Job Summary:The Senior Manager of Quality and Accreditation provides strategic leadership for quality, accreditation, and regulatory readiness across Pharmacy Operations and franchise onboarding. Reporting to the COO, this role drives survey readiness, compliance, performance improvement, and operational excellence by leading accreditation efforts, risk assessments, corrective action planning, policy oversight, staff education, and quality reporting. The position partners across departments to align workflows, documentation, and accountability with regulatory standards and organizational goals.
Duties/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.
Required Skills/Abilities:- 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.
Education and Experience:- 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.
- Preferred: Experience in home infusion pharmacy, sterile compounding, and applicable pharmacy or healthcare accreditation environments; relevant professional credentials or certifications are a plus.
Work Environment/Physical Requirements:- This role is performed primarily in an office or remote work environment and requires regular use of a computer, phone, and virtual communication platforms.
- The position requires the ability to remain stationary for extended periods; occasionally move about the office; and frequently communicate with internal teams, franchise stakeholders, and external partners.
- Must be able to review documents, analyze data, and prepare reports with close attention to detail.
Occasional travel may be required to support franchise locations, audits, inspections, training, or other business needs.
Additional Information:This job description is intended to describe the general nature and level of work performed by the individual assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Responsibilities may change at any time based on business needs.
This position is full-time. The salary range for this position is $74,481 - $93,101
