Position Summary: The Specialty Pharmacy Compliance Specialist ensures specialty pharmacy practices are in conformity with all regulatory requirements, including but not limited to HIPAA, URAC, and Fraud, Waste, and Abuse. Performs data extraction and analytics to validate compliance and to drive business decisions. Knowledgeable of specialty pharmacy regulatory requirements outlined in PHARM Core 4- Regulatory Compliance Program and Internal Controls. Actively involved in quality improvement and quality control initiatives. Implements prompt corrective action to correct compliance issues. Collaborates with other members of the pharmacy team on all aspects of pharmacy operations. This includes a review of the organization to see if any changes have regulatory impact, scheduled periodic update of all training, and communication regarding compliance. Performs routine prescription processing duties as needed and under the proper supervision including prior authorization, data entry, insurance billing, prescription filling, and dispensing. Communicates with patients and other medical professionals as necessary. Trains members of pharmacy team on issues and tasks relevant to specialty compliance.
Rate Minimum $25.97 Midpoint $29.13 Maximum $32.29
Required Qualifications: California Board of Pharmacy Technician Registration Certificate or Pharmacy Intern Registration CertificateDegree or certificate from an accredited Pharmacy Technician training programExcellent organizational skillsMinimum 5 years experience as a Pharmacy TechnicianMust be able to demonstrate track record of exquisite attention to detailOutstanding communication and customer service skillsStrong analytical skills
Physical, Mental & Environmental Demands:To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.
Since 1965, the University of California, Irvine has combined the strengths of a major research university with the bounty of an incomparable Southern California location. UCI's unyielding commitment to rigorous academics, cutting-edge research, and leadership and character development makes the campus a driving force for innovation and discovery that serves our local, national and global communities.