PHARMACY QUALITY AND COMPLIANCE SPECIALIST

Billings Clinic; Billings, Northern (MT, KY); Hybrid; USD 52,000 - 65,000; Full time

Job summary

Billings Clinic in Billings, Montana, is seeking a Pharmacy Quality and Compliance Specialist to lead quality and process improvement initiatives in pharmacy operations, ensuring safety and regulatory readiness across the medication-use system. You'll collaborate with leadership, manage end-to-end projects, maintain ISO9001/documents, and monitor compliance with CMS, DNV, and other accrediting bodies.

This full-time day-shift role offers growth, a supportive team, and the chance to contribute to

Qualifications

• Minimum 2 Year / Associate Degree in related field
• Preferred 4 Year / Bachelor’s degree
• Three (3) years of experience preferably in a hospital, pharmacy, quality, regulatory, accreditation, or patient safety setting.
• Demonstrated experience coordinating projects, process improvement initiatives, or regulatory readiness activities.
• Experience with auditing, compliance monitoring, data collection, documentation management, and corrective action follow-up.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.

Responsibilities

• Manage multiple end-to-end projects through the full life cycle and provide regular updates to key stakeholders.
• Oversee compliance database systems, provide guidance on quality and process improvement initiatives, and assist with priorities and timelines.
• Serve as a team facilitator and driver of change for assigned projects.
• Develop, implement and maintain tracer program to ensure medication process expectations are met and coordinate inspections.
• Collaborate with pharmacy leadership to align goals with the department's strategic plan.
• Maintain document control for the department in accordance with ISO9001 standards.

Skills

Project management

Quality improvement

Regulatory compliance

Data analysis

Documentation

Auditing

Education

Associate Degree

Bachelor’s degree

Job description

PHARMACY QUALITY AND COMPLIANCE SPECIALIST

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as aMagnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

PHARMACY QUALITY AND COMPLIANCE SPECIALIST (PHARMACY (BILLINGS CLINIC HOSPITAL))

req12870

Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)

Starting Wage DOE:$25.12 - 31.40

The Pharmacy Quality and Compliance Specialist collaborates, implements, and monitors quality and process improvement (PI) initiatives to ensure compliance, quality, and safety in pharmacy and medication-use areas with oversight by pharmacy. Additionally, they are responsible for continuous regulatory or accreditation readiness by ensuring pharmacy processes and staff are in compliance with all necessary standards. In collaboration with leadership, this position manages multiple end-to-end projects through the entire life cycle and provides regular updates to key stakeholders. Finally, the position collaborates, documents, and maintains the appropriate education and training required for any quality/process improvement initiative(s) and any regulatory or accreditation standards.

Essential Job Functions

• In collaboration with leadership, manage multiple end-to-end projects through the entire life cycle (definition, initiation, planning, execution, and closure) and provide regular updates to key stakeholders. Establish timeframes for meeting goals and conduct analysis if goals are not within designated timeframe.
• Manages/assists with any compliance database system, including training, updates, security management, report generation, etc. Provide guidance to staff and leadership on quality and process improvement initiatives and assist with setting priorities and timelines for the projects.
• Performs as a team facilitator and driver of change for projects as assigned.
• Develops, implements and maintains tracer program to ensure medication process expectations are being met throughout organization (ie. Med storage audit) Perform regular and one-time audits and communicate findings and areas of non-compliance to leadership. Coordinates efforts for self and on-site inspections.
• Collaborates with pharmacy leadership to help organize and project manage goals related to strategic plan of department
• Oversee the revision, development, and retirement of organizational and departmental pharmacy policies, protocols and standing orders
• Maintain document control for department in accordance with ISO9001 standards including organizing all regulatory documentation
• Identification, tracking, and trending of QI/PI measures and maintain in a control phase. Prepare reports, dashboards, or presentations for leadership and oversight bodies based on time-specific requirements.
• Ensure continual readiness and compliance with accreditation and regulatory standards related to pharmacy services and the medication-use process. In collaboration with pharmacy leadership, responsible for the development and implementation of the strategic plan for medication-use regulatory and accreditation oversight.
• Provide standard interpretation and compliance monitoring for department for DNV/ISO 9001, CMS and other regulatory and accrediting bodies that the pharmacy department must comply with. Assists in DNV, CMS, BOP, and other survey preparation, identifying activities and personnel accountable for preparation activities.
• Monitors updates to regulatory and accreditation standards and performs gap analysis to determine how to bring department into compliance. Serves as the accreditation and regulatory liaison and central point-of-contact. Manages required accreditation and regulatory activities (e.g., application(s), internal scoring of standards, reporting, gap analysis, scheduling inspections).
• Reviews all publications from regulatory bodies and accrediting organizations and communicates changes required to maintain compliance.
• Work with content experts to document, and maintain the appropriate education and competency required for any quality/process improvement initiative(s) and any regulatory or accreditation standards.

Minimum Qualifications

Education

• Minimum 2 Year / Associate Degree in related field
• Preferred 4 Year / Bachelors Degree Bachelor’s degree

Experience

• Three (3) years of experience preferably in a hospital, pharmacy, quality, regulatory, accreditation, or patient safety setting.
• Demonstrated experience coordinating projects, process improvement initiatives, or regulatory readiness activities.
• Experience with auditing, compliance monitoring, data collection, documentation management, and corrective action follow-up.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.

Certifications and Licenses

• Current valid Driver License At hire. Ability to be insured to operate organization vehicles.

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed tobeing an inclusive and welcoming employer, that strives to be kind, safe, andcourageous in all we do. As an equal opportunity employer, our policies andprocesses are designed to achieve fair and equitable treatment of all employeesand job applicants. All employees and job applicants will be provided the sametreatment in all aspects of the employment relationship, regardless of race,color, religion, sex, gender identity, sexual orientation, pregnancy, maritalstatus, national origin, age, genetic information, military status, and/ordisability. To ensure we provide an accessible candidate experience forprospective employees, please let us know if you need any accommodations duringthe recruitment process.

Human Resources is located on the corner of North 29th and8th Avenue North. Enter through the main entrance to the building and go to the lower level. Human Resources is located at the bottom of the main entrance staircase to the right.