California Licensed Pharmacy Compliance Specialist

Job Summary

A company is looking for a Pharmacy Compliance Specialist to ensure compliance with federal and state regulations related to pharmacy operations.

Key Responsibilities

• Develop, maintain, and monitor compliance policies and procedures, and conduct internal audits
• Stay informed about Medicare Advantage regulations and assist in auditing pharmacy operations for compliance risks
• Support the Pharmacy Director in monitoring delegated entities and perform utilization management activities

Required Qualifications, Training, and Education

• 3+ years of experience in a compliance role, preferably within a Medicare Part D health plan or PBM
• Experience with HEDIS reporting or collection
• CA Pharmacy Technician License
• Knowledge of Medicare Part D regulations and CMS guidelines
• Experience with process improvement initiatives