Head of Quality & Compliance

Location: Reno, NV (On-Site)Reports To: CEOType: Full-Time, Exempt

Terrain Pharmaceuticals is a mission-driven company focused on delivering non-addictive pain relief products. Operating under a virtual manufacturing model, we collaborate with trusted CMOs, CPOs, and 3PLs to develop and distribute safe, effective pharmaceutical solutions. We are seeking a Head of Quality who brings deep regulatory experience, precision, and the ability to work flexibly within a high-accountability, low-ego environment.

The Head of Quality leads Terrain’s Quality function; serving as both the strategic owner and the hands-on executor of our Quality Management System (QMS), regulatory compliance, and external partner oversight. This role is highly autonomous and critical to our success, especially given our lean organizational structure and reliance on external manufacturing, warehousing, packaging, and other key partners.

There are no direct reports currently; this role is ideal for a skilled quality leader who thrives on doing the work, not just directing it.

We are looking for someone who thrives in a lean, dynamic setting where your ability to execute directly matters as much as your strategic insight. You bring:

• Competence and precision – You deliver high-quality work consistently, with no tolerance for careless errors.
• Humble confidence – You’re an expert, but you operate with low ego and welcome input from others.
• Verification mindset – You assume nothing. You validate claims, confirm data, and ensure all facts are supported.
• Flexible thinking – You understand regulatory constraints deeply and can work creatively within them to find compliant, efficient solutions.
• Execution-first attitude – You roll up your sleeves to get things done, whether it's drafting an SOP or managing a CAPA.

• Partner with the CEO in shaping and operationalizing a forward-thinking regulatory approach that enables business growth. Approach compliance challenges with a mindset of "not if, but how," ensuring that regulatory pathways are navigated not as constraints but as avenues for innovation and execution. Bring both structure and creativity to bear in identifying compliant, risk-informed solutions that advance company objectives. Champion a culture where quality and compliance are accelerators, not obstacles..
• Lead Company's QMS: author, guide, implement, and maintain SOPs, forms, and records.
• Review and approve quality-critical documentation including batch records, change controls, and deviations.
• Personally manage NCRs, CAPAs, risk assessments, product release, and document control.

• Serve as primary point of contact with FDA, state Boards of Pharmacy, and other regulatory authorities for all quality-related and compliance matters.
• Oversee and coordinate all interactions with regulatory bodies and trading partners during inspections, audits, and investigations, ensuring proactive readiness, clear communication, and timely response to findings.
• Lead the development, implementation, and maintenance of Company's Compliance Program in alignment with OIG guidelines, ensuring adherence to all applicable federal and state regulatory requirements.
• Monitor and enforce compliance with False Claims Act provisions and all relevant healthcare fraud and abuse laws applicable to pharmaceutical manufacturers.
• Ensure compliance oversight across all operations involving CMOs, CPOs, 3PLs, and promotional activities, including documentation and risk assessment practices.
• Prepare Company for regulatory inspections, audits, and investigations, ensuring timely resolution of any findings or compliance issues.
• Maintain a system for internal compliance audits and partner evaluations; manage findings through CAPAs.
• Serve as the liaison with legal counsel for matters involving regulatory interpretations and enforcement risks.
• Oversee Company's compliance with pharmaceutical pricing and reporting regulations, including Medicaid Drug Rebate Program (MDRP), 340B Drug Pricing Program, and other state and federal pricing…