Pharmacy Accreditation Reviewer

URAC; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

URAC is seeking an Accreditation Reviewer who analyzes documentation and validates reviews, ensuring alignment with accreditation programs and standards. The role requires strong analytical ability, clear communication, and the capacity to educate applicants on interpretation of requirements.

The position involves desktop reviews, onsite/virtual validations, presenting findings to committees, and supporting development of program guides and training materials for consistent interpretation and

Qualifications

• PharmD or B.Pharmacy with 3+ years of pharmacy practice experience, or RN with health field degree and 3+ years in pharma industry or accreditation.

Responsibilities

• Manages the client relationship as the primary point of contact for assigned applications.
• Communicates with applicants utilizing positive customer relation skills.
• Serves as a technical expert for accreditation program and standard content and interpretation.
• Conducts Desktop Review of applications including analyzing submitted documentation in accordance with URAC scoring methodology and provides constructive written feedback.
• Conducts onsite and/or virtual Validation Reviews.
• Documents and presents findings of applications to Accreditation Committees.
• Assists in providing technical support and advice to URAC Accreditation and Standards Committees.
• Develops program guides, educational workshops and webinar content and validation review tools.
• Educates in standards educational workshops and webinars.
• Provides technical support across URAC departments as requested.
• Participates in information systems development for Accrediting & Client Services.
• Other duties as assigned.

Skills

Advanced reasoning

Strong communication

Organizational skills

Independent work

Problem solving

Team collaboration

Computer skills

Education

PharmD or B.Pharmacy

RN with health-related degree

Tools

Windows OS

Excel

Word

PowerPoint

Healthcare software

Job description

All Jobs > Pharmacy Accreditation Reviewer

Full-time

Description

MAJOR PURPOSE OF THIS JOB:

The Accreditation Reviewer is an expert in the content and interpretation of accreditation programs and standards. Primary responsibilities include analyzing accreditation application documentation and conducting validation reviews. Key additional responsibilities include participating in the standards development/revision process, providing educational instruction, and responding to inquiries related to interpretation of the accreditation standards.

JOB DUTIES AND RESPONSIBILITIES:

• Manages the client relationship as the primary point of contact for assigned applications
• Communicates with applicants utilizing positive customer relation skills
• Serves as a technical expert for accreditation program and standard content and interpretation
• Conducts Desktop Review of applications including analyzing submitted documentation in accordance with URAC scoring methodology, providing constructive written feedback for areas of non-compliance and discussing findings with the applicants in an educational manner
• Conducts onsite and/or virtual Validation Reviews
• Documents and presents findings of applications to Accreditation Committees
• Assists in providing technical support and advice to URAC Accreditation and Standards Committees including supporting the accreditation standards development/revision process
• Assists in the development of program guides, educational workshop and webinar content, validation review tools, and other resources that facilitate consistent interpretation and application of program standards
• Serves in the role of an educator for standards educational workshops and webinars
• Assists in providing technical support for Research & Development, Sales & Marketing, and other URAC department as requested
• Participates in the development, testing, and deployment of information support systems for the Accrediting & Client Services Department
• Other duties as assigned

Requirements

PHYSICAL REQUIREMENTS:

• Sedentary work in an office environment, moderate lifting (30 lbs. to 50 lbs.)
• Visually inspect surroundings, written materials and electronic media
• The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.
• Position requires Reviewers are entering health care facilities that mandate that the URAC Reviewer is vaccinated and updated on vaccines including COVID vaccine.

EXPERIENCE, KNOWLEDGE, AND SKILL REQUIREMENTS:

• Advanced reasoning, analysis, language ability (reading, writing and speaking)
• Excellent written and verbal communication and presentation skills
• Ability to communicate effectively and work collaboratively with colleagues, other healthcare professionals, clients and other stakeholders
• Exceptional organizational skills
• Ability to work independently
• Strong negotiation, critical thinking, and problem-solving skills
• Ability to handle conflict and to exercise sound judgment
• Cognitive and interpersonal flexibility
• Computer skills required include Windows Operating System Microsoft Software; Excel, Word, and PowerPoint
• A valid US passport and valid driver’s license is required

EDUCATION AND TRAINING REQUIREMENTS:

• A Doctor of Pharmacy (PharmD) or Bachelor’s degree in Pharmacy with a minimum of three (3) years of pharmacy practice experience,
• OR a registered Nurse with a bachelor’s degree in a health-related field (Master’s Degree preferred) with a minimum of three (3) years of pharmacy industry or accreditation experience.

Specialty pharmacy and/or managed care pharmacy experience preferred.

LICENSURE/BOARD CERTIFICATION REQUIREMENTS:

• Possess a current and active license as a Pharmacist or Registered Nurse in at least one state (in the United States).