Quality & Audit Leader, Specialty Pharmacy

Lumicera Health Services; United States; On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health, Dental, and Vision insurance

PTO 20 days

Parental leave 4 weeks

Holidays 9

401K match 5%

Adoption assistance

FSA

Education & Membership support

Job summary

Lumicera Health Services in the United States seeks a Manager, Quality to lead the specialty pharmacy’s Internal Quality & Audit Program, overseeing telephonic quality monitoring and audits to ensure standards and accreditation readiness.

You will translate audit findings into coaching, develop dashboards, and drive CAPAs while traveling 25–50% to pharmacy sites and conferences to support scalable growth and patient safety.

Qualifications

• Bachelor’s degree in healthcare administration, pharmacy, nursing, quality management, or a related field, or equivalent work experience, required.
• Lean, Six Sigma, or quality improvement certification preferred.
• 5+ years of progressive experience in healthcare quality, auditing, compliance, or specialty pharmacy operations required.
• 3+ years of experience in coaching, mentoring, and/or leading others required.
• Demonstrated experience developing or managing quality audit programs required.
• Experience with specialty pharmacy accreditation standards (e.g., URAC, ACHC, or similar) required.
• Experience with call center quality monitoring platforms and audit tools preferred.

Responsibilities

• Lead and mature the organization’s Internal Quality & Audit Program, including telephonic quality monitoring and operational process audits.
• Establish audit governance, methodologies, sampling strategies, scoring frameworks, and reporting standards across all audit activities.
• Ensure audit activities align with regulatory requirements, accreditation standards, and organizational risk priorities.
• Promote a culture of quality, accountability, and continuous improvement prioritizing patient safety.
• Oversee call quality auditing, including supervision of the Pharmacy Quality Supervisor and audit team.
• Ensure consistent scoring, calibration, and inter-rater reliability across call evaluations.
• Monitor for and address communication breakdowns that could lead to medication errors or patient harm.
• Translate audit findings into coaching strategies, training initiatives, and performance improvement plans.
• Develop dashboards and reports translating audit data into actionable insights for leadership.
• Lead root cause analysis and implement corrective and preventive actions (CAPAs).
• Travel up to 25-50% to pharmacy sites and conferences.

Skills

Quality management

Auditing

Regulatory compliance

Coaching & mentoring

Education

Bachelor's degree in healthcare administration, pharmacy, nursing, quality management, or related field

Job description

Lumicera Health Services in the United States seeks a Manager, Quality to lead the specialty pharmacy’s Internal Quality & Audit Program, overseeing telephonic quality monitoring and audits to ensure standards and accreditation readiness.

You will translate audit findings into coaching, develop dashboards, and drive CAPAs while traveling 25–50% to pharmacy sites and conferences to support scalable growth and patient safety.