Healthcare Without Rival

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions. 

Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations. 

Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a Director of Regulatory & Provider Dispensing Support to join our team remotely.

About the role:

The Director of Regulatory & Provider Dispensing Support is responsible for supporting the delivery of high-quality clinical care through the development and upkeep of current scope of practice and regulatory data, as advised by the Legal department. This role ensures clinical workflows, policies, and procedures comply with state and federal regulations and partners with our regional support teams to confirm understanding and compliance at the site level.  This role works closely with the Pharmacy Operations department to ensure clinical provider dispensing of pharmaceuticals comply with state requirements and Premise Health policies & procedures.

Job Requirements:

•Content owner for all scope of practice and provider dispensing policies, procedures, and workflows.  Develops, reviews, and updates policies, procedures, and workflows to ensure compliance with current regulations and accreditation standards.

•Performs regulatory research related to scope of practice and provider dispensing for healthcare professionals and cooperates with Legal and Senior Medical Operations Leadership (SMOL) regarding reg research findings and communicates Legal interpretation to all stakeholders.

•Advises the Regional Clinical Leadership (RCL) team regarding regulatory concerns related to scope of practice and provider dispensing.

•Maintains shared repository for scope of practice, provider dispensing, and legal interpretation.

•Consults with other departments and teams to include Pharmacy Operations, Implementations, Medical Operations and Operations regarding scope of practice, provider dispensing, and state and federal regulations.

•Participates in Pharmacy & Therapeutics (P&T) committee to support provider dispensing and regulatory requirements.

•Develop, implement, and maintain compliance monitoring processes for provider dispensing activities.

•Support the investigation and root cause analysis of occurrence reports.

Education:

•Bachelor’s degree required  

•Master of Science in Nursing (MSN) or Master of Physician Assistant Studies (MPAS) preferred  

•Certification and licensure as a Nurse Practitioner (NP) or Physician Assistant (PA) required

Experience:

•5 years of developing content for policy/procedures

•5 years of people leadership experience

•Work in the onsite care model preferred

•Experience with provider dispensing preferred

•Experience in scope of practice regulations research preferred

•Experience in legal nurse consulting preferred

Knowledge and Skills:

•People leadership skills, including setting clear goals and expectations, providing coaching, promoting collaboration, recognizing achievement, fostering professional development, and maintaining a positive team culture aligned with the culture of Premise Health.

•Demonstrates knowledge of healthcare regulatory requirements (Federal, State, OSHA, CLIA, HIPAA; also NCQA and AAAHC, State Professional Scope of Practice)

•Epic proficiency preferred

•Computer skills: proficient in Microsoft Office, Excel and PowerPoint.

•Strong organizational, prioritizing and analytical skills.

•Knowledge regarding risk management and avoidance, variance reporting, data & trend analysis and report preparation.

•Ability to apply concepts of process improvement to drive efficiency and compliance. 

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you. 

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

For individuals living in California, Colorado, Illinois, Washington; as well as, for individuals living in or reporting to New York State only, Premise Health is required to  include an estimate of the salary and benefits for this role. While a number of factors influence salary, our estimated California, Colorado, Washington, and New York compensation is $140,000 - $175,000. Please note, this is a general guideline and your experience qualifications, geographic location, and other factors will be taken into consideration. For more information regarding the benefits we offer, please visit our career site, jobs.premisehealth.com/benefits.