Pharmacy Compliance Coordinator

Company: MVP Health Care
Location: Schenectady
Posted on: March 15, 2023

Job Description:

Pharmacy Compliance Coordinator

Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #1372

Monday, February 20, 2023

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

There are some positions at MVP where your work may require an onsite or community component. When working in an MVP office and/or in the community on behalf of MVP, you must be fully vaccinated against COVID-19, and have received the first booster dose within one month of eligibility.

Pharmacy Compliance Coordinator

Summary

• This position will be responsible for the development, implementation, coordination, oversight and monitoring of the departmental compliance programs to assure ongoing compliance with federal, state, and other oversight entity regulations.
  
• Executes and maintains oversight of compliance related projects/programs/activities associated with the Pharmacy department.
  
• Monitors, analyzes, summarizes, disseminates and coordinates with internal and external partners any regulatory changes and identifies impact to business.
  
• Coordinates and supervises compliance-related audit activities, including facilitation of workgroups, developing workplans, data/document collection and validation, recording and summarizing audit results, and develop/implement Corrective Action Plans associated with identified compliance concerns or recommendations.
  
• Develops, maintains and updates documentation, including policies, procedures and job aids, to comply with new or changing regulatory requirements.
  
• Coordinates the development of compliance training tools for new hires and existing team members with the assistance of the other Pharmacy Coordinators and Leaders.
  
• Coordinates the development of reports, projects and assessment tools to verify compliance and identify areas of risk.
  
• Performs periodic reviews of operational compliance.
  
• Documents performance measures, tracks compliance issues, and reports status to Pharmacy Management and MVP Compliance team in conjunction with other Pharmacy Coordinators and Leaders.
  
• Develops, implements and monitors action plans to resolve identified or potential compliance risks. Provides oversight of departmental regulatory reporting and PBM reporting as noted in vendor contracts and/or delegation agreements with the assistance of the Pharmacy Leadership. Assists with Delegation Oversight Committee reporting.
  
• Coordinates product benefit development, pre-production testing and monitoring with Pharmacy Coordinators and Leaders to ensure all regulatory requirements are addressed, monitored and documented.
  
• Acts as subject matter expert and representative for all departmental compliance-related activities to internal and external partners.
  
• Performs other duties as assigned.
  
  Position Qualifications:
  
  Minimum Education: Bachelor's degree required. Degree in Business, Healthcare Administration or related field strongly preferred.
  
  Minimum Experience: At least 3 years prior compliance, managed care, or health-system experience required. Previous experience in a pharmacy or health insurance-related field and/or compliance highly preferred. Project management and/or prior leadership experience highly preferred.
  
  Required skills:
  
• Strong skills in critical thinking, interpersonal interactions, verbal and written communication, and time and organizational management.
  
• Highly detail oriented with strong analytical and technical skills. Strong computer skills with common business programs (e.g. Word, Excel, PowerPoint).
  
• Highly capable of working independently or in a team environment.
  
• Knowledge of change control and issue management in a project context.
  
• Ability to work on multiple projects under time constraints under direction from multiple
  
  internal/external partners. Ability to adjust priorities to meet multiple competing deadlines.
  
• Proactive, analytical, and process driven with a strong focus on meeting deliverables and business requirements.
  
• Influential verbal and written communication skills with both internal and external customers.
  
  About MVP
  MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com
  
  Please apply and learn more - including how you may become a proud member of our team.
  
  Other details

• Job Family Pharmacy
• Pay Type Salary

Keywords: MVP Health Care, Schenectady , Pharmacy Compliance Coordinator, Healthcare , Schenectady, New York