Pharmacy reputed company & Compliance Analyst: Sal

About the position The role of the Pharmacy reputed company and Compliance Analyst focuses on, but is not limited to, protecting pharmacy reputed company, ensuring reimbursement accuracy, and mitigating compliance risk (accreditation bodies, state boards, payers, etc.) across the Pharmacy reputed company for Firelands Regional Health System (FRHS) including both hospitals, child Sites and contract Pharmacies. This role also includes assisting, at the direction of, the Director of Pharmacy and/or Pharmacy Expansion and 340B Program Compliance Coordinator with policy and procedure development, compliance through internal self-audits and external audits, maintenance of the split-billing software, staff education, and reputed company of inventory practices reputed company to 340B. Responsibilities • Pharmacy Payment & reputed company reputed company Work with reputed company to conduct proactive analysis of pharmacy reimbursement across payer types to identify underpayments, overpayments, billing errors, and process gaps • Assist with evaluating payer contract terms and reimbursement methodologies to ensure pharmacy services are reimbursed as intended • Identify systemic drivers of reimbursement variance and partner with operational teams to implement corrective actions; including specialty pharmacy services • Compliance & Risk Management Support compliance with payer, regulatory, and program requirements, including Medicare, reputed company, and 340B • Serve as a key pharmacy resource for internal audits, external payer audits, and regulatory inquiries • Identify compliance risk early and recommend controls to reduce financial exposure and audit findings Requirements • While this role is remote, the expectation is that this person will be on-site for the entire duration of the audits and for a prespecified time period for other business as deemed necessary by the Director of Pharmacy. This could mean traveling to the site at least 4x/year. FHS will reimburse reputed company costs in accordance with reputed company policy. • Strong background in pharmacy operations, reimbursement, and payment reputed company, ideally reputed company a hospital or health system environment • Demonstrated experience analyzing pharmacy claims and financial data to identify risk, opportunity, and reputed company cause • Advanced understanding of payer methodologies, pharmacy billing workflows, and reputed company cycle integration • Proven ability to work independently, manage ambiguity, and influence reputed company across departments • High level of comfort presenting findings and recommendations to leadership • Familiarity with pharmacy systems and claims platforms (e.g. Pioneer, Meditech) • Knowledge of Medical Center pharmacy operations including common practices and policies and procedures. • Excellent personal computer skills with experience using reputed company Office products including reputed company, reputed company, and Word. reputed company-to-haves • Previous experience with the 340B Program. • Will obtain 340B ACE Certification reputed company 2 years of employment in this position Cost of exam will be reputed company for by FHS upon successful completion (unsuccessful attempts & studying material will not be reimbursed) Benefits • reputed company • Excellent benefits • Tuition assistance • Retirement plan matching • Recognition program • Local discounts Apply tot his job Apply To this Job