Pharmacy Compliance and Operations Specialist

Yakima Valley Farm Workers Clinic, Inc.; Yakima (WA); On-site; USD 40,000 - 49,000; Full time

Benefits offered by this job

Health insurance (100% employer-paid)

Profit sharing / 403(b) retirement

Generous PTO & holidays

Bilingual pay for additional skills

Job summary

Central Fill Pharmacy in Yakima, WA is seeking a Pharmacy Compliance and Operations Specialist to support the 340B program, review contracts, audit contract pharmacies, and collaborate with Clinic staff and patients. This role builds relationships with partner agencies and Pharmacists, manages Floater Pharmacist schedules, and supports standardized workflows with the VP of Pharmacy.

The position emphasizes audits, contract administration, and PBM coordination, with bilingual pay and

Qualifications

• Associate’s Degree required.
• Two years’ pharmacy related experience required.
• Pharmacy Assistant license or ability to obtain within 90 days.
• Experience coordinating a 340B program.
• Pharmacy Technician license preferred.

Responsibilities

• Reviews contracts with third-party vendors and contract pharmacies under the direction of the VP of Pharmacy Operations.
• Supports the implementation of new contract pharmacies and maintains the contract database including a current list of Providers.
• Maintains policies and procedures on 340B contract pharmacy arrangements, providing recommendations for improvements. Conducts regular reviews of pharmacy adherence to contracts, policies and procedures.
• Compiles and analyzes data from pharmacy business branches as needed.
• Builds and maintains strong working relationships with Pharmacists, partner agencies, and vendors.
• Reviews and analyzes bi-weekly and monthly financial statements, escalating any concerns. Verifies that funds are received and posted accurately on a monthly basis.
• Responds to all audit requests and conducts regular audits of the program to ensure adherence to all applicable requirements.
• Serves as a resource for pharmacy reporting and maintains Pharmacy scorecard.
• Completes audits to ensure pharmacies are properly carving out Medicaid Managed Care claims.
• Oversees audits of Contract Pharmacy and YVFWC pharmacy claims for diversion and duplicate discounting, inventory control, and other relevant areas. Ensures any issues discovered during the audit are resolved.
• Assists in the preparation of Pharmacy Benefits Manager (PBM) applications for new pharmacies.
• Works with YVFWC floats, Per Diem Pharmacists, and Locum Vendors to acquire coverage for pharmacies as needed and maintains a schedule for Locums coverage provided.
• Prepares and maintains PBM contracts under the direction of the Vice President of Pharmacy Operations and maintains the contract database.
• Completes and processes re-credentialing requests from PBMs. Maintains a list of Pharmacy licensures, processes license renewals, and updates license information with PBMs as required.
• Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services Administration (HRSA) and YVFWC requirements.
• Performs other duties as assigned.

Skills

Pharmacy coordination

Contract management

Auditing

Education

Associate’s Degree in Business Administration or related field

Job description

Join our team as a Pharmacy Compliance and Operations Specialist at Central Fill Pharmacy in Yakima, WA!

You will support the 340B pharmacy program. This includes reviewing contracts, auditing contract pharmacies, and sharing information with Clinic staff and patients. Builds and maintains relationships with partner agencies and Pharmacists. Manages Floater Pharmacist schedules and works closely with clinical and operations teams to guarantee pharmacist coverage for all locations. Works directly with VP of Pharmacy to ensure standardized workflows throughout all Pharmacies and assists with Operations.

We invite you to explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew", for a glimpse into our dedication to our communities, health, and families!

Position Highlights:

• $29.18-$35.74/hour DOE.
• Additional pay for your bilingual skills, paid on hours worked.
• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine.
• Profit sharing & 403(b) retirement plan available.
• Generous PTO, 8 paid holidays, and much more!

What You’ll Do:

• Reviews contracts with third-party vendors and contract pharmacies under the direction of the VP of Pharmacy Operations.
• Supports the implementation of new contract pharmacies and maintains the contract database including a current list of Providers.
• Maintains policies and procedures on 340B contract pharmacy arrangements, providing recommendations for improvements. Conducts regular reviews of pharmacy adherence to contracts, policies and procedures.
• Compiles and analyzes data from pharmacy business branches as needed.
• Builds and maintains strong working relationships with Pharmacists, partner agencies, and vendors.
• Reviews and analyzes bi-weekly and monthly financial statements, escalating any concerns. Verifies that funds are received and posted accurately on a monthly basis.
• Responds to all audit requests and conducts regular audits of the program to ensure adherence to all applicable requirements.
• Serves as a resource for pharmacy reporting and maintains Pharmacy scorecard.
• Completes audits to ensure pharmacies are properly carving out Medicaid Managed Care claims.
• Oversees audits of Contract Pharmacy and YVFWC pharmacy claims for diversion and duplicate discounting, inventory control, and other relevant areas. Ensures any issues discovered during the audit are resolved.
• Assists in the preparation of Pharmacy Benefits Manager (PBM) applications for new pharmacies.
• Works with YVFWC floats, Per Diem Pharmacists, and Locum Vendors to acquire coverage for pharmacies as needed and maintains a schedule for Locums coverage provided.
• Prepares and maintains PBM contracts under the direction of the Vice President of Pharmacy Operations and maintains the contract database.
• Completes and processes re-credentialing requests from PBMs. Maintains a list of Pharmacy licensures, processes license renewals, and updates license information with PBMs as required.
• Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services Administration (HRSA) and YVFWC requirements.
• Performs other duties as assigned.

Qualifications:

• Associate’s Degree in Business Administration or related field.
• Two years’ pharmacy related experience is required.
• Pharmacy Assistant license or ability to obtain a license within 90 days of employment required.
• Experience coordinating a 340B program.
• Pharmacy Technician license preferred.

Our Mission Statement

“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”

Our mission celebrates inclusivity. We are committed to equal-opportunity employment.

Visit our website at www.yvfwc.com to learn more about our organization!