Vice President

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

The Vice President, Compliance will lead AnewHealth’s compliance, privacy and risk functions, creating a strong culture of compliance focused on development and implementation of enterprise-wide compliance, privacy, and risk processes across all lines of business.

The Vice President, Compliance is responsible for managing AnewHealth’s company-wide compliance efforts to create a consistent, scalable compliance and risk mitigation program. This individual will drive a centralized program across all service lines and functions of compliance and risk including policies, procedures, training; audit and investigations; pharmacy licensure and regulatory compliance; transactional compliance support and analysis; and execution of risk-based controls that support pharmacy operations.

Responsibilities

• Maintain and optimize AnewHealth’s Compliance program, to ensure compliant business practices through pragmatic, effective guidance.

• Identify compliance risks and implement monitoring and risk mitigation processes for same.

• With the assistance of the company’s Legal or HR Departments as warranted, investigate, or manage the investigation of, compliance incidents reported through the company’s Compliance hotline or otherwise.

• Manage the Compliance team, providing leadership and career development opportunities as appropriate.

• Assess Medicaid/Medicare regulations and guidelines and provide related guidance to business teams.

• Communicate and render actionable advice to business teams in response to legislative and regulatory changes affecting the company’s lines of business.

• Manage and maintain all required Board of Pharmacy, DEA, and other licensure or certification for all AnewHealth pharmacies.

• Serve as the primary point of contact between AnewHealth and Boards of pharmacy and other regulatory agencies with oversight of AnewHealth’s pharmacy operations and as the individual responsible for effective and professional responses to regulatory inquiries.

• Oversee Compliance training program to ensure that all employees receive mandatory and other compliance-related knowledge.

• Manage and maintain compliance policies and procedures.

• Identify potential areas of compliance vulnerability or risk; develop/implement corrective action plans for mitigation of risk factors; and provide practical guidance on same.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Skills & Abilities

• Excellent communication skills and attention to detail.

• Knowledge of healthcare contracts, applications, and registrations

• Facility with pharmacy licensing best practices.

• Ability to authoritatively interpret and implement Medicare, Medicaid, and PBM requirements.

• Executive presence and ability to work pragmatically and constructively with leadership across multiple business lines.

• Strong supervisory and leadership skills.

• Extensive knowledge of the principles, procedures, and best practices in the pharmacy industry.

• Strong analytical and problem-solving skills.

Education

• Bachelor’s degree in required.

Qualifications

• 10+ years of previous compliance, legal, or audit experience required, preferably in pharmacy industry.

• Minimum of 3-5 years of supervisory/management experience, preferably in pharmacy industry.

• Demonstrated history of effective, professional relationships with regulatory bodies preferred.

Physical & Mental Demands

This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. May be necessary to work extended hours as needed.

Expected Hours of Work

Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. 

Travel

Remote - Travel may be required up to 20%

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.