Healthcare Vice President Risk Management Jobs in Wisconsin

At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. Our portfolio brings together capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare.

The VP, Risk & Pharmacy Compliance will serve as the senior leader responsible for enterprise-wide pharmacy compliance, regulatory strategy, and risk management. This executive will partner closely with senior leadership, legal, operations, clinical, product, and technology teams to maintain a best-in-class compliance program that supports growth while meeting all applicable federal and state regulatory requirements.

• 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.
• Provide strategic oversight of pharmacy compliance activities spanning all 50 states, ensuring compliance with applicable federal and state laws and regulations, including HIPAA, HITECH, Medicare PartD, 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.
• Ensure timely implementation of corrective actions and remediation plans.
• 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.
• Support the organization’s adoption of emerging technologies, including AI, by providing guidance on privacy, compliance, governance, and data security considerations.
• Collaborate cross‑functionally to ensure contractual, regulatory, and accreditation obligations are met.
• Lead, mentor, and develop a high‑performing compliance organization.
• Build scalable compliance processes, capabilities, and governance structures to support continued growth.
• Elevate the visibility and impact of the compliance function across the enterprise.
• Foster professional development and succession planning within the compliance team.

Minimum Qualifications: 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) 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.

Preferred Qualifications:

• Experience interacting directly with executive leadership, boards, regulators, and accrediting bodies.
• Familiarity with regulatory intelligence tools and compliance management systems.
• Experience advising organizations on compliance implications of digital health, AI, privacy, and data governance initiatives.
• CIPP, CHC, CHPC, or similar compliance/privacy certification preferred.

Physical requirements: ability to work at a computer terminal for extended periods, stoop, bend, reach, repetitive computer use, and lift light objects up to 20lb.

Strong verbal communication and listening skills, and visual perception needed to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and applicable state laws, Fuze Health provides reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

$240,000–$270,000 base salary. No commission. Equity eligible. Travel required up to 20% of time.

Limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, NewMexico, NewYork, NorthCarolina, Ohio, Oklahoma, Oregon, Pennsylvania, RhodeIsland, SouthCarolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin.

Applicants must be authorized to work for any employer in the U.S. Fuze Health, Alto Pharmacy, LetsGetChecked, and Fuze Care Services cannot take over, transfer, or sponsor any visa type at this time.

• Dental, vision, and multiple group medical plans to choose from.
• 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, employee assistance program, home health testing kits, fertility medication discount program).
• Flexible vacation time, accrued paid sick time, 10 paid holidays, and 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, 4weeks paid caregiver leave, and a lifestyle spending account allowance each month.

Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis.

If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact talent@fuzehealth.com.

We consider qualified applicants with arrest or conviction records for employment and conduct background checks consistent with applicable law, including California, Los Angeles County, San Francisco, Philadelphia, and NewYork City Fair Chance laws.

We are an E‑Verify participating company.