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REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES

The Director of Medication Safety, Quality, and Regulatory Compliance will supervise system-wide initiatives for medication safety, regulatory compliance, and quality improvement. The position will oversee subordinate managers, lead committees, and collaborate with leaders across the organization to achieve system-wide safety and performance objectives. Direct Reports: Managers and staff responsible for medication safety, patient safety, quality improvement efforts, and regulatory compliance.

POSITION SUMMARY

The Director of Medication Safety, Quality, and Regulatory Compliance leads the development and execution of system-wide strategies to enhance medication and patient safety, ensure regulatory compliance, improve quality of care, and optimize performance. This position requires collaboration with clinical and administrative leaders to promote a culture of safety, standardize workflows, and proactively address risks across the healthcare system.

ACCOUNTABILITIES

*All duties listed below are essential unless noted otherwise*

Core Accountabilities

1. Development and Management of Department or Program Across the Pharmacy Enterprise

• Leads and standardizes system-wide medication safety, quality, and regulatory compliance initiatives.

• Chairs the Medication Safety Committee to align safety strategies with enterprise goals.

2. Financial Management and Budgetary Oversight

• Manages the budget, allocates resources for improvement initiatives, and identifies cost-saving opportunities.

3. Management Responsibilities as a Senior Leader

• Provide mentorship to subordinate managers and ensure staff competency in medication safety practices.

• Participates in system-wide strategic planning and decision-making.

4. Job-Specific Accountabilities

• Leads root cause analyses (RCA), failure mode effects analyses (FMEA), and other performance improvement initiatives.

• Ensures compliance with regulatory and accreditation requirements, including Joint Commission, CMS, and ISMP guidelines.

• Collaborates with IT and clinical departments to enhance technology use and implement safety tools.

5. Execution of Department and Organizational Strategies, Goals, and Business Objectives

Implements strategic initiatives aligned with system priorities.

Develops and executes a multi-year plan to mitigate risks and improve safety outcomes.

6. Performs other duties as assigned.

Key Job Responsibilities

• Medication Safety Program Leadership: This position leads system-wide initiatives to improve medication safety, including chairing the Medication Safety Committee, coordinating RCAs, and implementing strategies to reduce adverse drug events (ADEs).

• Regulatory Compliance: Ensures adherence to federal, state, and local regulations (e.g., FDA, DEA, CMS) and accreditation standards (e.g., Joint Commission). Leads internal audits and oversees preparations for external audits and inspections.

• Policy and Procedure Standardization: Develops and implements standardized pharmacy policies and procedures across the system to ensure consistent and safe medication practices.

• Data Analysis and Reporting: Monitors and analyzes key performance indicators (KPIs) and safety metrics. Prepares reports and dashboards to support data-driven improvements.

Quality Improvement Initiatives: Coordinates performance improvement projects using methodologies such as Lean, Six Sigma, and human factors engineering to enhance safety and operational efficiency.

• Collaboration and Communication: Acts as a liaison across pharmacy, nursing, providers, and other stakeholders to foster collaboration and promote a culture of safety and transparency.

• Education and Competency Development: Designs and delivers system-wide training programs to enhance staff proficiency in medication safety and regulatory compliance.

• Technology Optimization: Partners with IT and informatics teams to optimize clinical systems and electronic health records (EHR) to reduce medication errors.

• Change Management: Leads system-wide change management initiatives to support the implementation of new safety protocols and regulatory processes.

REQUIRED QUALIFICATIONS

Education: Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy (BSPharm) degree from an accredited school of pharmacy.

Skills: Extensive knowledge of pharmacy operations, safety best practices, and regulatory requirements. Expertise in RCA, FMEA, and performance improvement planning. Strong leadership and communication skills. Advanced analytical skills for data interpretation and reporting. Experience with clinical information systems and automation tools.

Years of Experience: 5 years

License: Current licensure and registration as a pharmacist in Ohio and Michigan.

Certification: N/A

PREFERRED QUALIFICATIONS

Education: Postgraduate residency or fellowship training in pharmacy practice, medication safety, or healthcare administration.

Skills: Familiarity with human factors engineering and safety science. Experience with Lean or Six Sigma methodologies.

Years of Experience: 10 years

License: N/A

Certification: Board certification preferred.

WORKING CONDITIONS

Personal Protective Equipment: As needed in clinical environments.

Physical Demands: Prolonged periods of sitting, computer use, and attending meetings; occasional walking and standing during site visits.

Travel: Regular travel to various locations across the healthcare system for training, inspections, and meetings.

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [email protected]

Equal Opportunity Employer/Drug-Free Workplace

**Requisition ID:** 95315