Pharmacy Compliance Analyst
AndHealth
IT, Legal
Columbus, OH, USA
Posted on Nov 13, 2024
Pharmacy Compliance Analyst
Full Time - Exempt
Columbus, OH
Full Time - Exempt
Columbus, OH
AndHealth is a healthcare technology company created to help people reverse chronic disease. We are driven by the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, plans, and employers to remove barriers to care to ensure all people have access to the care they deserve.
We are looking for a Pharmacy Compliance Analyst that will play an important role at AndHealth.
What you’ll do in the role:
- Ensure compliance with the Federal Drug Pricing Program.
- Audit EHR records and electronic prescription files for Federal Drug Pricing Program eligibility.
- Collect, scan and track required medical documentation from external providers, as require ensuring program compliance.
- Perform pharmacy prescription audits and maintain appropriate program documentation.
- Use the electronic health record and data from pharmacy operating system to track eligibility for the Federal Drug Pricing program.
- Establish and maintain relationships with internal and external providers.
- Ensure that medical record requests are addressed in a timely manner.
- Build patient profiles in the pharmacy operating system.
- Regularly communicate with staff members involved in the Federal Drug Pricing Program to ensure efficiency, and address problems or concerns in a prompt manner.
- Create or update Federal Drug Pricing Program-related procedures.
- Review HRSA OPAIS website and advise partners on required changes.
- Participate in internal and external meetings regarding eligibility, process improvement and quality.
- Perform other duties as assigned.
Education & Licensure Requirements:
- Registered or certified pharmacy technician required.
Other Skills or Qualifications:
- Experience with the 340B program.
- Ability to proficiently use Electronic Health Record and Pharmacy Operating System.
- Quality assurance experience, such as medical chart reviews or auditing, is preferred.
- Exceptional organization skills.
- Ability to work independently.
- Strong attention to detail, spelling, and numerical differences.
- Proficient with Excel.
- Exemplary written and verbal communication skills.
- Knowledge of healthcare terminology.
- Equal investment and support for our people and patients.
- A fun and ambitious start-up environment with a culture that takes on big things, takes risks, and learns quickly.
- The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
- A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
- We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
- Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Company, and Paid time off, Short- and Long-Term Disability, and more.