7939 Compliance Officer Pharmacy AHC



Aurora Health Care

|POSITION: Compliance Officer Pharmacy |DATE: December 2009 |

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|REPORTS TO: Director Compliance |ANALYST: |

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|DEPARTMENT: Corporate Compliance |REVISED: |

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|JOB CODE: 7939 |REVISED BY: |

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POSITION PURPOSE:

Develops and implements processes related to pharmacy, durable medical equipment and retail operations that support the system-wide compliance program by: developing and implementing content for compliance education and training; conducting and overseeing compliance audits and investigations; conducting training and developing policies and procedures related to pharmacy, durable medical equipment and retail operations; and serving as the in-house expert on pharmacy, durable medical equipment and retail operations compliance issues.

REPORTING RELATIONSHIP:

• Reports to the Director Compliance, who in turn reports to the Vice President & Chief Compliance Officer.

• No incumbents report to this position.

ESSENTIAL FUNCTIONS:

• Collaborates with key leadership, other employees, and pharmacists to identify, research, investigate and resolve compliance issues related to pharmacy, durable medical equipment and Aurora’s retail operations.

• Oversees and documents external regulatory investigations and audits related to pharmacy, durable medical equipment and retail operations compliance.

• Ensures compliance with new rules, regulations, and revisions, as set forth by the Drug Enforcement Agency, Centers for Medicare & Medicaid Services, Wisconsin Pharmacy Examining Board, and Wisconsin Department of Health Services, as well as other federal and state laws and regulations that govern matters related to pharmacy, durable medical equipment and Aurora’s retail operations.

• Monitors, analyzes, interprets, and communicates regulatory changes related to pharmacy, durable medical equipment and Aurora’s retail operations. Leads and oversees efforts to respond to new or changing regulations, including but not limited to communicating regulations to site leadership and affected departments, assembling and chairing work teams, and developing/providing education regarding regulatory requirements.

• In collaboration with Compliance leadership, develops and/or oversees compliance policies and procedures related to pharmacy, durable medical equipment and retail operations.

• Tracks data and creates reports to assist in the analysis of compliance issue patterns.

• Reduces organization risk by identifying risks related to pharmacy, durable medical equipment and retail operations and by developing and managing an annual work plan to address those identified risks.

• Contributes to the annual compliance audit plan, and oversees the components related to pharmacy, durable medical equipment and retail operations.

• Creates and delivers education related to pharmacy, durable medical equipment and retail operations compliance, using on-line training courses, in-person educational presentations, guideline documents, newsletters, the Compliance website and other educational tools.

• Works with Human Resources to investigate suspected employee misconduct and determine appropriate discipline for employees found to have committed compliance violations.

• Leads and/or participates in projects related to the design, implementation, revision and maintenance of processes and systems that promote compliance related to pharmacy, durable medical equipment and retail operations.

• Serves as internal expert and advisor in compliance matters related to pharmacy, durable medical equipment and retail operations.

NON-ESSENTIAL FUNCTIONS:

The following non-essential job functions are listed to inform you of significant duties and/or skills that form some of the bases for evaluation for merit increases of employees in this position. This does not exclude consideration of applicants who do not possess the ability to perform those skills or duties upon application.

• Performs other duties as assigned or as necessity dictates.

SPECIALIZED KNOW-HOW AND REQUIREMENTS:

• Knowledge of pharmacy, durable medical equipment and retail operations equivalent to that which would be acquired by completing a regionally accredited bachelor’s degree program.

• Knowledge, skills and abilities required to perform this job are typically acquired through a minimum of five years of progressively responsible experience within a health care environment that includes experiences in planning and implementing large scale projects that affect multiple departments and functions; implementing regulatory changes; identifying, investigating, and resolving complaints; and analyzing and interpreting pharmacy, durable medical equipment and other retail operations requirements.

• Knowledge of state and federal laws and regulations related to operations and revenue cycle for pharmacy, durable medical equipment (DME) and Aurora’s retail operations.

• Strong planning, problem-solving and change management skills. Demonstrated leadership skills and abilities, including the ability to lead diverse work teams.

• Demonstrated personal traits of a high level of motivation, team orientation, professionalism and trustworthiness, and placing a high value on treating others with dignity and respect.

• Strong written and oral communication skills

• Strong skills in personal diplomacy with demonstrated ability to handle sensitive communications with leadership, physicians, management, legal counsel and regulatory agencies.

• Strong organizational and time management skills.

• Demonstrated proficiency in the Microsoft office (Word, Excel, and PowerPoint) or similar products.

MENTAL/PHYSICAL REQUIREMENTS:

• Must be able to drive to various sites so therefore will be exposed to weather and road conditions.

• Operates all equipment necessary to perform the job.

• Exposed to normal office environment.

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