*Designs and operationalizes internal audit frameworks for medication reconciliation, inventory validation, and compliance with state and federal regulations.

*Coordinate surveillance and audits of the entire medication lifecycle.

*Oversees sensitive investigations involving patient data, employee records, and disciplinary actions in coordination with HR and legal teams.

*Represents pharmacy leadership on the local and regional Diversion Response Team (DRT), ensuring coordinated and timely response to diversion incidents.

*Facilitate multidisciplinary diversion prevention committees and provide program leadership.

*Assist departments in regulatory reporting and investigation of diversion events.

*Analyze incident data and lead response planning in alignment with NAH’s safety goals.

*Maintain up-to-date knowledge of regulations from the DEA, FDA, CMS, EPA, Arizona Board of Pharmacy, ISMP, ASHP.

*Serves as a mentor and trainer to pharmacy staff, nursing, security, and associated staff, fostering a culture of accountability and continuous learning.

*Support staff training in medication diversion prevention based on role-specific risks.

*Develop and implement education, policies, and competencies tailored to staff roles.

*Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; safely performs work; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

*Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility

*If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

*Completes all company mandatory modules and required job-specific training in the specified time frame.