Senior Manager Quality and Accreditation

Vital Care Infusion Services•Nashville, TN

19h•Hybrid

About The Position

Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.

Requirements

Demonstrated knowledge of quality management principles, accreditation standards, regulatory compliance requirements, and continuous performance improvement methodologies in healthcare or pharmacy operations.
Strong leadership, project management, and change management skills with the ability to drive initiatives across multiple departments and stakeholders.
Excellent analytical, problem-solving, and decision-making skills, including the ability to assess risk, interpret regulations, and develop practical operational solutions.
Excellent written, verbal, and presentation skills with the ability to communicate effectively with executive leadership, regulatory bodies, franchise stakeholders, and operational teams.
Ability to develop, analyze, and present quality metrics, dashboards, audit findings, and performance improvement recommendations.
High level of proficiency with Microsoft Office applications and the ability to learn and utilize quality, compliance, and operational tracking systems.
Ability to work independently while fostering an accountable, collaborative culture and mentoring others in support of organizational quality and accreditation goals.
Bachelor’s degree in healthcare administration, pharmacy, nursing, public health, business, or a related field required; Master’s degree preferred.
Minimum of 5–7 years of progressive experience in healthcare or pharmacy operations, quality management, accreditation, regulatory compliance, or performance improvement, including leadership responsibility.
Experience leading accreditation readiness, audits, corrective action planning, policy development, and cross-functional quality initiatives strongly preferred.

Nice To Haves

Experience in home infusion pharmacy, sterile compounding, and applicable pharmacy or healthcare accreditation environments; relevant professional credentials or certifications are a plus.

Responsibilities

Provide senior-level leadership for quality, accreditation, and regulatory readiness initiatives across pharmacy operations and franchise onboarding.
Establish and maintain expert knowledge of pharmacy-related federal, state, and local regulations, accreditation standards, and operational best practices applicable to the organization and franchise locations.
Lead accreditation and survey readiness activities, including mock surveys, tracer activities, documentation reviews, evidence collection, and preparation for external inspections or audits.
Conduct gap analyses, risk assessments, and internal audits to identify compliance vulnerabilities, operational deficiencies, and opportunities for performance improvement.
Develop, implement, and monitor corrective action plans to address survey findings, audit results, and quality issues, ensuring timely and sustainable resolution.
Oversee the development, maintenance, and governance of regulatory, quality, and accreditation policies, procedures, reference databases, and educational resources.
Collaborate with department leaders, franchise stakeholders, and cross-functional teams to align workflows, documentation, and operational processes with quality and accreditation requirements.
Research, interpret, document, and communicate new or revised regulatory and accreditation requirements, including organizational impact, implementation timelines, and needed process changes.
Develop and maintain quality metrics, dashboards, and reports to monitor readiness, compliance, and operational performance, and present findings and recommendations to leadership.
Provide consultation and support to franchise locations through email, phone, and virtual platforms regarding accreditation expectations, regulatory requirements, inspections, and remediation plans.
Lead and support the creation and delivery of training, competency resources, and educational content related to quality standards, accreditation requirements, and regulatory compliance.
Support operational task management systems and quality-related requests, ensuring appropriate prioritization, follow-up, and communication across teams.
Promote a culture of accountability, continuous improvement, and quality excellence by mentoring team members and serving as a subject matter expert for accreditation, compliance, and policy updates.