Director Healthcare Compliance
- Leads a comprehensive approach to identify fraud, waste and abuse issues in Walgreens pharmacy and healthcare businesses, evaluates and provides assurance to management that objectives are being met. Identifies and implements strategies to resolve problems or barriers that could hinder successful execution of healthcare compliance activities. Key areas of focus are: (1) government billing & reimbursement systems and processes, including evaluation and remediation of potential issues involving Federal Health Care Programs and the Overpayments Statute, (2) providing proactive compliance support related to Fraud, Waste & Abuse (e.g., Civil Monetary Penalties, Anti-Kickback Statute, Stark Law, False Claims Act), (3) pharmacy laws and regulations, (4) controlled substance (dispensing and inventory management requirements), and (5) appropriate interactions with patients, HCPs, HCOs, payers and pharmaceutical manufacturers
- Engages business segment leaders in the pharmacy and healthcare compliance process to ensure strategic objectives are well understood in order to deliver anticipated results and manages strategic initiatives.
- Provides day-to-day compliance expertise on pharmacy business matters and remains abreast of activities implicating healthcare compliance. Identifies potential areas of healthcare compliance vulnerability and risk and provides guidance on how to avoid or mitigate such risk going forward.
- Establishes and maintains relationships and networks with departments that interact with the Compliance Department. Works collaboratively with members of the Compliance Department, the Legal Department, and other functional areas within the Company to ensure that appropriate actions are taken to implement strategic and operational initiatives in a compliant manner.
- Evaluates identified compliance issues and creates strategies to ensure healthcare compliance issues/concerns within the organization are appropriately resolved. Evaluates audits, monitoring, and investigations data and identifies preventative controls to mitigate risk. Regularly presents key compliance initiatives to Walgreens senior leadership and other business leaders on a routine basis.
- Develops architecture and framework with compliance team members and other functional leaders and subject matter experts to enhance the compliance program through proactive identification of risk and provision of compliance guidance, and the development and governance of policies, procedures, training, monitoring, and system control mechanisms across Walgreens.
- Facilitates communication between staff, management, vendors, and other resources within and outside of the organization. Shares highly complex information related to areas of expertise. Interacts with senior management to keep abreast of objectives. Interacts with direct reports and peers in management / customers / vendors to interpret information and improve cross-functional processes and programs. Builds and enhances key internal and external contacts.
About Walgreens Boots Alliance
Walgreens Boots Alliance (Nasdaq: WBA) is a global leader in retail pharmacy, impacting millions of lives every day through dispensing medicines, and providing accessible, high-quality care. With more than 170 years of trusted healthcare heritage and innovation in community pharmacy, the company is meeting customers’ and patients’ needs through its convenient retail locations, digital platforms and health and beauty products.
Including equity method investments, WBA has a presence in more than 25 countries, employs more than 450,000 people and has more than 21,000 stores.
WBA’s purpose is to help people across the world lead healthier and happier lives. The company is proud of its contributions to healthy communities, a healthy planet, an inclusive workplace and a sustainable marketplace. WBA is a participant of the United Nations Global Compact and adheres to its principles-based approach to responsible business.
WBA is included in FORTUNE’s 2021 list of the World’s Most Admired Companies. This is the 28th consecutive year that WBA or its predecessor company, Walgreen Co., has been named to the list.
More company information is available at www.walgreensbootsalliance.com
- Bachelor’s degree and at least six (6) years experience in a pharmacy and/or healthcare compliance role or a role with similar experiences, such as internal audit OR a High School Diploma/GED and at least nine (9) years of experience in a pharmacy and/or healthcare compliance role or a role with similar experiences, such as internal audit.
- Experience developing and implementing compliance strategies to support business and operational priorities within a matrixed global organization.
- Experience evaluating recommendations from cross functional team members in order to implement the elements of an effective ethics and compliance program across multiple business units.
- Experience evaluating information to determine compliance with U.S. Federal health care program requirements, and relevant laws and regulations for a retail pharmacy business.
- Experience establishing and maintaining long-term relationships with management and individuals at all other levels of the organization through respectful and professional collaboration.
- Experience using communication skills / executive presence to support the evolution of strategies and tactics at the leadership level.
- Experience diagnosing risks and compliance issues and presenting solutions and alternatives with other senior leaders.
- Experience using time management skills to balance strategic work with team management to ensure all employee matters are managed to support employee professional development and are within budget and aligned to priorities of the business.
- At least 2 years of experience contributing to financial decisions in the workplace.
- At least 3 years of direct leadership, indirect leadership and/or cross-functional team leadership.
- Willing to travel up to 10% of the time for business purposes (within state and out of state).
- Bachelor’s degree and at least ten (10) years of experience in a pharmacy and/or healthcare compliance role or a role with similar experiences, such as internal audit
- Juris Doctorate and at least five (5) years of post-bar experience in a law firm and/or corporate setting
- Experience working in a complex, matrixed organization.
- At least five (5) years of relevant legal or compliance experience OR experience with similar roles (e.g., internal audit).
- At least five (5) years of overall experience working in a corporate compliance department or equivalent