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Job Description
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The Regulatory & Accreditation Pharmacist is responsible for supporting organizational compliance with federal, state, and local regulatory requirements, accreditation standards, and pharmacy practice guidelines across the healthcare system. This position serves as a key resource for medication-use compliance, accreditation readiness, policy management, audit coordination, and performance improvement initiatives related to pharmacy operations. The Regulatory & Accreditation Pharmacist collaborates with pharmacy leadership, nursing, medical staff, quality, infection prevention, risk management, compliance, and operational departments to ensure adherence to standards established by organizations such as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), Florida Board of Pharmacy, Drug Enforcement Administration (DEA), United States Pharmacopeia (USP), and other applicable regulatory agencies. Essential Duties and Responsibilities Regulatory Compliance Monitors and interprets applicable federal, state, and local regulations impacting pharmacy operations and medication management. Ensures compliance with accreditation standards and regulatory requirements, including but not limited to The Joint Commission, CMS Conditions of Participation, DEA regulations, USP chapters, and state board requirements. Conducts routine compliance rounding, audits, tracer activities, and mock surveys throughout pharmacy and clinical areas. Assists in developing corrective action plans and monitoring compliance improvements. Maintains regulatory documentation, records, policies, and evidence of compliance. Supports controlled substance diversion prevention and monitoring initiatives. Participates in internal investigations related to medication-use compliance concerns. Accreditation & Survey Readiness Coordinates pharmacy readiness activities for accreditation and regulatory surveys. Serves as a pharmacy liaison during regulatory inspections and accreditation visits. Assists with preparation and response to survey findings, plans of correction, and follow-up activities. Supports organization-wide medication management compliance initiatives. Maintains ongoing knowledge of evolving accreditation standards and communicates operational impacts to leadership. Policy & Procedure Management Develops, reviews, revises, and standardizes pharmacy policies, procedures, and guidelines. Ensures policies align with current regulatory standards, evidence-based practices, and organizational expectations. Collaborates with multidisciplinary stakeholders on policy implementation and education. Quality & Performance Improvement Participates in medication safety, quality improvement, and patient safety initiatives. Tracks, trends, and analyzes compliance and quality metrics. Assists with root cause analyses, event reviews, and action plan development. Supports medication-use evaluations and process improvement activities. Education & Training Provides education and guidance to pharmacy staff and interdisciplinary teams regarding regulatory and accreditation requirements. Assists with onboarding and annual competency activities related to compliance standards. Develops educational materials and compliance communications. Collaboration & Leadership Collaborates with pharmacy leadership and operational teams to support regulatory initiatives and operational excellence. Participates in committees related to medication management, patient safety, accreditation, and compliance. Serves as a subject matter expert for pharmacy regulatory and accreditation standards. Supports strategic initiatives and special projects as assigned. Qualifications Education Doctor of Pharmacy (PharmD) degree from an accredited college or school of pharmacy required.
Licensure / Certification
Current unrestricted pharmacist license in the State of Florida required. Board certification (e.g., BCPS) preferred. ASHP residency training preferred. Experience Minimum of 3-5 years of hospital pharmacy experience required. Experience with regulatory compliance, accreditation, medication safety, quality improvement, or pharmacy operations preferred. Experience supporting Joint Commission, CMS, or other accreditation surveys strongly preferred. Knowledge, Skills, and Abilities Strong knowledge of hospital pharmacy regulations, accreditation standards, and medication management requirements. Knowledge of USP standards, DEA regulations, CMS Conditions of Participation, and state pharmacy laws. Ability to interpret and apply complex regulatory requirements. Strong organizational, analytical, and problem-solving skills. Excellent verbal and written communication skills. Ability to manage multiple priorities and deadlines. Ability to work collaboratively with interdisciplinary teams. Proficiency in Microsoft Office applications and pharmacy information systems. Strong attention to detail and commitment to operational excellence. #LI-PI1 The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation's top research universities and academic medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride. The University ranks No. 55 on U.S. News & World Report's 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings. Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
