Genesis Health Care is seeking a Pharmacy Compliance Director.
Responsible for programs, policies and practices that ensure GHC is in compliance with all pharmacy regulatory authorities, state and federal laws affecting pharmacy, and pharmacy accreditation standards. Monitor’s pharmacy compliance on a daily basis with federal, state and local regulatory requirements. Stays abreast of laws and regulations that might affect the pharmacies policies and procedures while also ensuring pharmacy compliance with established departmental policies and procedures. Works with the pharmacy staff to prepare compliance reports to present to the Compliance Officer, Senior Management and to the Board of Directors. Must be familiar with a variety of the field's concepts, practices, and procedures and can rely on experience and judgment to plan and accomplish goals.Works closely with other compliance staff, the Compliance Officer, and Legal to ensure organizational compliance is met.
1. Monitor and make proposals for improving departmental processes that are designed to maintain pharmacy compliance with internal and external guidelines and regulations.
2. Oversee reportable mechanisms for monitoring compliance throughout the organization.
Ensure and uphold the confidentially requirements of all patient records and manage all daily task and activities consistent with HIPAA, state and federal laws and regulations, as well as the pharmacies policies and regulations regarding confidentiality and security.
Ensure pharmacy compliance with established departmental policies a nd procedures.
Coordinate with quality improvement and risk management through pharmacy compliance
6. Ensure effective, positive relationships within and among the clinic and pharmacy staff, as well as with patients,vendors,contractors,and related resources.
7. Ensure all actions, job performance, personal conduct and communications represent the organization in a highly professional mannerat all times.
PRIMARY TASKS & DUTIES
Oversee and monitor the pharmacy compliance program, including risk management activities (incident reporting and action request forms) and quality improvement (customer satisfaction surveys).
Ensure all pharmacy regulatory and legal requirements are met.This includes, but is not limited to:a.SC Board of Pharmacy
Report on a regular basis to the Compliance Officer regarding all issues related to pharmacy compliance and suggestions for improvement.
Ensure ongoing monitoring of pharmacy compliance through the oversight of internal departmental compliance packet audits and participation in monthly Pharmacy Oversight Committee meetings and quarterly 340B Oversight Committee meetings.
Ongoing oversight of all pharmacy policies and procedures (operational, outlet, 340 B, specialty pharmacy)and ensure they are revised, as needed, and reviewed no less than annually
Review all external audit request related to the pharmacy and work with pharmacy staff to ensure appropriate documentation is provided
Assist with any onsite site visits related to the pharmacy
Proposing needed revisions the program, including internal departmental audits, inlight of changes in the organization's needs and/or in the law or in policies and procedures of Government and private payer health plans.
Monitoring ongoing trends related to reimbursement rates and working with pharmacy billing staff to ensure reimbursement is correct
Assists pharmacystaff,as needed,with re-credentialing and other annual reviews of databases (NCPDP, PF Cares, LLR, etc.) and annuallicense renewals (pharmacy permits, outlet permits,
Assist with developing and monitoring pharmacy quality improvement/risk management activities and any associated action plans.
Reviews pharmacy contracts to ensure all areas of compliance are covered.
Reviews any outside requests for pharmacy records
Ensures all appropriate pharmacy documents are stored in the compliance software(finalized polices/procedures/workflows, fully executed agreements, etc.)
Assist with all new and renewal certification programs for the specialty pharmacy.
Develop and maintain a professional image of the organization to patients and the community
Other such duties and responsibilities as may be added from time to time
ESSENTIAL FUNCTIONS/KEY COMPETENCIES
Function in a multi-tasking, multiple priorities environment, while maintaining accuracy and attention to detail.
Communicate with a diverse employee population.Will be required to successfully communicate with co-workers and external constituents
Utilize a wide variety of office technology and tools to collect, enter, process, file records and documentation
Juris Doctor degree(JD) from an accredited college or university required.
Licensed to practice law in South Carolina
Pharmacy technicianlicense required (may be obtaineduponhire)
340B University certificate(maybe obtainedupon hire)
Experience in non-profit compliance with health care experience preferred, but not required
Experience with 340B compliance preferred, but not required
Knowledge of medical terminology preferred,but not required
Strong computerskills and proficiency with Microsoft software
Excellent oral and written communication skills
Interest in administrative law
• Ability to interact with computer screen for up to six hours at a time(visualacuityrequired)
Must have manualdexterity for use of keyboard.Ability to remain stationary for periods of up to four hours. Ability to communicate via phone, mail and in person to resolve disputes, solve problems, etc.
Capacity to function in a sometimes stressful, multi-tasking environment.
Must be fully vaccinated against COVID-19
Travel may be required, from time to time
More information on how to apply here.