Pharmacy Credentialing Regulatory Specialist
3 weeks ago
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.
* 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.
Qualifications
Experience
* 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).
Education
* 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.
GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.
-
Pharmacy Technician
13 hours ago
Lawrence, United States CVS Health Full timeBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...
-
Pharmacy Technician
2 days ago
Lawrence, United States CVS Health Full timeBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...
-
Case Management Resource Specialist
2 weeks ago
Lawrence, United States Lawrence General Hospital Full timeCase Management Resources SpecialistWorks collaboratively with the Complex Care Nurse Managers, Social Workers, and Utilization Review Nurses, in coordinating and providing care that is safe, timely, effective, efficient, equitable and client-centered. Assuming all administrative responsibilities within the admission and discharge planning, Perform other...
-
Utilization Review Specialist
3 weeks ago
Lawrence, United States Lawrence General Hospital Full timeThe Utilization Review Specialist, under supervision and in collaboration with the Utilization Review Coordinator, Utilization Review Nurses, Physician advisor and healthcare team supports all administrative tasks/responsibilities for utilization management and revenue integrity cycle processes. Interacts directly and indirectly with internal and external...
-
Overnight Veterinary Client Care Specialist
2 days ago
Lawrence, United States Ethos Veterinary Health Full time$1,000 SIGN ON BONUS! Are you a highly motivated individual with a passion for delivering exemplary client service? Bulger Veterinary Hospital in Lawrence, MA, is currently seeking a full-time Client Care Specialist to join our dedicated team. About Us: At Bulger, we pride ourselves on providing comprehensive care, including General Practice, 24-hour...
-
Lawrence Township, United States Sunrise Systems, Inc. Full timeJob Title: Regulatory & Medical Affairs - Project Manager Job ID: 24-01565 Location: Lawrence Township, NJ, 08648 Duration: 06 Months contract on W2 Onsite full time at Princeton Pike. Innovation and Digital Health, Project Manager - Digital Optimization Initiatives Position Summary The Innovation Lab team partners with R&D stakeholders to design and deliver...
-
Clinic Support Specialist, Float, PRN
2 weeks ago
Lawrence, United States Lawrence Memorial Hospital Full time**Description** **Take Your Career to the Next Level with LMH Health!** At LMH Health, we are committed to being a partner for lifelong health to the community since 1921. We are looking for high-energy, driven, **Clinic Support Specialist** to join our team! The Clinic Support Specialist registers patients into the clinic, schedules appointments, collects...
-
Benefits Specialist
3 weeks ago
Lawrence, United States AgeSpan Inc Full timeAgeSpan Formerly Elder Services of the Merrimack Valley/North Shore About Us: Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community. We are proud of our employees who make this possible every day. Our agency is a thought-leader, a...
-
Benefits Specialist
4 weeks ago
Lawrence, United States AgeSpan Full timeJob DescriptionJob DescriptionAgeSpanFormerly Elder Services of the Merrimack Valley/North ShoreAbout Us: Since 1974 our agency has strived towards supporting an individual's desire to make their own decisions, secure their independence and remain living independently in the community. We are proud of our employees who make this possible every day. Our...
-
Health Services
1 week ago
Lawrence Twp, United States TechDigital Corporation Full timeThe Document Management Specialist will play a crucial role in providing controlled document support by managing the document lifecycle in the cloud-based electronic Document Management System (eDMS). This position will involve separating centralized regional Standard Operating Procedures (SOPs) into site-specific SOPs, ensuring content clarity, consistency,...
-
Sleep Technologist
4 weeks ago
Lawrence, United States Lawrence General Hospital Full timeA sleep technologist works under the general supervision of the medical director or designee to provide comprehensive evaluation and treatment of sleep disorders including in center and out of center sleep testing, diagnostic and therapeutic interventions, comprehensive patient care and direct patient education. A sleep technologist is able to perform the...
-
Lawrence, United States LMH Health Full timeDescriptionSchedule: Monday-Thursday 9:00am to 5:30pm and Friday 8:30am to 5:00pmSomething special starts here.You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy...
-
Sleep Technologist
7 days ago
Lawrence, United States Lawrence General Hospital Full timeA sleep technologist works under the general supervision of the medical director or designee to provide comprehensive evaluation and treatment of sleep disorders including in center and out of center sleep testing, diagnostic and therapeutic interventions, comprehensive patient care and direct patient education. A sleep technologist is able to perform the...
-
Lawrence, United States Lawrence Memorial Hospital Full time**Description** **Take Your Career to the Next Level with LMH Health!** At LMH Health, we are committed to being a partner for lifelong health to the community since 1921. We are looking for high-energy, driven, **Clinic Support Specialist** to join our team! We are looking for a candidate who prefers a flexible schedule. Total hours worked per pay period...
-
Lawrence, United States LMH Health Full timeDescription Schedule: Monday to Friday full-time days Something special starts here. You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy...
-
Travel Nurse
1 day ago
Lawrence, Kansas, United States GLC on the GO Full timeGLC on the GO is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Lawrence, MAShift:5x8 hr nights Start Date: 05/28/2024 Duration: 13 weeks Pay: $2690 / Week About GLC on the GO:WE ARE GLC GROUPWe go that little extra to turn ordinary into extraordinaryWe do the right thing the right way.We are productive,...
-
Travel CT Tech in Lawrence, MA
1 week ago
Lawrence, United States AlliedTravelCareers Full timeAlliedTravelCareers is working with GO Healthcare Staffing Inc to find a qualified CT Tech in Lawrence, Massachusetts, 01841!About The PositionOur client in Lawrence MA has a 12HR NIGHT travel position for an Allied with current CT Tech experience. The ideal candidate must have at least 2 years of experience, with active Allied license and BLS and/or ACLS...
-
Registered Nurse
10 hours ago
Lawrence, United States CareerStaff Unlimited Full timeRegistered Nurse - RN - Emergency Department - ED Invest in your future by discovering a facility in Lawrence, MA with resources, technology, and opportunities that will positively impact the rest of your healthcare career. Registered Nurses are valued members of the care team that are focused on helping patients with medically complex conditions regain...
-
Registered Nurse
2 days ago
Lawrence, United States CareerStaff Unlimited Full timeRegistered Nurse - RN – Emergency Department – ED Invest in your future by discovering a facility in Lawrence, MA with resources, technology, and opportunities that will positively impact the rest of your healthcare career. Registered Nurses are valued members of the care team that are focused on helping patients with medically complex conditions...
-
Cook
54 minutes ago
Lawrence, United States Raising Cane's Full timeOverview: Starting hiring pay range (based on location, experience, qualifications, etc.): $15 to 16.50/ hour "Calling all Night Owls! We are looking for (late/night/closers & weekends) Crew!" (8PM to 3:30AM) with Weekend availability! Earn extra $1.00/hour after 10:00PM As a Cook at Raising Canes, you will set the pace of the Restaurant by ensuring all...
