Senior Director of Governance Risk and Compliance- Fuze Health Svcs

Fuze Health

3d•Remote

About The Position

The Senior Director of Risk & Pharmacy Compliance will oversee the pharmacy compliance function. You’ll work alongside collaborative partners within the organization and in the field to help support our mission. In this role, you will direct and provide regulatory guidance to the corporate enterprise to ensure compliant practices, and procedures, conduct investigations, oversee monitoring activities and ensure timely response complaints, concerns and regulatory inquiries. Your ability to direct technical and regulatory guidance while assisting in the identification, implementation and maintenance of Fuze Health’s pharmacy compliance, policies/procedures, consent/authorization forms and information notices/materials to ensure compliance with federal and state laws is required. You will manage a team of compliance professionals and be responsible for raising the visibility of pharmacy compliance with the org and for the career development of the team.

Requirements

8+ years in healthcare industry in a role focused on providing guidance on privacy and compliance related activities
Deep knowledge of healthcare regulations and compliance, including HIPAA/HITECH and other data privacy laws and regulations
experience with state pharmacy regulations, state pharmacy boards, general pharmacy compliance and pharmacy accreditations
Prior experience as a privacy and compliance officer for regulated healthcare company, preferably pharmacy compliance.
Experience managing a compliance-focused function (quality, pharmacy compliance, clinical trials or other healthcare compliance)

Nice To Haves

Ability to be self-motivated and manage priorities effectively to deliver timely and quality work
Familiarity with utilizing regulatory intelligence tools and services.
CIPP certification

Responsibilities

Design, implement, and maintain an enterprise-wide pharmacy compliance program.
Identify areas of significant pharmacy compliance risk, such as, drug diversion, and sound compliance procedures
Oversee compliance with HIPAA and other applicable regulations
Management of existing pharmacy compliance team with responsibility for pharmacy compliance oversight spanning 50 states
Oversee pharmacy licensing activities across all 50 states
Work with clinical, operations, and product teams to ensure compliance with applicable healthcare laws and regulations
Oversee Certification and Accreditation requirements
Lead compliance monitoring to identify process gaps, validates compliance levels, drafts corrective actions/remediation plans, oversees implementation of corrective actions, prepares reports/presentations
Collaborate with cross-functionally to ensure regulatory and contractual requirements are met
Work closely with business partners, from front-line to senior leaders, to provide a compliance strategy and support business accountability for that strategy
Guide continuing compliance program development and improvements
Support enterprise expanded use of AI and advise on privacy and data security implications

Benefits

dental
vision
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