21 pharmacy compliance auditor jobs found

Pharmacy Compliance Auditor 340B Program Join our team as a Pharmacy Compliance Auditor 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Programa federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients. As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you! Minimum Job Requirements: High School Diploma or GED (required) Minimum of 23...

Job Description Join our team as a Pharmacy Compliance Auditor - 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Program-a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients. As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you! Minimum Job requirements: High School Diploma or GED (required) Minimum of 2-3 years of...

Clinical Record Auditor Supervisor The Clinical Record Auditor Supervisor is a clinician that provides day-to-day oversight of the Clinical Compliance Record Auditors and serves as the subject matter expert for the team. Responsibilities include filling in as an Auditor if needed, establishing the Auditing team's workflow to ensure efficiency and coverage, responsible for daily monitoring of Auditing work to ensure duties and responsibilities are being met accurately and timely, setting goals and service expectations for the Auditors, hiring, onboarding, and training new Auditors, creating quarterly analysis and activity summary reports, serving as point of contact for the Auditing team with other business leaders to provide service or address potential issues, and ensuring compliance of all company policies/procedures; local/state/federal laws/regulations and accreditation standards. Qualifications include an active unrestricted RN license, an associate's degree in nursing or...

Description Western Growers Health- a part of Western Growers Family of Companies-provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today! Compensation: $46,669.19 - $65,668.50 with a rich benefits package that includes profit-sharing. This is a remote position and...

Clinical Record Auditor Supervisor The Clinical Record Auditor Supervisor is a clinician that provides day-to-day oversight of the Clinical Compliance Record Auditors and serves as the subject matter expert for the team. Responsibilities: May fill in as an Auditor if needed. Establishes the Auditing team's workflow to ensure efficiency and coverage. Responsible for daily monitoring of Auditing work to ensure duties and responsibilities are being met accurately and timely. Sets goals and service expectations for the Auditors. Hires, onboards, and trains new Auditors. Create quarterly analysis and activity summary reports. Serves as point of contact for the Auditing team with other business leaders to provide service or address potential issues. Ensures compliance of all company policies/procedures; local/state/federal laws/regulations and accreditation standards Qualifications: Active unrestricted RN license Associate's Degree in Nursing or the equivalent Minimum 8...

Job Description Job Description Education and/or Experience :   Must have these requirements under the umbrella of the HCC industry: Requires knowledge in HCC Coding documentation guidelines. Requires technical expertise in ICD-9-CM or ICD-10-CM. Strong skills in medical record audit and review. Regulatory requirements for coded data. Medical record documentation requirements. Understanding of healthcare data systems. Proficiency in MS Outlook and Word. Strong proficiency with Excel--must have ability to prepare spreadsheets. Excellent written and verbal communication skills. Certification is a plus with HCC. AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. Hybrid Schedule Requirements Part A Monday - Wednesday onsite / Thursday - Friday Remote Part B Wednesday - Friday Onsite / Monday - Tuesday Remote   We are looking for HCC Risk Adjustment Auditors/Coders to join our team!   Position...

Compliance Auditor If you have a passion for compliance auditing and a drive for operational excellence, join our growing Quality team as a Compliance Auditor and take your career to the next level at Labcorp. This is an Onsite position at 8211 Scicor Drive, Indianapolis, IN. Imagine being involved in innovation and projects that change the course of our industry daily! At Labcorp, one of the world's largest and most comprehensive pharmaceutical solutions service companies, you will have an opportunity to build an exciting career while you make a direct impact on the lives of millions. Job Summary: We are seeking an experienced member to join our Quality Assurance team. The Compliance Auditor plays a pivotal role in ensuring that clinical research laboratory testing operations comply with global regulatory standards and industry-recognized best practices, including GCP/GLP, ISO 15189, and ISO 13485. This position leads the internal audit program execution, drives process...

POSITION TITLE: Compliance Auditor REPORTS TO: Director of Compliance CLASSIFICATION: Non-Exempt POSITION SUMMARY: The Compliance Auditor is responsible for developing and executing audit plans based on research and regulatory guidelines and conducting internal and external audits of departments and their policies. They review programs, records, and systems to ensure adherence to regulations and to support an effective compliance program that prevents illegal, unethical, or improper conduct at the health center. Additionally, they compile and present audit findings to department leadership, assist in implementing procedural changes to resolve compliance issues, and may be reassigned duties as needed for accommodation or staffing reasons. ESSENTIAL FUNCTIONS: The following information is considered the definition of essential functions, but does not restrict the tasks that may be assigned. The Compliance Auditor may be reassigned duties and responsibilities...

Job Description The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and billing regulations/guidelines...

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! GxP and/or healthcare setting experience highly preferred. Job Title : YRC04G - REMS Auditor Brief Description : The Risk Evaluation and Mitigation Strategy [REMS] Auditor provides core compliance functions and project support...

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence generation. Embark on a rewarding career journey with UBC! Grow your career while making a meaningful impact on the world around you. UBC fosters a culture built on our Core Values being: Collaborative, Conscientious, Curious, Consultative, and Compassionate. We believe in an inclusive workplace that fosters creativity. If you are seeking a career that will challenge, inspire, and reward you, join us at UBC! UBC is seeking an experienced Sr. REMS Compliance Auditor with management experience to oversee Associate REMS Auditors and REMS Auditors. Job Title : YRC03H - Senior REMS Auditor Brief Description: The Risk Evaluation and...

A leading resources company in Temecula seeks a qualified professional with a technical background in quality management for the pharmaceutical or medical device sectors. The position requires a Bachelor's degree in Engineering or equivalent experience, alongside 4+ years relevant experience. Applicants must be adept in Quality Systems Regulations (QSR) and ISO13485, possessing excellent communication skills. This is an on-site role in California. #J-18808-Ljbffr

Job Type Full-time Description At Athena Care, our mission is to improve access to quality mental health care so that people can live happier, healthier, more productive lives. Our vision is to create the leading mental health services platform in Tennessee and neighboring states. Services include diagnostic assessment, medical management, psychotherapy, and TMS and Spravato treatments along with Intensive Outpatient Services for adolescents and adults. Founded in 2001, Athena Care is "in-network" with most major insurance plans. Athena Care is currently seeking a Supervisor of Medical Support Services for our Nashville and surrounding clinics with a schedule of Monday - Friday, 8am - 5pm. The Supervisor, Medical Support Services, provides leadership, oversight, and operational supervision for Athena Care's medical support teams, with primary responsibility for Medical Technicians (in-clinic) and Medical Technician Phone Line / Float staff workflows. This role ensures...

Pharmacist Supervisor The Pharmacist Supervisor oversees pharmacy operations and manages a team of direct reports, ensuring regulatory compliance, medication safety, and efficient workflow. This role is responsible for staff training, performance development, and cross-functional communication, while supporting specialty areas such as IV operations, medication safety, or operational services. The supervisor participates in quality improvement initiatives, mentors staff and collaborates with the pharmacy leadership team to achieve departmental goals and maintain high standards of patient care. General Responsibilities: Demonstrate knowledge of standards and regulations and maintains proper documentation. Assure readiness with all regulatory agencies and compliance with department, hospital, and AH policies and procedures. Assist in the documentation, implementation, and monitoring of medication and patient safety initiatives. Maintain safe and efficient operations and...

The Asahi Kasei Group Operates With A Commitment Of Creating For Tomorrow Veloxis Pharmaceuticals is an Asahi-Kasei Group Company based in Cary, NC. Our purpose is to transform transplant medicine as the primary partner to the community of transplant healthcare providers and their patients; our focus is in developing new therapies and programs to help transplant healthcare providers and the patients they treat. Veloxis provides a dynamic and innovative place to work that encourages professional development and embraces diversity. We seek creative, intelligent, action-oriented, and passionate individuals who thrive in a collaborative team environment. If you are interested in being part of a patient-centric company, then we invite you to learn more about the employment opportunities available at Veloxis. Our success is tied to the contribution of every team member, which is why we provide a valuable and competitive compensation package that includes health and insurance benefits,...

We're here for one reason and one reason only - to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We've made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows. Job Description At Gilead our pursuit of a healthier world for all people has yielded a cure for hepatitis C, revolutionary improvements in HIV...

Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you. What makes us different? We offer our employees the following: • 1 Health Wellness day per quarter • Parental Leave • Free parking at our locations/bus line accessibility • Competitive Salary & Benefits • Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program) • 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependents • Credit Union Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes. Job Summary : The Medical Billing &...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

A client of Innova Solutions is immediately hiring for a HIM Coder Position type: Full-time,Contract Duration: 5+ Months Location: Remote (Looking for candidates based out in HI, CA, WA or OR) As a HIM Coder, you will: The HIM Hospital Coder I is responsible for reviewing medical records and accurately assigning diagnosis and procedure codes in accordance with recognized coding guidelines and organizational standards. Day to Day Responsibilities Review inpatient and outpatient medical records daily to identify and assign accurate diagnosis and procedure codes. Abstract clinical data and ensure coding is completed within required productivity and compliance timelines. Apply ICD-10-CM, CPT, and HCPCS Level II guidelines to ensure proper code selection and sequencing. Communicate with physicians and internal teams to clarify documentation, diagnoses, and procedures when needed. Monitor coding accuracy, resolve discrepancies (including DRG-related...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding. Schedule (38.75 hours): Following training, hours will be Monday-Friday (either 4 x 9.7-hour workdays or 5 x 7.75-hour workdays) between the...