Corporate Substance Management Analyst

2 weeks ago

Irving, Texas, United States CHRISTUS Health Full time

Overview:

The Corporate Substance Management Analyst is tasked with the aggregation of accountability data for controlled substances, ensuring compliance with internal and external reporting obligations. This role is pivotal in maintaining data integrity and generating both routine and specialized reports as required. The analyst will extract information from various data repositories to support analysis and reporting for both standard and unique inquiries.

Key Responsibilities:

1. Uphold the standards of the OneCHRISTUS Competencies: Self-Leadership, Leadership of Others, or Leadership of Leaders.
2. Conduct scheduled, random, and targeted audits of medication management, particularly focusing on controlled substances and other medications as necessary. (60%)
3. Collaborate with Clinical Leadership to address and rectify identified discrepancies. (15%)
4. Enhance automation systems and data analytics tools to improve proactive monitoring of diversion risks. (10%)
5. Compile and present data in a dashboard format to illustrate overall compliance with program standards. (10%)
6. Engage in monthly ministry program discussions, presenting relevant data findings. (5%)

Ensure that the pharmacy department adheres to all legal, accreditation, and certification standards, including:

FDA, Board of Pharmacy, Board of Health, DEA, CMS, USP 797, and JCAHO regarding the prescribing, distribution, dispensing, preparation, storage, administration, and disposal of controlled substances.


Data Acquisition:
Gather controlled substance transaction data from all relevant sources.

Work collaboratively with Pharmacy, Nursing, Anesthesia, and Ambulatory Care to secure necessary data within the designated timeframe for both internal and external reporting.


Data Reporting:
Respond promptly to requests for controlled substance transaction data, analyses, and reports.
Plan and execute data queries as required, identifying and utilizing key data resources to achieve desired outcomes.
Prepare regular and ad hoc reports as necessary, ensuring thorough validation of data to maintain accuracy and integrity throughout the data collection, manipulation, and analysis processes.
Generate reports, graphs, and spreadsheets as needed for various projects or requests.

Regularly prepare reports on transaction types for review by Pharmacy and Nursing leadership, including Override, Waste, Discrepancies, Removal of medications outside of their designated units, and Inventory.


Surveillance Activities:
Conduct data management activities related to controlled substance surveillance.
Identify potential risks for diversion, misuse, theft, or significant loss through analysis of Automated Dispensing reports for Nursing.

Review and analyze monthly Pyxis controlled substance transaction data to detect potential diversion, misuse, theft, significant loss, or trends that necessitate further monitoring.


Audit Functions:
Perform regular audits of Pharmacy controlled substance inventory and distribution transactions, along with related documentation.

Conduct audits of all internal controlled substance records and logs, identifying deficiencies related to inadequate record-keeping and documentation.


Execute audits as directed by Pharmacy management to meet regulatory or compliance standards, providing data analysis and summaries.
Act as a resource for the Internal Auditor during internal audits and assist in drafting responses to Internal Audit reports.

Quality Improvement:
Support and contribute to the ongoing assessment and enhancement of pharmacy operations.
Identify potential system vulnerabilities, establish best practices for medication safety, and facilitate improvement initiatives.
Participate in audits and tracer programs to promote the quality of pharmacy services.

Utilize lean management principles as the primary tool for fostering a mindful, high-reliability culture, eliminating waste, and ensuring compliance with standardized procedures.


Demonstrate the ability to work independently when assigned tasks by the Director of Medication Safety and Regulatory Compliance.
Exhibit effective interpersonal and communication skills, along with exceptional organizational abilities.
Maintain meticulous attention to detail and accuracy in all tasks.

Qualifications:

Preferred qualifications include a BA/BS in Accounting, Business, Information Systems, or a related field.
A minimum of 2 years of experience, including co-op assignments, in internal audit, public accounting, or relevant healthcare experience is preferred.
Medical experience is advantageous.
Licensure as an LVN or certification as a Pharmacy Technician (CPhT) is preferred.

Employment Type:

Full Time

Equal Employment Opportunity:

We strive to ensure that our site is accessible to all users. If you require assistance with the application process, please reach out to us.

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