Market VP, Professional Practice and Pharmacy Compliance jobs in United States
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Humana · 1 week ago

Market VP, Professional Practice and Pharmacy Compliance

Humana is a leading healthcare company focused on whole-person health. The Market Vice President of Pharmacy Professional Practice will oversee pharmacy practice compliance across CenterWell Pharmacy, ensuring adherence to regulations while collaborating with various stakeholders to enhance business initiatives.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Ensures pharmacy practice compliance with all federal, state, local, and Board of Pharmacy regulations
Provides guidance and strategy on responses to regulatory agency inquiries (Boards of Pharmacy)
Ensures all pharmacies are appropriately licensed and registered with Boards of Pharmacy, DEA, and other applicable regulatory agencies
Ensures all pharmacy associates are appropriately licensed and registered in their respective jurisdictions to perform required tasks of the pharmacy. Oversees pharmacy policy and ensures all policies and procedures are appropriate and reviewed regularly
Oversees team that is responsible for Prescription Drug Monitoring Reporting and related compliance
Oversees pharmacy accreditation (ACHC, NABP, URAC) ensuring that required accreditations are obtained and maintained
Oversees team responsible for pharmacy associate professional development (ex. obtaining pharmacy technician licenses, providing continuing education, etc.)
Oversees team responsible for pharmacy management system user access
Establishes guidelines to comply with the policies and procedures, applicable statutes, and regulations and implement corrective action plans, when needed
Sets and ensures consistent application of additional internal standards to help a company stand out in the industry
Verifies legality and compliance of pharmacy practice related items
Responsible for oversight of training and education programs and conducts audits to monitor compliance
Influences and collaborates with operational peers related to intradepartmental coordination, development and implementation of strategic plans, and business outcomes, weighing risk and compliance with business operations
Develops and implements strategic plans for the scope of management that are aligned with the Segment or Business strategy
Functions as a key leader on the Pharmacy Leadership team, with the ability to be a strategic thought-partner and to synthesize and communicate complex ideas
Providing strategic leadership to a high-performing team of Pharmacy professionals; grow the team by recruiting, hiring, developing, and retaining high-caliber talent

Qualification

Pharmacy practice complianceRegulatory compliance knowledgePharmacy management experiencePharmacist licenseHIPAAMedicare Part BDLeadership experienceCommunication skillsTeam collaborationStrategic thinking

Required

Bachelor's degree in Pharmacy or PharmD
Min 5 years' experience leading pharmacy practice/compliance for a large pharmacy
Active pharmacist license for the state of employment
Extensive experience in Pharmacy, particularly home delivery pharmacy or managed care environment
5 or more years of management/people leadership experience
Deep knowledge of pharmacy practice regulatory compliance requirements (BOP, DEA, FDA, etc.)
Working knowledge of privacy and HIPAA regulations and USP guidance
Experience in providing guidance for clinical operational aspects of pharmacy
Ability to manage clinical decision-making aspects within the pharmacy
Ability to participate in federal prescription programs
Working knowledge of Medicare Part B and Part D Coverage Determinations (chapters 6 and 18)
Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred

Master's degree

Benefits

Medical
Dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

Company

Humana is a health insurance provider for individuals, families, and businesses.

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase