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Legal and Compliance Specialist

2 months ago

Portland, Oregon, United States Ardon Health Full time

Join Our Team
As we expand our operations, we are looking for a dedicated Contracts & Regulatory Specialist to become a vital part of our esteemed specialty pharmacy team.

About Ardon Health
At Ardon, we are committed to our mission of enhancing lives through the provision of high-quality, compassionate healthcare services. Our innovative work environment in Portland, Oregon, fosters a culture of collaboration and support among our employees as we prioritize patient care.

Our organization is consistently recognized as one of the top 100 companies to work for in Oregon, reflecting our dedication to talent development and employee growth.

Our Specialty Pharmacy
Our cutting-edge specialty pharmacy offers medications designed to treat complex or rare conditions, delivering services that enhance the patient experience from the comfort of their homes. We strive to eliminate barriers to care and provide patients with the necessary education, clinical support, and resources throughout their treatment journey.

Team Environment
Our progressive workplace embodies the belief that life should be shared and enjoyed through hard work, compassion, and teamwork. We celebrate company milestones with team meals and events, and our lounge is equipped with amenities that promote wellness and enjoyment. We actively support patient advocacy organizations in our community and have an employee-led DEI Group focused on diversity and inclusion.

Position Overview
We are seeking a Contracts & Regulatory Specialist to support our healthcare professionals. This role will assist the Corporate Counsel in managing the pharmacy's legal needs and will be responsible for various contract-related tasks, including:

  • Drafting and preparing agreements under the guidance of the Corporate Counsel.
  • Organizing files and tracking contracts.
  • Developing internal contracting procedures and best practices.
  • Conducting contract audits.

This position will also maintain pharmacy Medicare and Medicaid enrollments by submitting updates and revalidations, ensuring compliance with state and federal regulations.

Key Responsibilities
The Contracts & Regulatory Specialist will:

  • Track pharmacy payer network participation and coordinate recredentialing requirements.
  • Prepare documentation and complete related legal and regulatory tasks as assigned.
  • Support the Corporate Counsel in ensuring precise and consistent execution of responsibilities.
  • Maintain a master contracts list and conduct audits in line with accreditation requirements.
  • Communicate contract procedural requirements to internal stakeholders.
  • Identify areas for improvement in the contract management system and implement solutions.
  • Assist with government program participation tasks, including portal maintenance and responding to audits.

Qualifications
The ideal candidate will possess:

  • A Bachelor's degree, preferably in legal studies or healthcare management.
  • Three to five years of experience in the legal, regulatory, or healthcare fields.
  • Knowledge of healthcare regulations, including Medicare and Medicaid.
  • Experience with payer contracting processes and contract management systems.
  • Strong communication, organizational, and analytical skills.
  • Proficiency in Microsoft Office and Adobe software.

Work Environment
This role is performed in an office setting, with significant PC work. The nature of the workflow may require flexibility in scheduling and the ability to work beyond standard hours.

Commitment to Diversity
Ardon Health is dedicated to providing equal employment opportunities for all qualified individuals, regardless of race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status, or any other status protected by law.