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Manager of Quality & Compliance

hace 23 días

Portland

Job Description As we continue to grow, we are seeking a Manager of Quality & Compliance to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are passionate about our mission to inspire people and improve lives through the delivery of high-quality, compassionate healthcare services. Our innovative work environment in Portland, Oregon, centers around uplifting collaboration with our employees as we care for patients. Our commitment to cultivating talent and fostering growth within our organization keeps Ardon ranked among the top 100 companies to work for in Oregon. Our specialty pharmacy Our state-of-the-art specialty pharmacy provides medications that are often used to treat complex or rare conditions. We deliver services to enhance the patient experience within the comfort of their home. We remove barriers to care and provide patients with the education, clinical care and supportive services they need on their treatment journey. We work to build trusted relationships and to be a resource where patients can turn for help. What it’s like to work with our team Our progressive work environment embodies the notion that life is meant to be shared and lived well, through hard work, compassion, and camaraderie. Together, we enjoy team meals and celebrate events and company milestones. Employees like to relax in our lounge equipped with amenities that promote wellness and fun. We volunteer to support patient advocacy organizations within our community. Our employee-run DEI Group is dedicated to diversity and inclusion. To learn more about our team and what we do, watch our video at . Join us! Do you want a dynamic career opportunity where you can make a difference? Explore the potential of your pharmacy experience in an elevated role. The Manager of Quality & Compliance is responsible for providing enhanced support to the development and management of the organization’s compliance, quality, and training programs. Manages programs and personnel to ensure effective tracking, coordination, results, and continuous improvement. Serves as a subject matter expert for organization’s accreditation programs. Possesses strong knowledge of organization’s operations and key technologies. Collaborates with departmental stakeholders to create and improve processes. Partners with organization’s technology team to optimize system capabilities and test plans for pharmacy operations. Job type: Full-time Pay range: $90,418.59 - $113,036.07 annually, depending on experience. Benefits: • Competitive pay, • Flexible PTO and paid company holidays, • Medical, dental, vision, disability and life insurance, • 401(k) match Position Proficiency Requirements: 1. Education and experience a. Required: i. High school diploma or GED ii. Active Oregon Pharmacy Technician License or Certified Oregon Pharmacy Technician License. b. Preferred: i. Minimum three years’ experience building/auditing programs ii. Minimum five years’ or equivalent experience in a medical office, call center, health insurance plan, or pharmacy. iii. Minimum two years’ leadership experience. iv. Experience with URAC and/or ACHC Specialty Pharmacy Accreditation v. Experience effectively managing a heavy administrative workload with complex requirements and strict deadlines. 2. Physical and mental functions and activities a. Must have exceptional and thorough attention to detail. b. Must have excellent verbal, written, and interpersonal communication skills. c. Must have strong listening skills with the ability to process auditory information very quickly. d. Must be able to think actively, i.e., to question, examine, evaluate, reach valid conclusions, and propose solutions. e. Must demonstrate strong skills in research, data collection and analysis. f. Must have excellent customer service skills with a demonstrated ability to express compassion and empathy. g. Must be able to compose and edit a range of procedural and communication documents and other written materials as needed. h. Must be able to prioritize and handle multiple tasks and projects concurrently. i. Must be able to deal tactfully with diverse people, situations, and viewpoints. j. Must be able to consistently work with confidential and proprietary materials and strictly maintain confidentiality. k. Must be able to express oneself, detect, perceive, observe, and assess information exchanged in a variety of communication methods. l. Must be able to demonstrate proficiency with computer applications. m. Must be able to work independently as well as part of a team. 3. Working conditions a. Work is performed primarily at a desk, with extensive keyboard work in a stationary position. b. Business needs may occasionally require work in excess of 40 hours per week, including work outside of the standard work week. 4. Contact with others: a. Internally with Ardon employees across multiple departments. b. Externally with government agencies, accrediting bodies, payers, providers, and enterprise contacts. Primary Functions: 1. Manages, supports, and ensures adherence to the organization’s compliance program, quality management program, and accreditation and reaccreditation processes, in coordination with Compliance Officer and Pharmacist-In-Charge., 2. Manages organization’s training program and trainer to foster an engaging, consistent training and onboarding experience in alignment with organization’s priorities and departmental needs. Seeks opportunities to streamline the experience across relevant departments., 3. Interacts with government agencies, state boards of pharmacy, accreditation authorities, and other organizations as appropriate. Represents organization as point of contact for accrediting bodies., 4. Manages department and employees effectively to ensure accuracy and precision in tasks including but not limited to license verification and maintenance, employee pre-hire, onboarding, and ongoing compliance requirements, and regulatory tracking. Directly supports tasks as necessary., 5. Ensures timely and thorough monitoring, assessment, and documentation of updates in pharmacy laws, rules and regulations and corresponding updates to policies and procedures., 6. Manages all aspects of organization’s accreditation and re-accreditation processes. Serves as an expert in accreditation standards and their interpretations., 7. Identifies improvements required to achieve full compliance with new and existing accreditation standards and proposes operationally viable solutions, in collaboration with departmental stakeholders. Creates auditing processes to ensure sustained improvement., 8. Supervises department employee(s) effectively, and develops employee knowledge and skills relating to compliance, accreditation, quality, auditing, and training processes. Directs and prioritizes department work., 9. Maintains a strong knowledge of Ardon workflow best practices, including but not limited to call center operations, prescription intake and entry, benefits investigation, claim adjudication, prescription fulfillment and delivery coordination., 10. Optimizes the use of technology to enhance program management., 11. Partners with organization’s technology team to optimize system capabilities and test plans for pharmacy operations., 12. Develops and supports quality improvement practices within the organization from discovery, design, and development through implementation and execution of process improvements., 13. Manages organization’s compliance and quality committees and corresponding meetings. Drives thoughtful discussions and encourages participation and partnership across departments. Serves as chair for Ardon’s Quality Management Committee., 14. Assists as needed with the documentation, reporting and analysis of Ardon’s quality indicators across committees including but not limited to QAC, COB, QMC and PAC., 15. Manages the documentation and assessment of operational errors including monitoring for trends, training and opportunities for improvement. Pursues process corrections as necessary., 16. Coordinates Ardon’s responses to audits and surveys, including working closely with operational leadership, Legal and Compliance as needed to ensure correct and complete documentation., 17. Manages policies and procedures (P&P), including overseeing cyclical review processes and content organization, contributing to specific P&P review and revision as necessary. Ensures P&P are in compliance with accreditation requirements. Leads initiatives to coordinate and consolidate P&P across departments., 18. Serves as the organization's quality management and performance improvement coordinator and is responsible for the development, implementation, and maintenance of Ardon Health quality assurance and quality improvement activities, including the following: o Works with departmental leadership staff to improve workflows, automate processes, and streamline interactions among service areas. o Ensures departmental standards, goals, objectives, and results are achieved by training, delegating, coaching, monitoring documentation, maintaining accurate records, and tracking results. o Leads the planning, development, organization, and implementation of quality programs, protocols, policies, and procedures. 19. Assists as needed with the design, documentation, and implementation of operational processes associated with business initiatives and services., 20. Performs responsibilities as directed, achieving desired results within expected time frames with a high degree of quality and professionalism., 21. Demonstrates regular attendance in conformance with the Ardon Employee Handbook standards, which may be revised from time to time and are essential to the successful performance of this position., 22. Maintains active Oregon license. Informs Manager within 1 business day (and Oregon Board of Pharmacy within 10 days) of any arrests, convictions, suspected or known violations of law, or any other conduct that might affect or has affected license status. Reports to Oregon Board of Pharmacy within 15 days any changes to name, residence address, or mailing address, email, phone, or employment., 23. Complies with the company’s Human Resources policies, Employee Handbook, Code of Conduct, and all department policies and procedures, including protecting confidential company, employee, and customer information; attending work punctually and regularly; and adhering to good safety practices in all activities., 24. Actively participates and provides support as needed to leadership and quality program staff to ensure activities related to the company’s quality management program and quality improvement activities maintain priority focus and are effectively executed. This may include but is not limited to activities that promote objective and systematic measurement, monitoring, and evaluation of services and defined Quality Improvement Projects (QIPs) that may result from such efforts., 25. Performs other duties and responsibilities as assigned. Additional/non-essential functions and activities 1. Perform or support administrative tasks as needed. Ardon Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual identification or orientation, national origin, marital status, disability, veteran status or any other status protected by law.

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