pharmacy compliance specialist

Navitus Health Solutions / Lumicera Health Services

<div><p>Navitus Health Solutions is seeking a Pharmacy Relations Specialist (PRS II) to join our team!</p><p></p><p><br>
The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare. Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries, and completing the tactical and operational tasks required to maintain contracted pharmacy networks.</p><p></p><p><br>
Is this you? Find out more below!</p><p><b><br>
How do I make an impact on my team?</b></p><ul><li>
Manage pharmacy contracting process with independent pharmacies and select chains/PSAOs and assist management with network negotiations; inclusive of redline reviews</li><li>
Review pharmacy contract setup to ensure compliance with pharmacy network agreements</li><li>
Support pharmacy audits and network compliance initiatives</li><li>
Research and problem solve to resolve claim issues and concerns</li><li>
Respond to and track requests, inquiries, and communications with network pharmacies</li><li>
Develop, review, and distribute pharmacy communications to meet internal and client requests</li><li>
Monitor, track, and report pharmacy compliance with guiding government regulations and internal policies and procedures</li><li>
Reviews and responds to independent pharmacy redlines; with little to no input from senior leadership</li><li>
Responsible for all aspects of maintenance related to pharmacy network functions, such as, network plan design builds, quality assurance measures and claims processing in general</li><li>
Other duties as assigned</li></ul><p><b><br>
What our team expects from you?
</b></p><ul><li>College or 2-year Technical Degree or equivalent experience is preferred. Advanced technical education a plus</li><li>
Certified Pharmacy Technician preferred</li><li>
3 years business-setting experience</li><li>
Retail pharmacy experience or experience in a managed care pharmacy setting desired</li><li>
Prior experience analyzing medical and/or pharmacy claims or credentials are highly desired</li><li>
Proficient in Microsoft Office and industry related software</li><li>
Participate in, adhere to, and support compliance program objectives</li><li>
The ability to consistently interact cooperatively and respectfully with other employees</li></ul><div><p><b>
What can you expect from Navitus?</b></p></div><div><ul><li>
Top of the industry benefits for Health, Dental, and Vision insurance</li><li>
20 days paid time off</li><li>
4 weeks paid parental leave</li><li>
9 paid holidays</li><li>
401K company match of up to 5% - No vesting requirement</li><li>
Adoption Assistance Program</li><li>
Flexible Spending Account</li><li>
Educational Assistance Plan and Professional Membership assistance</li><li>
Referral Bonus Program &ndash; up to $750!</li></ul><p>
#LI-Remote</p></div></div>

Specialist II, Pharmacy Relations

Indiana University Health

<div><div><div><div><h1 class="jobSectionHeader"><b>System Pharmacy Technician Specialist</b></h1>
</div></div><div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2>
<div><p><b>Overview</b>
</p><p><b>Overview</b></p><p>
We are looking for team members who are passionate about challenging and significant work for the good of every patient. We are searching for individuals who are compassionate, serve with a purpose, are dedicated to supporting their team, and who seek excellence every day.</p><p>
Sound like a perfect match? Apply now - we can't wait to hear from you!</p><p><b>
Why Join IU Health?</b></p><p>
As Indiana&rsquo;s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer:</p><ul><li>
401(K) retirement savings with employer match</li><li>
Tuition reimbursement</li><li>
Student loan forgiveness - Government program that may allow qualifying participants to have the remainder of their student loan balance forgiven (after a set amount of time and specific qualifications have been met).</li><li>
Employee Assistance Program &ndash; Counseling at no cost to you</li><li>
Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck! The more you participate, the more you earn!</li></ul><p><b>
Description:</b></p><p><b>
This is a full time (40 hours/week 1 FTE) day shift position with a hybrid schedule of 3 days onsite at the ISC in Plainfield, IN and 2 days remote once fully trained.</b></p><p>
The main focus of this role is to support the perpetual compliance efforts for regulatory, legal, and accreditation requirements as related to medication management. This role requires 40% of travel within the state to other IU Health sites.</p><p>
Supports System Pharmacy Services with various departmental functions to deliver consistent quality and reliability for significant business operations. Maintains alignment to regulations and accreditation standards as applicable and ensures perpetual compliance. Interprets standards, rules and regulations and translates these into operational activities including creation of standard work and policies/procedures. Conducts data audits to ensure program compliance. Collaborates with multiple departments to ensure compliance records are complete and accurate. Implements process improvements, when applicable, to ensure efficiencies and compliance. Exercises independent judgement and leads efforts to implement changes as needed to support business functions, regulatory compliance and quality improvement.</p><ul><li>
High School Diploma/GED is required. Associate's Degree is preferred.</li><li>
Requires 5-7 years of relevant experience.</li><li>
Requires Indiana Pharmacy Technician License.</li><li>
Requires Pharmacy Technician National Certification.</li><li>
Requires working knowledge of pharmacy operations.</li><li>
Requires intermediate proficiency typing and using Microsoft Office applications.</li><li>
May require travel to IU Health facilities.</li><li>
May require weekend rotations.</li></ul><br>
</div><p></p><div><p>We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.</p>
</div></div></div><div></div><div><div><div><p>Indiana University Health is Indiana&rsquo;s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We&rsquo;re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.</p></div></div></div></div>

System Pharmacy Technician Specialist

VytlOne

<p>Accreditation Specialist - Specialty Pharmacy<br/></p><p>Job Summary:<br/></p><p>Facilitate accreditation related tasks and work closely with internal and external team members to ensure the pharmacies meet accreditation requirements. Assist as necessary to support accreditation compliance and quality initiatives.<br/></p><p>Position Location:<br/></p><p>Work From Home based position<br/></p><p>Our Company<br/></p><p>Founded in 1926, VytlOne (formerly Maxor National Pharmacy Services) is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, VytlOne has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. VytlOne has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for VyltOne but our talent base is national. We operate pharmacies and other business operation sites across the United States with employees working from 47 states.<br/></p><p>Why VytlOne<br/></p><p>Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies. At VytlOne, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities.<br/></p><p>With a workforce of 1,600+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care<br/></p><p>ESSENTIAL FUNCTIONS: (These duties must be performed with or without reasonable accommodation. This document in no way states or implies that these are the only duties to be performed by the employee occupying this position):<br/></p><p>Work in conjunction with internal and external team members to ensure compliance with service expectations and achievement of performance goals and objectives for each pharmacy seeking or maintaining accreditation.<br/>Confer with management, supervisors and employees to gain knowledge of work situations requiring training and to better understand changes in policies, procedures, regulations, and/or business technologies as it relates to improving or establishing accreditation compliance.<br/>Assist with staff training and the implementation of processes related to meeting accreditation standards including requirements for Continuous Quality Improvement, Performance Improvement projects, Quality Management, and compliance with all accreditation standards.<br/>Prepare reports and maintain records as requested or required.Participate in internal and external meetings and complete associated tasks as required.Participate and support regional and enterprise level activities as required.<br/>Participate in internal and external meetings and complete associated tasks as required<br/>Participate and support regional and enterprise level activities as required.<br/>Participates in the maintenance of corporate compliance and legal board of pharmacy inspection parameters.<br/>Perform timely resolution to requests received from internal departments, customers, audit entities, or regulatory.<br/>Closely monitor current processes and Standard Operating Procedures (SOP's) to maximize efficiency and support accreditation compliance.<br/>Promptly report any allegations of impropriety to the Compliance Department.<br/>Comply with VytlOne's Ethical Business Conduct policy and VytlOne's Compliance Program.<br/>Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.<br/>Complete required training, as assigned, within the established timeframes.<br/>Must be able to cope with the mental and emotional stress of the position.<br/>Maintain regular attendance in accordance with established policies.<br/>Perform other job-related duties as assigned.<br/></p><p>Education: College coursework is desirable and any combination of the necessary knowledge, skills, and abilities necessary to competently perform the essential functions of the position.<br/></p><p>Experience: Current, unrestricted National and/or State Certified Pharmacy Technician license. Minimum 3 years&rsquo; experience in compliance, healthcare, quality, and/or accreditation required; experience with ACHC and/or URAC specialty pharmacy accreditation required.<br/></p><p>Knowledge, Skills, and Abilities:<br/></p><p>Knowledge of pharmacy accreditation requirements such as ACHC and URAC Specialty Pharmacy Accreditation.<br/>Knowledge of generally accepted pharmacy principles, practices and procedures.<br/>Work effectively in a team environment and communicate well using virtual tools when team members are geographically dispersed.<br/>Must be detail oriented, be able to work independently, and possess self-motivation skills.<br/>Work effectively in situations with limited information and moderate ambiguity.<br/>Ability to communicate effectively orally and in writing, to interact with a wide variety of individuals to successfully provide optimal pharmacy support.<br/>Ability to work with close attention to detail and minimal errors. Must be alert, attentive, and precise.<br/>Working knowledge of Microsoft Office and willing to learn Smartsheet, Confluence, and other tools as necessary.<br/>Excellent critical thinking and problem-solving skills.<br/></p><p>We Offer:<br/></p><p>At VytlOne, we foster a diverse and progressive culture that promotes a work-from-home model and a &quot;dress-for-your-day&quot; approach to work attire. Our team-oriented environment encourages collaboration and innovation. We offer highly competitive compensation and comprehensive health benefits including:<br/></p><p>Comprehensive mental health and wellbeing resources<br/>Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums<br/>Company-paid basic life/AD&amp;D, short-term and long-term disability insurance<br/>Rx, dental, vision, other voluntary benefits, and FSA<br/>Employer-matched 401k Plan<br/>Industry-leading PTO plan<br/>And more!<br/></p><p>Apply today at: https://www.maxor.com/careers/<br/></p><p>VytlOne is an EOE, including disability/vets<br/></p>

Accreditation Specialist - Specialty Pharmacy - Remote

CARTI, Inc.

<div><p><b>JOB SUMMARY:
</b></p><p>Under the supervision of a pharmacist, the Pharmacy Technician Specialist &ndash; Training, Quality &amp; Compliance performs standard pharmacy technician duties while leading pharmacy training programs, competency assessments, and sterile testing across all locations. This role ensures regulatory inspection readiness by maintaining organized documentation, supports quality initiatives such as audits and improvement projects, and serves as a back-up for one-day-a-week clinic preparation, patient assistance drug processing, and drug and supply procurement.</p><br>
<p></p>
<p><b>
JOB SPECIFIC DUTIES AND RESPONSIBILITIES:</b></p>
<p>
Pharmacy Technician duties and responsibilities:</p>
<ul><li>
<p>Prepare medication orders by compounding/admixing medications under a pharmacist&rsquo;s supervision</p>
</li><li>
<p>Under direct supervision of a pharmacist, check all orders for completeness of information, verify patient information, and review laboratory values</p>
</li><li>
<p>Under a pharmacist&rsquo;s supervision, admix drugs as ordered by physician in an accurate and timely manner as per department guidelines, and prepare all drugs within CARTI policies and procedures for aseptic technique and handling hazardous drugs</p>
</li><li>
<p>Calculate correct dosage volumes, converting between metric and apothecary equivalents</p>
</li><li>
<p>Maintain inventory of patient and sample medications</p>
</li><li>
<p>Properly dispose of all materials used when mixing chemo or non-chemo IVs</p>
</li><li>
<p>Clean hood daily as stated in policy and procedures and assist with monthly cleaning</p>
</li><li>
<p>Check drugs monthly for outdates</p>
</li><li>
<p>Keep accurate logs on all patient assistance drugs</p>
</li><li>
<p>Maintain complete inventory control of medications, assuring proper inventory levels. Order supplies and medications. Receive and shelve medications. Ensure that standard drug supplies are in adequate supply in all departments.</p>
</li><li>
<p>Prepare labels</p>
</li><li>
<p>Have a thorough understanding of department automation, data entry, and report generation</p>
</li><li>
<p>Complete all initial and annual training and testing as required</p>
</li><li>
<p>Know and follow CARTI policies and procedures.</p>
</li><li>
<p>Proactively assists in the general pharmacy workflow as needed</p>
</li></ul>
<p>Additional Duties and Responsibilities for the Specialist:</p>
<ul><li>
Maintains a thorough understanding of required training and competency evaluations</li><li>
Develops and maintains a robust, structured training program</li><li>
Schedules and conducts competency evaluations and sterile testing at all locations within the required frequency</li><li>
Ensures regulatory and accreditation inspection readiness by organizing and maintaining documentation across all locations for training, competencies, and quality activities</li><li>
Oversees and/or performs sterile compounding training for all locations, ensuring consistent delivery and documentation</li><li>
Supports departmental quality initiatives, such as internal audits, process improvement projects, and data collection to support departmental needs</li><li>
Serves as a back-up for travel clinic preparation, medication procurement, patient assistance medication management, and/or other operational functions, as needed.</li><li>
Maintains a thorough understanding of pharmacy systems, data entry, and report generation</li><li>
Assists the pharmacist with scheduling and staff assignments in their assigned area</li><li>
Assists the pharmacy team with other duties as assigned</li></ul><br>
<p></p>
<p><b>
OTHER JOB REQUIREMENTS: </b>May be required to travel to satellite clinics</p><br>
<p></p>
<p><b>
EDUCATION, CERTIFICATION, LICENSURE, and REGISTRATION:</b></p>
<ul><li>
High School diploma or equivalent</li><li>
Two years of study in an accredited college or university, preferred</li><li>
Arkansas State Board of Pharmacy Technician License, required</li><li>
Within six months of hire date, must obtain Certified Pharmacy Technician (CPhT) Certification.</li><li>
Within six months of hire date, must obtain Certified Pharmacy Technician Educator (CPTEd) Certification</li><li>
Within six months of hire date, must obtain National Pharmacy Technician Association Sterile and Hazardous Compounding Certification courses and become certified</li><li>
Must undergo and pass a criminal background check</li></ul><br>
<p></p>
<p><b>
EXPERIENCE, KNOWLEDGE, SKILLS and ABILITIES:
</b></p><ul><li>3+ years&rsquo; experience in a pharmacy with IV skills</li><li>
3+ years&rsquo; experience educating, instructing or training in pharmacy</li><li>
Knowledge of pharmaceutical and related medical terminology</li><li>
Knowledge of metric and apothecary systems of weights and measurements</li><li>
Knowledge of medical safety standards to assist in manufacturing and working with pharmaceutical substances</li><li>
Knowledge of medications and the dispensing function to check for correctness</li><li>
Ability to read and interpret prescription information</li><li>
Advanced knowledge of aseptic technique</li><li>
Understands and demonstrates aseptic techniques and procedures</li><li>
Excellent verbal and written communication skills</li></ul><br>
<p></p>
<p><b>
REASONING ABILITY:</b></p>
<ul><li>
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists</li><li>
Ability to interpret a variety of instructions furnished in written, oral, or schedule form</li></ul><br>
<p></p>
<p><b>
INTERPERSONAL SKILLS:</b></p>
<ul><li>
Must interact and communicate both verbally and in written form</li><li>
Must interact and exchange information regarding patients with physicians, other departmental Team Members, and outside agencies on a frequent basis while respecting the confidentiality of patient information</li><li>
Professionalism: consistently exhibits integrity, reliability and accountability in all responsibilities. Maintains respectful, constructive interactions while exhibiting emotional intelligence and sound judgement.</li><li>
Positive Work Ethic: Approaches tasks with enthusiasm, initiative, and a commitment to delivering high-quality results.</li><li>
Adaptability: Responds constructively to change, demonstrates flexibility, and remains effective in a dynamic work environment.</li><li>
Collaboration: Works cooperatively with colleagues, values diverse perspectives, and contributes to a respectful team culture.</li><li>
Continuous Improvement Mindset: Actively seeks feedback, embraces learning opportunities, and strives for personal and professional growth.</li><li>
Patient Focused: Maintains a service-oriented mindset, prioritizing the needs of the patients we serve.</li><li>
Communication: Communicates clearly, respectfully, and professionally across all levels of the organization.</li><li>
Problem-Solving Orientation: Approaches challenges with a solution-focused, analytical, and resourceful mindset.</li><li>
Resilience: Maintains composure under pressure and demonstrates perseverance when facing obstacles and time-sensitive matters.</li><li>
Accountability: takes proactive ownership of responsibilities and actively champions departmental education, continually identifying and pursuing opportunities to enhance knowledge, skills and training practices.</li><li>
Constructive feedback: demonstrates the ability to deliver thoughtful, professional feedback to support continuous improvement and enhanced techniques.</li></ul><br>
<p></p>
<p><b>
PHYSICAL DEMANDS:</b></p>
<p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.</p>
<ul><li>
While performing the duties of this job, the Team Member is regularly required to talk or hear.</li><li>
The Team Member is regularly is required to stand, walk, and sit; use hand to finger, handle, or feel objects, tools, or controls; and reach with hands and arms</li><li>
Specific vision abilities required by this job include close vision and the ability to adjust focus</li><li>
Must be able to lift up to 40 pounds</li></ul><br>
<p></p>
<p><b>
WORK ENVIRONMENT:</b></p>
<p>
The work environment described here is representative of those a Team Member encounters while performing the essential functions of this job. This position involves potential exposure to infectious diseases. Team Members are offered appropriate vaccinations and safety training.</p><br>
<p></p>
<p><b>
COMMENTS:</b></p>
<p>
This description is intended to describe the essential functions, the general supplemental functions, and the essential requirements for the performance of the job. It is not an exhaustive list of all duties, responsibilities, and requirements of the position. Other functions may be assigned, and management retains the right to add or change duties at any time. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.</p><br>
<p></p>
<p><i>
This position is a </i><b><i>Safety Sensitive Position</i></b><i>. The essential functions, physical demands, and mental competencies of this job require the Team Member to maintain the ability to work in a constant state of alertness safely.</i></p></div>

Pharmacy Technician Specialist|Training Quality & Compliance

Vital Care Infusion Services, LLC

<div><div><b>Recognized as a &ldquo;Best Place to Work Modern Healthcare&rdquo; &ndash; Join a team where people come first.</b> At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.</div>
<div></div><div>Vital Care (www.vitalcare.com) is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.</div>
<div></div><div>What we offer:</div>
<ul><li>Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.</li>
<li>Paid time off, personal days, and company-paid holidays.</li>
<li>Paid Paternal Leave.</li>
<li>Volunteerism Days off.</li>
<li>Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.</li>
<li>401(k) matching and tuition reimbursement.</li>
<li>Employee assistance programs include mental health, financial and legal.</li>
<li>Rewards programs offered by our medical carrier.</li>
<li>Professional development and growth opportunities.</li>
<li>Employee Referral Program.</li></ul><br>
<div></div><div><b><i>Job Summary:</i></b></div>
<div></div><div><div><div>The Regional Pharmacy Operations Compliance Technician provides ongoing operational, procedural and sterile compounding support (education, training, competencies and best practices in the Vital Care Way) to the Franchise pharmacies. This role is responsible for completing ongoing, onsite surveillance and monitoring of Franchise pharmacies within the company, including pharmacy operations, nursing (if applicable), administrative/clerical, and sales in compliance with regulatory requirements and organizational policies and procedures. The Regional Pharmacy Operations Compliance Technicians collect and report on the Franchise pharmacy through a Franchise checklist, Accreditation readiness tools, Quality Site Assessment, and other Franchisor metric tools and report to the Regional Director of Pharmacy Operations for further follow-up. Maintains communications with Vital Care Infusion corporate offices on infusion and specialty business.</div>
<div></div>The Regional Pharmacy Operations Compliance Technicians provide feedback on policy, process, and techniques to franchise pharmacies to reinforce compliance with federal, state, and local regulations as well as Vital Care policies and procedures. The Regional Pharmacy Operations Compliance Technicians reviews and recommends improvements in the activities of all franchise pharmacy personnel, as well as quality control, creation, completion and updating of performance improvement procedures, monitoring, tracking, and trending of outcomes, and education of support staff under the supervision of the Regional Director of Pharmacy Operations.</div><br>
<div></div>
<div></div><div><b><i>Duties/Responsibilities:</i></b></div>
<div></div><div><div><b>Operational and Performance Improvement Related:</b></div>
<ul><li>Performance of pharmacy operations assessment activities assessing compliance with regulatory, accreditation and ethical standards and assuring activities are in accordance with organizational policies and procedures.</li>
<li>Review of pharmacy Performance Improvement and outcomes reporting and collection and monitoring, tracking and trending of results for continuous performance improvement.</li>
<li>Demonstrates sound operational knowledge, leadership, and stewardship attributing to the provision of support to the Franchise pharmacies driving key objectives and results.</li>
<li>Uses available resources to gather information on the appropriateness of activities related to medication dispensing, compounding of sterile preparations, equipment use, and patient management/monitoring in the home and alternate site of care.</li>
<li>Demonstrates understanding of USP 797/800 standards, accreditation standards, and current State Board of Pharmacy (BOP) regulations.</li>
<li>Observes, monitors, and assesses compliance with accreditation standards and performs Quality Site Assessments at franchise locations.</li>
<li>Acts as a resource to support franchise owners and staff, driving high-quality patient care and efficient operations at franchise locations.</li>
<li>Stays knowledgeable of current industry practices and incorporates them into the support provided throughout the organization.</li>
<li>Assists with employee orientation and preceptor responsibilities as needed.
</li><li>Completes assignments as directed in a timely manner.</li>
<li>Reporting to the Regional Director of Pharmacy Operations, maintains effective communication, receives direction, and remains organized in completing reports, checklists and tools to ensure accurate details are clear to those intended.</li>
<li>Mentor team members including pharmacy technicians to promote competency, leadership, and growth and development.</li>
</ul></div></div><div><b>Non-Clinical Services Related:</b></div>
<ul><li>Inspects and reports back on the physical maintenance and organization of the facility.</li>
<li>Operates effectively as a liaison between the Franchise ownership and the Vital Care corporate team.</li>
<li>Evaluates and collects information on key performance indicators and provides guidance and recommendations to the corporate teams and franchise pharmacies to support effective and efficient operations.</li>
<li>Collects data through onsite and remote observations and assessments and incorporates the collected data and KPIs into the defined data collection tools timely and accurately as outlined by the Vital Care Infusion Services leadership.</li>
<li>Recommends and monitors the monthly activities and identifies opportunities for improvement while partnering with the franchise pharmacy team members in developing and executing functional and lasting plans of corrective actions.</li>
<li>Orients and competencies employees who staff franchise pharmacy departments.</li>
<li>Operates as a resource for individual departments and Franchise employees in resolving questions, challenges, and activities to drive compliance and reduce risks to patients, team members, and the organization.</li>
<li>Upholds local, state, and federal regulations on the provision of health care by professionals.</li>
<li>Acts to implement and uphold company policies, procedures, and protocols in providing services to consumers.</li>
<li>Is responsible for the performance improvement process, develops plans, assesses, improves, and maintains the quality of the company&rsquo;s management, operational, and other important internal processes and activities; assigns staff to performance improvement activities.</li></ul><br>
<div></div><div><b><i>Required Skills/Abilities:</i></b></div>
<div><div>The position requires up to 80% travel.</div>
<ul><li>Excellent interactive and collaboration skills with employees, clinicians, referral sources, and consumers.</li>
</ul>
<div></div><div><b><i>Education and Experience:</i></b></div>
<div><ul><li>Certified Pharmacy Technician (CPHT) required with Certified in Compounded Sterile Preparations preferred (CSPT).</li>
<li>Licensed/registered as required by the state Board of Pharmacy in state of residence.</li>
<li>Business and financial understanding of operating a profitable business.</li>
<li>Previous lead technician or supervisory experience.</li>
<li>Three years&rsquo; experience as a pharmacy technician with sterile compounding of medications, preferred in the home infusion space.</li>
<li>Experience with management of pharmacy support personnel preferred.</li>
</ul><div><b><i>Physical Requirements:</i></b></div>
<div><ul><li>Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.</li>
<li>Keyboarding: Frequent use of a keyboard for typing and data entry.</li>
<li>Reaching: Occasionally reaching for items such as files, documents, or office supplies.</li>
<li>Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork.</li>
<li>Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.</li>
<li>May require lifting over 40 lb.</li>
</ul>
<div></div><div><div>Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.<br>
<br>
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans&rsquo; status, or any other basis protected by applicable federal, state, or local law.<br>
<br>
Vital Care Infusion Services participates in E-Verify.<br>
</div><div>This position is full-time.</div></div></div></div></div></div>

Regional Pharmacy Operations Compliance Technician

Onco360

<div><div><b>Are you someone looking for professional career growth? </b>Onco360 Pharmacy is looking for <b>Pharmacy Benefit Verification Specialists</b> for our Pharmacy located in Waltham, MA.</div>
<div></div><div><div><b>Work Hours: Monday-Friday shifts available; </b><b>some weekends as needed.</b></div><br>
<div></div>
</div><div></div><div><div><b>**Starting salary at $25.00/hr and up** </b>We also offer quarterly incentive bonuses.</div>
<div></div><div><div>We offer a variety of benefits including:</div>
<ul><li>Medical, Dental &amp; Vision insurance</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Paid Volunteer Day</li>
<li>Floating Holiday</li>
<li>Referral Incentive</li>
<li>Paid Life, and short &amp; long-term disability insurance</li>
</ul>
</div><div></div><div><div><div><b>Pharmacy </b><b>Benefit Verification </b><b>Specialist Summary:</b></div>
<div>The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.</div>
<div></div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Major Responsibilities:</b></div>
<ul><li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.</li>
<li>Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.</li>
<li>Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.</li>
<li>Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.</li>
<li>Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws</li>
<li>Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.</li>
<li>Conducts job responsibilities in accordance with the standards set out in the Company&rsquo;s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.</li>
</ul></div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Qualifications:</b></div>
</div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification</li>
<li>Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience</li>
</ul></li><li>Work Experience
<ul><li>Required: 1+ years pharmacy or benefit verification experience</li>
<li>Desired: 3+ years pharmacy or benefit verification experience</li>
</ul></li><li>Skills/Knowledge:
<ul><li>Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.</li>
</ul></li><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill</li>
</ul></li></ul><div>Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking <b>Pharmacy Benefit Verification Specialist</b>s who go above and beyond for our patients, and also passionate about helping others.</div></div></div><div></div>

Pharmacy Benefits Verification Specialist

<div><div><b>Are you someone looking for professional career growth? </b>Onco360 Pharmacy is looking for <b>Pharmacy Benefit Verification Specialists</b> for our Pharmacy located in Woodridge, IL<b>.</b></div>
<div></div><div><b>Work Hours: Monday-Friday shifts available; </b><b>some weekends as needed.</b></div>
<div></div><div><div><b>**Starting salary at $24.00/hr and up** </b>We also offer quarterly incentive bonuses.</div><br>
<div></div>
<div></div><div><div>We offer a variety of benefits including:</div>
<div></div><ul><li>Medical, Dental &amp; Vision insurance</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Paid Volunteer Day</li>
<li>Floating Holiday</li>
<li>Referral Incentive</li>
<li>Paid Life, and short &amp; long-term disability insurance</li>
</ul><div><div><b>Pharmacy </b><b>Benefit Verification </b><b>Specialist Summary:</b></div>
<div>The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.</div>
<div></div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Major Responsibilities:</b></div>
<ul><li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.</li>
<li>Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.</li>
<li>Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.</li>
<li>Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.</li>
<li>Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws</li>
<li>Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.</li>
<li>Conducts job responsibilities in accordance with the standards set out in the Company&rsquo;s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.</li>
</ul></div></div><div><div><b>Pharmacy </b><b>Benefit Verification</b><b> Specialist Qualifications:</b></div>
</div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification</li>
<li>Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience</li>
</ul></li><li>Work Experience
<ul><li>Required: 1+ years pharmacy or benefit verification experience</li>
<li>Desired: 3+ years pharmacy or benefit verification experience</li>
</ul></li><li>Skills/Knowledge:
<ul><li>Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.</li>
</ul></li><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill</li>
</ul></li></ul><div>Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking <b>Pharmacy Benefit Verification Specialist</b>s who go above and beyond for our patients, and also passionate about helping others.</div></div></div><div></div>

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