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Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)

Polaris Pharmacy Services, LLC • Fort Lauderdale, FL • 4h ago

Position Type Full Time

Job Shift Day

Education Level 4 Year Degree

Travel Percentage Up to 25%

Description

WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring every patient receives seamless, compassionate, and expert support.

Founded in 2015, Polaris is proud to be locally and independently owned, with a growing national footprint. Our team thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job - we provide competitive pay, robust benefits, and genuine opportunities for career advancement.

If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us.

Position Overview

The Senior Director of Compliance and Internal Audit leads the organization's enterprise risk management, healthcare regulatory adherence, and clinical/financial internal controls. This role designs risk-based audit plans, drives compliance with federal and state healthcare laws, and oversees corporate governance. The position reports directly to the General Counsel, serving as a critical advisor on mitigating regulatory, operational, and financial risks.

Key Responsibilities

Healthcare & Pharmacy Compliance

Lead the corporate compliance program to ensure alignment with OIG, HHS, CMS, and FDA regulations.

Oversee HIPAA privacy and security controls to safeguard Protected Health Information (PHI).

Monitor pharmacy operations for compliance with DEA regulations and the Drug Supply Chain Security Act (DSCSA).

Manage fraud, waste, and abuse (FWA) prevention, detection, and investigation programs.

Audit & Risk Strategy

Develop and execute a comprehensive, risk-based annual healthcare audit plan.

Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies.

Oversee specialized audits covering pharmacy billing, 340B programs, and clinical documentation.

Financial Controls & Governance

Oversee Internal Controls over Financial Reporting (ICFR).

Integrate healthcare compliance risks into the enterprise COSO framework.

Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.

Executive Reporting

Present audit findings and regulatory risk profiles directly to the Compliance Committee and beyond.

Deliver root-cause analyses and corrective/preventive action (CAPA) plans to the Board.

Serve as the primary liaison for external regulatory audits and government inquiries.

Cross-Functional Collaboration

Partner with Clinical Operations, Pharmacy Directors, Legal, Finance, and IT Security.

Mitigate systemic risks associated with medical billing, credentialing, and drug dispensing.

Drive continuous process improvements to enhance patient safety and operational efficiency.

Team Leadership

Mentor, recruit, and develop a specialized team of healthcare auditors and compliance staff.

Manage the department's annual budget and coordinate third-party healthcare consulting vendors.

Foster an organizational culture of strict ethical standards, compliance, and accountability.

Qualifications

Qualifications & Requirements

Education & Certifications

Degree: Bachelor's in Healthcare Administration, or related field preferred

Credentials: Active CPA or CIA required; CHC, CHPC, or CHRC preferred

Experience & Skills

Experience: 7 to 15 years in healthcare internal audit, corporate compliance, or hospital/pharmacy risk management.

Background: Direct experience with CMS reimbursement models, pharmacy operations, or healthcare consulting.

Technical: Deep knowledge of Stark Law, Anti-Kickback Statute (AKS), False Claims Act, and HIPAA.

Analytics: Proficiency in electronic health record (EHR) systems, pharmacy management software, and data analytics tools.

Soft Skills: Executive presence with the ability to communicate complex regulatory findings to non-technical stakeholders.

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