Compliance Manager

We are seeking an experienced Compliance Manager who is a currently licensed Pharmacist in the State of Illinois to join our team at our Headquarters in Schaumburg, Illinois . This is a specialized role and candidates must meet ALL of the following minimum qualifications: Active Illinois Pharmacist (RPh) license is required. Previous Compliance Manager experience is required. Demonstrated experience managing and overseeing pharmacy compliance, regulatory requirements, policies, procedures, and audits is strongly preferred. This is an on-site position at our Schaumburg, IL headquarters . Candidates who do not hold an active Illinois Pharmacist license and/or do not have previous Compliance Manager experience will not be considered for this position. We are looking for a knowledgeable and experienced pharmacy professional who can take ownership of our compliance program, ensure adherence to applicable regulations, identify and mitigate compliance risks, and partner with leadership and operational teams to maintain the highest standards of regulatory compliance. The Compliance Manager and Quality Management/Performance Improvement Coordinator is responsible for designing, implementing, and maintaining Carepoint Pharmacy's regulatory compliance and accreditation readiness programs, and for coordinating the Quality Assurance/Performance Improvement (QA/PI) program across pharmacy operations. This role monitors and interprets applicable federal and state pharmacy laws and regulations, supports multi-state licensure and operational compliance, maintains a constant state of survey readiness, and ensures that policies, procedures, training, and performance monitoring meet current accreditation and industry standards applicable to Carepoint's services. Essential Duties and Responsibilities Serve as the primary point of coordination for regulatory compliance management, including monitoring, interpreting, and communicating applicable federal requirements and state pharmacy laws/regulations affecting Carepoint operations (dispensing, shipping, billing practices within scope, privacy/security, and compounding where applicable). Oversee controlled-substance compliance activities, including PDMP reporting verification, periodic review of expired/expiring products (including controlled substances), and coordination of reverse-distributor returns with required DEA documentation. Lead accreditation readiness activities for Carepoint's applicable programs (e.g., URAC Mail Service Pharmacy, URAC Specialty Pharmacy, ACHC DMEPOS, ACHC MORX, NABP Digital Pharmacy, and NABP VPP inspection readiness), including standards tracking, gap assessments, corrective action plans, evidence collection, and survey preparation. Coordinate the QA/PI program structure and documentation, including data collection and analysis, performance metric reporting, trending, and follow-up on identified opportunities for improvement. Coordinate and support the Quality Management/Performance Improvement (QA/PI) Committee, including agenda development, meeting scheduling, minutes, action item tracking, and evidence retention. Serve as the designated PI Coordinator; support development, implementation, and maintenance of the PI Plan; coordinate PI data collection, analysis, and trending; track PI goals and client/patient outcomes; and report PI activities, results, corrective actions, and effectiveness monitoring to leadership and the QA/PI Committee. Oversee the Organization's complaint, grievance, and patient-reported case monitoring process (including product issues, delivery concerns, and medication-safety events) from a quality and compliance perspective, including tracking/trending, root cause analysis where indicated, and escalating systemic issues through QA/PI and leadership channels. Develop, maintain, and control the policy and procedure lifecycle (creation, review cadence, approval routing, version control, distribution, and archival) in alignment with document control expectations and operational needs. Develop and deliver compliance and quality training content; coordinate initial orientation and ongoing training refreshers; and maintain auditable records of training completion and competency validation as required. Conduct recurring federal exclusion screening (e.g., monthly OIG checks) and maintain documentation of screening results and any required follow-up. Support personnel credential and licensure verification processes for staff and other applicable credentialed roles and coordinate remediation for expirations or compliance gaps in collaboration with People & Culture (HR) and leadership. Manage multi-state pharmacy licensure and regulatory submissions, including license tracking and renewals, Board of Pharmacy filings (address, ownership, PIC/managing pharmacist, and controlled-substance updates), and payer/regulatory enrollments and demographic updates (e.g., Medicaid, NCPDP). Partner with operational leaders to conduct periodic internal audits/self-assessments, assess risk, and implement preventive controls (including CAPA development, implementation, effectiveness checks, and sustained monitoring). Serve as the primary coordinator for pharmacy benefit manager (PBM) and third-party payer audits, including receiving and logging audit notices, coordinating timely responses and documentation submissions, tracking audit status and outcomes through resolution, supporting appeals where indicated, and implementing corrective actions to address recurring audit findings. Maintain readiness documentation, including program plans, logs, committee records, audit tools, and supporting evidence required for onsite or virtual surveys and regulatory inspections. Qualifications (Minimum) Bachelor of Science in Pharmacy (BS Pharm) or Doctor of Pharmacy (PharmD) from an accredited college/school of pharmacy. Active, unrestricted Illinois pharmacist license in good standing (additional licenses are a plus but not required unless assigned). 3+ years of progressive experience in pharmacy compliance, quality management, accreditation preparation, or regulatory affairs (mail service, specialty, or similar complex pharmacy operations preferred). Demonstrated working knowledge of pharmacy regulatory requirements and the practical implementation of accreditation standards in policy, training, and operational workflows. Proficiency with pharmacy systems and documentation workflows (e.g., pharmacy management systems, document control, and common data/reporting tools). Strong technical writing skills and the ability to produce concise, audit-ready policies, logs, and commit-tee documentation. Ability to analyze data, identify trends, perform root cause analysis, and develop actionable CAPAs. #J-18808-Ljbffr Carepoint Pharmacy