VP, Risk and Pharmacy Compliance

Fuze Health

VP, Risk & Pharmacy Compliance at Fuze Health overseeing pharmacy compliance operations across all 50 states. Driving regulatory strategy and fostering a culture of compliance throughout the organization.

Posted 7/2/2026full-timeRemote • Alabama, Idaho, Iowa, Texas, Wisconsin • 🇺🇸 United StatesLead💰 $240,000 - $270,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in healthcare compliance and risk management, with a strong focus on regulatory requirements such as HIPAA, HITECH, and Medicare. Proven ability to lead compliance programs, mentor teams, and collaborate with executive leadership to ensure organizational integrity and accountability.

Highest-signal resume keywords

Healthcare ComplianceRegulatory AffairsRisk ManagementLeadership ExperienceCompliance Audits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy ComplianceRegulatory ReportingRisk Mitigation StrategiesCompliance MonitoringData SecurityOperational ComplianceAccreditation StandardsLicensing ManagementRegulatory AuditsCompliance Strategy Development

Soft Skills

Ethics PromotionAccountabilityCollaborationMentoringCommunication

Tools & Technologies

Regulatory Intelligence ToolsCompliance Management Systems

Certifications & Qualifications

CIPPCHCCHPC

Industry Keywords

HIPAAHITECHMedicare Part DMedicaidOIG GuidancePharmacy RegulationsHealthcare Regulatory RequirementsPharmacy Benefit ManagerSpecialty PharmacyHealth Plan

About the role

Key responsibilities & impact

Establish and lead an enterprise-wide pharmacy compliance and risk management program aligned with organizational objectives and regulatory requirements
Serve as the senior compliance advisor to executive leadership on pharmacy regulatory matters, compliance risks, and emerging regulatory trends
Develop and execute a long-term compliance strategy that supports business growth while maintaining regulatory excellence
Promote a culture of ethics, integrity, accountability, and compliance across the organization
Ensure compliance with applicable federal and state laws and regulations, including HIPAA, HITECH, Medicare Part D, Medicaid, state pharmacy regulations, and other healthcare regulatory requirements
Oversee pharmacy licensing, accreditation, certification, and regulatory reporting activities
Lead responses to regulatory audits, inspections, investigations, complaints, and inquiries from government agencies and pharmacy boards
Direct enterprise pharmacy compliance risk assessments and develop risk mitigation strategies
Identify and proactively address areas of regulatory risk, including drug diversion, fraud, waste and abuse, privacy, data security, and operational compliance
Oversee compliance monitoring, auditing, and reporting programs to assess effectiveness and identify opportunities for improvement
Partner with clinical, operations, product, technology, and legal teams to embed compliance requirements into business processes and product development
Advise leadership on regulatory implications associated with strategic initiatives, new products, partnerships, and expansion opportunities
Lead, mentor, and develop a high-performing compliance organization

Requirements

What you’ll need

Bachelor's degree required; advanced degree (JD, PharmD, MPH, MBA, or related field) preferred
12+ years of progressive experience in healthcare compliance, pharmacy compliance, regulatory affairs, or risk management within a highly regulated healthcare environment
Significant leadership experience overseeing enterprise compliance programs and managing teams
Deep expertise in healthcare regulatory requirements, including HIPAA/HITECH, Medicare, Medicaid, OIG guidance, pharmacy regulations, accreditation standards, and privacy laws
Experience serving as a senior compliance leader, Compliance Officer, Head of Compliance, VP of Compliance, or similar role within a pharmacy, PBM, health plan, specialty pharmacy, or healthcare organization
Demonstrated experience managing regulatory audits, investigations, licensing, accreditation, and enterprise risk management initiatives
Prior experience within a Pharmacy Benefit Manager (PBM), specialty pharmacy, health plan, or large pharmacy organization
Experience interacting directly with executive leadership, boards, regulators, and accrediting bodies preferred
Familiarity with regulatory intelligence tools and compliance management systems preferred
Experience advising organizations on compliance implications of digital health, AI, privacy, and data governance initiatives preferred
CIPP, CHC, CHPC, or similar compliance/privacy certification preferred

Benefits

Comp & perks

dental, vision, and multiple group medical plans to choose from
a 401(k) retirement savings plan
group life insurance
accidental death and dismemberment (AD&D) insurance
flexible spending account (FSA) and health savings account (HSA)
commuter benefits
employer-paid short-term (STD) and long-term disability (LTD) insurance
additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
flexible vacation time
accrued paid sick time
10 paid holidays
2 floating holidays for full time non-exempt employees
eight weeks of paid parental leave for eligible employees
additional paid weeks for the birthing parent
4 weeks paid caregiver leave
a Lifestyle Spending Account allowance each month