or medication safety is required.
• Candidates must demonstrate expert-level understanding of medication safety principles and practices, with proven experience leading initiatives across the full continuum of care, including inpatient, outpatient, and ambulatory settings.
• Proficiency in performance improvement methodologies such as PDSA cycles, LEAN techniques, and High Reliability Organization (HRO) principles is essential.

Nice To Haves

• Certification in medication safety, quality, or risk management (e.g., CPPS, CPHQ) and/or completion of a fellowship in patient safety or pharmacy practice is highly desirable.
• Experience in an academic medical center is preferred.
• Familiarity with medical and pharmacy education, including engagement with residents and trainees, is strongly preferred.

Responsibilities

• Leads the development and oversight of a comprehensive medication safety improvement program, including the proactive analysis and trending of pharmacy-related data to support hospital-wide safety initiatives.
• Providing leadership and/or participating in medication safety committees and be responsible for communicating vertically and horizontally to all constituents.
• Provides strategic direction to ensure that pharmacy clinical services are delivered in full compliance with medication standards established by federal and state regulatory agencies, as well as Joint Commission accreditation requirements.
• Leads the development of pharmacy-focused safety and compliance scorecards and dashboard indicators, in collaboration with medical, nursing, and hospital leadership, to monitor and track adherence to established medication safety goals and performance benchmarks.
• Establishes and implements a structured pharmacy-focused executive rounding process that supports medication safety and compliance through operational excellence.
• Leads the implementation of proactive and reactive medication safety and compliance initiatives, including active participation in root cause analyses (RCA).
• Hire, train, supervise, evaluate, and if necessary discipline/ terminate, personnel reporting to the position.
• Developing, reviewing and implementing written policies and procedures.
• Proactively communicating with and educating leadership and staff regarding medication safety and compliance initiatives and activities.
• Establish and maintain a patient/customer service-oriented philosophy for Medication Safety and compliance and their dealings with all patients/customers.

Benefits

• An assortment of insurance products and discount programs through Voluntary Benefits.
• Check out our comprehensive benefits available to you when you join our outstanding team!

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees