Pharmacy Compliance and Operations Specialist

RPMGlobal; Yakima (WA); On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Employer-paid health insurance

Profit sharing

403(b) retirement plan

Paid time off + holidays

Bilingual pay

Job summary

YVFWC is seeking a Pharmacy Compliance and Operations Specialist in Yakima, WA to support the 340B program, review contracts, audit contract pharmacies, and collaborate with clinic staff and patients.

The role involves coordinating contract pharmacies, maintaining contracts, and ensuring adherence to policies and procedures across locations, with regular audits and data analysis.

Qualifications

• 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.

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.
• Compiles and analyzes data from pharmacy business branches as needed.
• Builds and maintains strong working relationships with Pharmacists, partner agencies, and vendors.

Skills

Pharmacy experience

Contract management

Education

Associate's Degree in Business Administration or related field

Tools

PBM contracts management

Job description

Join our team as a Pharmacy Compliance and Operations Specialist 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:

• FTE (40 hours per week)

• $29.18-$35.74/hour DOE with the ability to go higher for highly experienced candidates

• 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!