Regulatory Compliance Officer for Retail Pharmacy

Job Description

Job Description

The Compliance Officer holds accountability across twelve core functional domains:
1 Regulatory Compliance Monitor and implement federal and state pharmacy regulations including DEA,
State Board, HIPAA, Medicare/Medicaid, OIG, and FWA guidelines.

2 Controlled Substance
Compliance

Maintain CII–CV logs, expired controlled substance documentation, and PMP
(Prescription Monitoring Program) checks.

3 HIPAA Privacy Officer Oversee PHI privacy protocols, staff training, breach prevention, and incident

response procedures.

4 Internal Audits Audit overrides, billing records, diagnostic codes, and documentation for

accuracy and regulatory adherence.

5 Policy SOP
Development

Create and continuously update pharmacy Standard Operating Procedures and
policies in accordance with legal requirements.

6 Claims Billing Review Investigate claim discrepancies, prepare audit responses, and ensure billing

integrity.

7 MTM Oversight Ensure full documentation of Medication Therapy Management sessions and

patient interaction compliance.

8 Inventory Oversight Monitor medication inventory records and billing reconciliation, including

Prime Rx system management.

9 Recall Returns
Management

Handle recall medication documentation, employee guidance, and controlled
return procedures.

10 Training Staff
Education

Develop and deliver compliance training programs to all pharmacy staff on
regulatory requirements.

11 Compliance Reporting Prepare periodic compliance reports and exception summaries for direct review

by Pharmacy Management and owners.

12 Inter-department
Coordination

Collaborate with Pharmacy, HR, Billing, IT, and Inventory teams on
compliance initiatives and projects.

  Bachelor's Degree is required in    Pharmacy or Drug Regulatory Affairs or Pharmaceutical Science  

Retail Pharmacy

Company Description

Retail Pharmacy