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REGAL PHARMACY LLC DBA REGAL PHARMACY Job
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| Employer Name: |
SpiderID: 13740119 |
| Location: Newark, New Jersey |
Date Posted: 5/6/2024 |
| Wage: |
Category: Medical/Health |
| Job Code: |
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Job Description:
Regulatory & Compliance Analyst is needed to perform the following duties:
Ensure Pharmacy is compliant with all regulatory, legal and statutory requirements set forth by state and federal governments.
Assists in identifying trends in processes and controls regarding pharmacy ordering and inventory management.
Assists with incident response activities as they relate to corporate government reporting guidelines.
Assist Pharmacist in reviewing Center of Medicare & Medicaid service (CMS) prescription data claims as well as from third party insurance providers.
Monitors and tracks pharmacy compliance audits.
Making sure on licensure renewals and required continuous educations programs specific to retail pharmacy practice. In addition, conspicuous display of all mandated certifications/license/registrations to the public and on site visits.
Assist Pharmacist in developing new methodologies for effective prescription data entry, central claims for immediate retrieval of records.
Apply initiatives from Department of environmental conservation (DEC) to help retail pharmacies prevent violations and protect public health and the environment.
Assists in maintain the inventory record of CII, CIII, CIV and CV drugs as well as the Legend drugs.
Assure overall regulatory compliance promoting continuous improvement in our internal audit process and risk assessment affecting our business by coordinating all bits and pieces of our pharmacy research.
Record and maintain annual inventory of controlled substances in addition to developing real time inventory check after each dispensing.
Develop Policy & Procedure for conducting Medication Therapy Management sessions and Outcomes to improve medication adherence and improve pharmacy star-rating.
Support the research component of the pharmacy department through development of automated processes and reporting, targeted to improve efficiency and ensure compliance of health plan policy/procedures and regulatory standards.
Implementation of system-wide programs, policies, and procedures to ensure system compliance with applicable federal and state laws and regulations
Maintains and coordinates data related to regulatory, internal or third-party pharmacy inspections or audits.
Provides analytical support during pharmacy-related investigations.
Develop quality assurance techniques to ensure safe and effective inventory control system.
To prevent Fraud, Waste and Abuse (FWA) by literature research on dosing codes along with diagnosis codes to substantiate the claims.
Develop and maintain the standard operating procedures (SOP) for retail pharmacy.
To make protocols for Dispense As Written (DAW) codes in accordance with state legislature.
Provide the required State, Federal, Medicaid and Medicare laws compliance support and assist in the DEA regulations compliance including bringing together the documentation of expired controlled substance and the inventory management of control substance consistent with the strategic plan of the company.
Strict maintenance of HIPPA regulations and updating in a timely manner, Maintaining Office of Inspector General (OIG) checklist for employees and vendors and reporting any exclusion list.
Ensuring compliance with new rules, regulations as set forth by the DEA, Centers for Medicaid and Medicare Services, New Jersey state board of pharmacy and other state and Federal laws and regulations.
Maintain Up to date Standard Operating Procedures (SOP) for handling of prescriptions, filling prescriptions, storage of medications, Refrigerator logs, Daily logs, controlled substance storage.
Review and assist pharmacists with DEA-106 forms for loss or theft of federal controlled substances.
Assist in the internal audit of our overrides, billing over-dues, coordinating the diagnostic codes entered in the system regarding use of prescription and non-prescription drugs.
Timely review of Unbilled and under-payed prescription claims from Centre of Medicaid and Medicare claims (CMS) and third party payers.
Working along with Elevate Provider Network regarding the medication reconciliation and identifying potential MTM opportunities by using MTM outcomes.
Internal auditing of the overrides and the DUR codes used in billing in Prime Rx.
Bachelors degree is required in Pharmacy or Pharmaceutical Sciences or Drug Regulatory Affairs or Pharmaceutics
Job Criteria:
Start Date:
Position Type: Full-Time Permanent
Years of Experience Required:
Education Required: Bachelors
Overnight Travel:
Vacation Time:
Contact Information:
| Contact Name: REGAL PHARMACY LLC DBA REGAL PHARMACY |
Company Type: Employer |
| Company: REGAL PHARMACY LLC DBA REGAL PHARMACY |
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| City: NEWARK |
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| State: New Jersey |
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| Zip: |
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