Compliance amp Licensing Specialist

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Compliance & Licensing Specialist
The candidate will responsible for assisting and supporting the company’s legal and compliance department in the development, implementation and management of an effective compliance program, which includes licensure & application processes for the company’s pharmacies.Responsible for monitoring, and providing support on a variety of complex federal, state & local regulatory licensing compliance policies and procedures for the healthcare industry. Maintain records, compiles information & submits the necessary forms & supporting documentation for regulatory agencies in order to guarantee licenses & license renewal. Provides input in the development, maintenance and revision of policies and procedures of the general operation of the Compliance Program of the Company, as needed, to prevent illegal, unethical or improper conduct. Manages licensing compliance requirements and permits for pharmacies. Maintenance of NCPDP & NPI websites uploading of new licenses/permits, ensuring demographic and change of ownership (CHOW), location and Pharmacist in Charge (PIC) information is submitted and current. Provides input in the development, maintenance & revision of policies and procedures of the general operation of the compliance program of the company, as needed to prevent illegal, unethical or improper conduct. Collaborates with other departments to address compliance issues for investigation & resolution. Consults with Supervisor to resolve compliance issues. Monitors and audits the activities of pharmacy operation and various departments to remain abreast of the status of all compliance activities and to identify trends. Assist with performing annual pharmacy risk analysis and assist with the development of compliance programs to ensure timely corrective/preventative actions are performed. Travels to pharmacy locations, off-site inspections and meetings as needed. Assists with requests, inquiries and investigations regarding PHI disclosure under HIPAA requirements. Assists with maintaining the Legal and Compliance Department’s record keeping and database. Assists with requests received from vendors, Pharmacy Benefit Manager (PBM) and other federal and/or state regulatory authorities relating to regulatory compliance initiatives, licensing and related processes. Assists with the compliance audit process to ensure that compliance audits are completed timely and in agreement with states Board of Pharmacy, Drug Enforcement Agency (DEA), Pharmacy Benefit Manager (PBM), and other vendor requirements. Manage all administrative tasks related to the pharmacy compliance programs and various other duties. Must have a high school diploma; Paralegal certificate a plus, but not required. Must have excellent verbal and written skills. Must have solid working knowledge of Microsoft Office Suite. Must have Two-Four years of experience in healthcare compliance related activities. Prior in-house legal or compliance experience preferred.

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