Environmental Monitoring Specialist

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The System Environmental Monitoring Specialist serves as the enterprise subject matter expert for environmental monitoring across Beth Israel Lahey Health's pharmacy sterile compounding operations. The role oversees and coordinates environmental monitoring activities across all BILH hospitals, infusion pharmacies, and sterile compounding locations to ensure compliance with USP , applicable state and federal requirements, accreditation standards, and BILH policies.

Job Description

Essential Responsibilities

• Acts as the primary environmental monitoring subject matter expert for the health system and provides consultation, technical interpretation, and regulatory guidance to Directors of Pharmacy, Designated Persons, Quality Leaders, and hospital leadership regarding environmental monitoring requirements, contamination-control strategies, excursion management, investigation findings, remediation activities, and regulatory expectations. Supports decision-making affecting sterile compounding operations across all BILH hospitals and pharmacy entities.
• Coordinate and perform routine, non-routine, and event-driven environmental monitoring across ISO-classified sterile compounding facilities, including viable air sampling, nonviable particulate monitoring, surface sampling, personnel monitoring, and cleanroom condition assessments such as pressure differentials, airflow, and facility controls.
• Prepare, label, package, transport, and submit environmental monitoring samples for internal or external laboratory analysis while maintaining sample integrity, traceability, and full chain-of-custody documentation.
• Maintain accurate, complete, and inspection-ready environmental monitoring records in accordance with regulatory requirements and system policies; identify and elevate documentation discrepancies requiring follow-up.
• Maintains enterprise-wide oversight of environmental monitoring data across all hospitals and sterile compounding sites; develops system-level dashboards, performance indicators, and risk assessments; evaluates trends and emerging risks; and communicates findings and recommendations to pharmacy leadership to support proactive quality and compliance initiatives.
• Participate in investigations of excursions, deviations, OOS results, and other quality events by compiling and evaluating environmental, personnel, facility, cleaning, certification, and historical monitoring information; support contamination-source analysis, root cause determination, CAPA development, and remediation effectiveness.
• Serve as a technical resource for EM activities and collaborate with pharmacy leadership, designated persons, site personnel, microbiology laboratories, certification professionals, facilities teams, infection prevention, and quality groups regarding sampling activities, findings, investigations, and follow-up actions.
• Manage inventory, verification, and distribution of EM media, reagents, supplies, and equipment, including checks of lot numbers, expiration dates, growth promotion documentation, calibration status, maintenance needs, and proper storage conditions.
• Maintain readiness of EM equipment and materials by coordinating calibration, preventive maintenance, and replacement needs across the system.
• Coordinate EM schedules and activities with site pharmacy teams to ensure timely completion of routine, non-routine, investigational, and repeat monitoring while minimizing disruption to sterile compounding operations.
• Leads standardization of environmental monitoring practices, workflows, data-management processes, quality metrics, investigation methodologies, and reporting requirements across all BILH sterile compounding locations. Collaborates with Directors of Pharmacy and system leadership to implement best practices, strengthen regulatory compliance, and ensure consistent execution of environmental monitoring activities throughout the enterprise.
• Contribute to the development and expansion of the health system’s EM program and team by adopting new processes, supporting evolving structures, and helping standardize practices across all sites.
• Maintain proficiency in EM procedures, aseptic practices, contamination control, sampling equipment, data management, and applicable regulatory and organizational requirements through required education, training, and competency assessments.
• Perform additional QC microbiology or contamination-control tasks as needed and other duties as assigned.

Required Qualifications

• High School diploma or GED required.
• Pharmacy Technician Registration or Licensure in good standing with the Massachusetts Board of Registration in Pharmacy, or the ability to obtain registration u