Job Description

Pharmacy Compliance Coordinator

Marshall Health Network

Help strengthen medication safety, regulatory compliance, and operational excellence across one of the region's leading integrated healthcare systems.

Marshall Health Network is seeking a Pharmacy Compliance Coordinator to serve as a system-wide resource supporting pharmacy regulatory compliance, controlled substance oversight, diversion prevention, accreditation readiness, and operational compliance across multiple pharmacy locations. This role offers the opportunity to work collaboratively with pharmacy leadership, nursing, providers, and interdisciplinary teams to promote standardized practices, improve patient safety, and ensure ongoing regulatory readiness throughout the health system.

If you're an experienced hospital pharmacy technician with a passion for compliance, quality improvement, and patient safety, we'd love to hear from you.

As the Pharmacy Compliance Coordinator, you will:

• Coordinate pharmacy compliance initiatives across Marshall Health Network to ensure compliance with federal and state regulations, accreditation standards, and organizational policies.
• Serve as a system resource for controlled substance oversight and diversion prevention.
• Monitor automated dispensing cabinet (ADC) controlled substance discrepancies and facilitate timely resolution.
• Analyze controlled substance utilization data to identify trends, unusual activity, and potential diversion concerns.
• Conduct compliance audits of pharmacy operations, medication storage, documentation, and controlled substance processes.
• Support diversion investigations in collaboration with pharmacy leadership, nursing, Human Resources, Security, Compliance, and other stakeholders.
• Assist with regulatory inspections, accreditation surveys, mock surveys, and continuous readiness activities.
• Monitor compliance with DEA requirements, Board of Pharmacy regulations, and USP Chapters <795>, <797>, and <800>.
• Develop and maintain compliance dashboards, audit tools, reports, and key performance indicators.
• Track corrective action plans and monitor progress toward resolution.
• Support compliance activities for Alternative Distribution Models (ADMs) and decentralized pharmacy operations.
• Collaborate with operational leaders to standardize workflows and implement process improvements.
• Provide education and training on pharmacy regulatory requirements, controlled substance accountability, documentation standards, and compliance best practices.
• Participate in quality improvement initiatives, pharmacy committees, and organizational projects that enhance regulatory compliance and patient safety.

Qualifications

Required Qualifications

• High school diploma or equivalent
• Active, unrestricted West Virginia Pharmacy Technician registration (or eligibility to obtain)
• Minimum of three (3) years of hospital pharmacy experience

Preferred Qualifications

• Pharmacy Technician National Certification (CPhT)
• Associate degree or technical school education
• Experience working within a multi-hospital or integrated health system
• Experience with pharmacy regulatory compliance, controlled substance diversion prevention, accreditation readiness, auditing, or quality improvement initiatives
• Strong analytical, organizational, communication, and problem-solving skills
• Experience utilizing automated dispensing cabinet (ADC) systems, electronic medical records, and reporting tools