- Ensure pharmacies are compliant with all regulatory agencies such as, but not limited to, CMS, OPA, DEA, Mass. Board of Pharmacy, and HRSA 340b program.
- Coordinate staff training oversight as required by Mass Board of Pharmacy.
- Track Fraud, Waste and Abuse trainings and attestations.
- Monitor HIPAA procedures.
- Maintain and secure all pharmacy licensing as needed and conduct routine audits of licenses and certifications.
- Monitor OPA database for accuracy and 340B compliance.
- Develop and conduct error prevention training as required by Mass Board of Pharmacy.
- Ensure Compliance with all 3rd party requirements (signature logs, FWA, partial fill).
- Ensure compliance with the Federal 340B drug pricing program as it pertains to, policies and procedures, duplicate discounts, patient eligibility, and inventory.
- Provides direction for site in maximizing revenues and minimizing operating costs/expenses by periodically reviewing prescription billing and compliance.
- Maintains a working knowledge of applicable federal, state, and local laws and regulations governing pharmacy and especially the 340B HRSA program.
- Develop and perform compliance audits to ensure all sites are fulfilling all requirements.
- Travels to various sites as needed to provide help with compliance, education, or support as directed.
- Coordination and management of health plans, other payers and affiliates.
- Complete, documents, files any inquiries regarding pharmacy applications to insurance carriers
- Regularly communicates on a regular basis to obtain required information from C-suite and/or Board of Directors necessary to the credentialing process
- Recommend process improvements to improve operational efficiency and cost-effectiveness.
- Ten to fifteen years' progressive pharmacy experience required.
- At least ten must consist of regulatory agencies and their requirements.
- Knowledge of the 340B regulations and compliance requirements.
- Strong presentation, analytical techniques, and computer skills.
- Proficiency in Excel, Word and other databases required.
- Demonstrate leadership and team building skills and interact with all clients/customers throughout the Health System (internally and externally).
- Bachelor's degree from a four-year college or university. Relevant experience may be considered in lieu of education.
- Pharmacy-Based Immunization Certification preferred.
- BLS certification preferred.
-
Principal Regulatory Affairs Specialist
2 weeks ago
Philips Cambridge, United States**Job Title**: Principal Regulatory Affairs Specialist · **Principal Regulatory Affairs Specialist · - Software & Artificial Intelligence (U.S. Hub Based)** · The Principal Regulatory Affairs Specialist · - SW & AI will shape, lead and execute innovative regulatory strategies to ...
-
Regulatory Affairs Specialist
1 week ago
JobsRUs Andover, United StatesSeeking to hire a Regulatory Affairs Specialist for my client in Andover, MA 1810 · Benefits and weekly pay available · 38.46 per hour · Hybrid · Role Overview · include specific internal · and external · relationships, product · focus, regulatory · requirements, physica ...
-
Regulatory Affairs Specialist
1 week ago
JobsRUs Andover, United StatesJob Description · Job DescriptionSeeking to hire a Regulatory Affairs Specialist for my client in Andover, MA 1810 · Benefits and weekly pay available · 38.46 per hour · Hybrid · Role Overview · include specific internal · and external · relationships, product · focus, regulator ...
-
Regulatory Affairs Specialist
1 week ago
Integration International Inc. Andover, United StatesDescription: · Role Overview - · Include specific internal and external relationships, product focus, regulatory requirements, physical demands, etc. · Through coordination/collaboration with direct supervisor and with routine direction and guidance, review and remediate regulato ...
-
Regulatory Affairs Specialist
1 week ago
ProKatchers LLC Andover, United StatesJob Summary: · include specific internal and external relationships, product focus, regulatory requirements, physical demands, etc. · Through coordination/collaboration with direct supervisor and with routine direction and guidance, review and remediate regulatory documentation i ...
-
Regulatory Affairs Specialist
3 weeks ago
Randstad Andover, United StatesThrough coordination/collaboration with direct supervisor and with routine direction and guidance, review and remediate regulatory documentation in support of market clearance/approval. Ensures regulatory compliance of technical documentation in local PLM system and corresponding ...
-
Regulatory Affairs Specialist
1 week ago
NESCO Inc Andover, United StatesThrough coordination/collaboration with direct supervisor and with routine direction and guidance, review and remediate regulatory documentation in support of market clearance/approval. Ensures regulatory compliance of technical documentation in local PLM system and corresponding ...
-
Regulatory Affairs Specialist
3 days ago
inSync Staffing Andover, United StatesPay rate: $38.46/hr · Hours: Core hours 10-3, flexible start/finish. 40 hours per week total · Location: Andover, MA. Hybrid- Work location address for onsite and hybrid: Mansfield or Andover · Duration: 1 year · Role Overview : · Through coordination/collaboration with direct su ...
-
Regulatory Affairs Specialist
1 week ago
Smith+Nephew Andover, United States Full timeLife Unlimited. At Smith+Nephew we design and manufacture technology that takes the limits off living. · This role will be focused on the continuously growing Sports Medicine franchise at Smith + Nephew that serves our patients and customers to live Life Unlimited. This position ...
-
Junior Regulatory Affairs Specialist
6 days ago
Randstad North America, Inc. Andover, United StatesA Junior Regulatory Affairs Specialist is needed for a medical technology company focused on the repair, regeneration and replacement of soft and hard tissue in the Andover, MA area. This role involves coordinating with a supervisor to ensure regulat Regulatory Affairs, Specialis ...
-
Junior Regulatory Affairs Specialist
6 days ago
Randstad USA Andover, United States Freelance, Full timejob summary: · A Junior Regulatory Affairs Specialist is needed for a medical technology company focused on the repair, regeneration and replacement of soft and hard tissue in the Andover, MA area. This role involves coordinating with a supervisor to ensure regulatory compliance ...
-
Regulatory Affairs Labeling Specialist
1 week ago
Compunnel, Inc. Andover, United StatesJob Description · Job Description · Description:Laptop will not be issued. Operates complex equipment and analytical tools, processes, state of the art 12'' silicon wafers in a clean room environment, which requires appropriate gowning. Technicians are owned in a gore suit that c ...
-
TalentBurst Andover, United StatesTitle: Regulatory Affairs Specialist - Labeling - Junior · Location: Andover, MA · Shift: M-F, 8AM to 5pm · Duration: 12+ months · Job Description: · Role Overview - · include specific internal and external relationships, product focus, regulatory requirements, physical demands, ...
-
Regulatory Compliance Specialist
3 weeks ago
Champlain Insurance Group Manchester, United StatesChamplain Insurance Group is a fast-growing, specialty, surplus and excess lines insurance enterprise, which, through our affiliates, Champlain Specialty Insurance Company, WestCongress Insurance Services LLC, and WestCongress Risk Services LLC, offers primary and excess general ...
-
Regulatory Affairs Specialist
3 weeks ago
Randstad North America, Inc. Cambridge, United StatesAs a core member of multiple new product development teams, the Regulatory Affairs Specialist will provide timely and valued regulatory guidance (written and / or verbal) by owning the following tasks: 1. Advise internal stakeholders (marketing, manu Regulatory Affairs, Specialis ...
-
regulatory affairs specialist
1 week ago
Randstad Cambridge, United Statesregulatory affairs specialist (cambridge). · cambridge , massachusetts · posted 3 days ago · job details · summary · $65 - $80 per hour · contract · bachelor degree · category computer and mathematical occupations · reference · job details · job summary · Your Respons ...
-
Regulatory affairs specialist
2 weeks ago
Randstad Cambridge, United Statesjob summary: · Your Responsibilities: · As a core member of multiple new product development teams, the Regulatory Affairs Specialist will provide timely and valued regulatory guidance (written and / or verbal) by owning the following tasks: · 1. Advise internal stakeholders (m ...
-
Regulatory Compliance Specialist
2 weeks ago
Champlain Insurance Group Manchester, United StatesJob Description · Job DescriptionChamplain Insurance Group is a fast-growing, specialty, surplus and excess lines insurance enterprise, which, through our affiliates, Champlain Specialty Insurance Company, WestCongress Insurance Services LLC, and WestCongress Risk Services LLC, o ...
-
Regulatory Affairs Specialist
3 weeks ago
Philips Cambridge, United States Full timeJob Title · Regulatory Affairs SpecialistJob Description · Looking at the challenges the world is facing today Philips' purpose has never been more relevant. So, whatever your role, if you share our passion for helping others, you'll be working towards creating a better and faire ...
-
Accreditation and Regulatory Specialist
1 week ago
Boston Medical Center Boston, United States Full timePOSITION SUMMARY: · Under the direction of the Senior Director, Accreditation & Regulatory and working collaboratively, the Accreditation and Regulatory Specialist (Nurse) leads efforts to ensure continual organizational compliance and ongoing readiness with clinical quality and ...
Pharmacy Credentialing Regulatory Specialist - Lawrence, United States - Greater Lawrence Family Health Center
Description
Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley.
Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.
GLFHC is currently seeking a Pharmacy Operations, Credentialing and Regulatory Specialist. Under the direction of the Pharmacy Director, supports Pharmacy Operations, Credentialing and Regulations functions.Works collaboratively with Legal and Compliance department to ensure and support adherence to pharmacy requirements, performance monitoring and process improvement activities for all regulatory agencies as it pertains to the pharmacy.
Provide business and financial analysis assistance.The Pharmacy Operations, Credentialing and Regulatory Specialist will be responsible for inventory reporting, co-pays, compliance audits, management of the contract process and support for inventory management of the Pharmacies.
This position works closely with pharmacy management and Finance and will provide financial and market analysis to assist in financial planning and business development projects with regard to 340B.
It will also assist the department in evaluating/negotiating/auditing contracts with regard to PBM's, drug procurement, new technology, and new contract pharmacy arrangements/services.
Experience
