Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Manager Quality Assurance- Medcart Specialty Pharmacy

Expired Job

Safeway Livonia , MI 48151

Posted 2 months ago

Manager Quality Assurance- Medcart Specialty Pharmacy

Our Mission:

To provide affordable specialty pharmacy services of the highest quality, along with patient-centered clinical management and auxiliary services that deliver optimal patient outcomes.

Summary:
The Sr. Quality and Compliance manager is responsible for overseeing the corporate Quality Improvement (QI) program, including: creating, implementing and reviewing Quality Improvement projects within the company. They will work closely with the compliance officer to ensure the company is in compliance with all federal, state, and regulatory standards. Stay up to date with all regulatory changes concerning accreditations and update policies and procedures as necessary. They will be responsible for training staff and the local contact for questions and concerns. They are responsible for process improvement, ensuring accreditation measures and standards are met, tracking surveys, grievances, access to service, operational measures and identifying areas for improvement to target specific outcomes related to quality and compliance.

Duties and Responsibilities include the following. Other duties may be assigned.
1.Provide staff support in the development, implementation and evaluation of performance improvement.
2.Collect, research, investigate and present data and information for various reports and projects.
3.Maintain key quality metrics dashboard.
4.Utilize tools such as Microsoft Excel to interpret, analyze and summarize key data points.
5.Document and report improvement activities within the organization and externally as appropriate.
6.Demonstrate problem solving, leadership, conflict management, and team building skills in order to ensure a productive work environment and achievement of goals
7.Utilize problem solving techniques (examples include PDCA and DMAIC) to document QI project plans, facilitate the plan and report end results
8.Analyzes and evaluates the effectiveness of project activities for results and outcomes related to strategic goals.
9.Identify, solve and prevent possible quality related issues through tools such as root cause analysis and CAPA.
10. Contributes to the preparation of annual program descriptions and evaluations.
11. Demonstrates ability to utilize project management skills - organization, priority setting, delegation, managing multiple projects.
12. Serve on and report to the Quality Improvement Committee/Clinical Oversight Committee on project progress and operational data/trends.
13. Create and provide training sessions as needed on quality related topics in collaboration with the education and training team.
14. Facilitate and organize committee meeting on a minimum of a quarterly basis.
15. Seek, share and implement best practices
16. Supports organization to meet regulatory and accreditation standards, comply with corporate policy, reach appropriate benchmarks and promote patient satisfaction.
17. Develop, implement and execute policies and procedures to ensure compliance with all regulatory standards including but not limited to: State and Federal Law, State Board of Pharmacy regulations, HIPAA, HHS, URAC Specialty Accreditation, URAC Mail Service Accreditation, ACHC Accreditation, VIPPS Accreditation and regulatory agencies.
18. Responsible for overseeing MedCart's Quality Improvement (QI) program, including: creating, implementing and reviewing quality improvement projects and preparing QIC meeting minutes- tracking and trending of all required measures
19. Provide support and project management to Managed Care for third party specialty credentialing .
20. Create/update policies and procedures to ensure MedCart meets payor requirements
21. Review supplier and vendor qualification programs and conduct vendor audits (DSCSA).

Education/Experience:

Bachelor's degree (B. A. / B. S.) from four-year College or university required. Six plus years related healthcare experience and two plus years quality experience preferred.

Certificates and Licenses:

Quality and compliance related certification strongly preferred.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Language Ability:

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Math Ability:

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

Reasoning Ability:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Microsoft products and Training software.

Knowledge, Skills and Other Abilities:

  • Knowledge of process improvement methodologies such as Lean, Six Sigma DMAIC

  • Time management

  • Oral and written communication

  • Professionalism

  • Documentation

  • Project management

  • Customer service

  • Phone and computer skills

  • Organization

  • Critical thinking

  • Ability to maintain open and effective lines of communication with the education and training staff, managers, and other Diplomat employees

  • Friendly and caring demeanor

  • Detail oriented

  • Ability to multi-task

  • Ability to work well with various personalities and work within a team

  • Dependable and has the ability to act with discretion maintaining levels of strict confidentiality

  • Knowledge of internet navigation and research, e-mail, fax transmission and copy equipment are essential

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk; sit and use hands. The employee is occasionally required to stand.


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Manager Pharmacy Department

Walgreens

Posted 5 days ago

VIEW JOBS 11/7/2018 12:00:00 AM 2019-02-05T00:00 Job Responsibilities/Tasks Customer Experience * Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues in a timely manner and answers questions to ensure a positive customer experience. * Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). * Develops strong relationships with most valuable customers by anticipating customer needs and proactively offering services. Leads efforts to enhance customer experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and perform retail, clinical, or wellness services such as immunizations, flu shots, and diabetes awareness) thereby promoting the shift of the pharmacy role from transactional to interpersonal. * Participates and assists in community events as requested by Store Manager or Healthcare Supervisor. Operations * Counsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. * Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management. Reviews, interprets and accurately dispenses prescribed medications when necessitated by workload. * Ensures the pharmacy operates in accordance to regulations, company policies and standards. Responsible for establishing procedures that promotes the efficient workflow of the pharmacy including overseeing the staff scheduling, assigning roles, coordinating activities and soliciting employee suggestions. Responsible for the opening and closing of the pharmacy and shift change and scheduling duties. * Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that the elements of Good Faith are present. * Collaborates with Store Manager to define and develop new strategic business opportunities. * Maintains current knowledge of information technology associated with pharmacy systems such as Intercom Plus, registers, robots, StoreNET to provide support to customers as well as pharmacy staff. Proposes and implements enhancements to pharmacy systems to further promote productivity. * Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. * Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer medical provider questions. * Performs retail, clinical, and wellness services such as immunizations, flu shots, diabetes awareness and other preventive healthcare services. * Partners with Central Pharmacy Operations for customer registration, 3rd party reviews, and assists with resolving customer issues to support the Well Experience locations. In virtual environments, conducts virtual product review by following specific company procedures and guidelines (e.g. using specific photographs taken by the technicians sent electronically during the F4 process and reduce transactional tasks). * Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs, cleaning, new equipment and changes to the layout to ensure a functioning, presentable and efficient pharmacy. * Prepares, maintains and submits all records, reports, and other documentation as required by state and federal laws to run the pharmacy business (e.g. operating statements, performance indicator reports, supervision notes, deletions, transfers, etc.). People & Performance Management * Collaborates with store manager on pharmacy staff hiring and carries out discipline and termination as necessary. * Partners with Store Manager to establishing expectations and goals while promoting teamwork. Monitors and recognizes pharmacy employee progress and implements rewards programs while fostering a shared vision. Optimizes customer experience through focused coaching and performance behaviors. * Manages pharmacy staff performance by conducting formal performance reviews, oversees and ensures the training of pharmacy employees (e.g. using the correct processes and tools in order to drive efficiency in the pharmacy, leading and driving technician tasks and activities). Ensures compliance with employment laws. * Identifies and develops high potential team members and collaborates with store manager to proactively managing career progression. * Addresses employee relations concerns and maintains morale by checking on employee welfare, addressing complaints, conflicts and ensures positive employee-management relationship. Training & Personal Development * Maintains and enhances current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance and business acumen. * Obtains necessary certifications, education credits and training such as People Plus Learning modules as required by the Company. * Seeks professional development by monitoring one's performance, solicits for constructive feedback, and leverages healthcare supervisor and store manager as mentor and coach. Communications * Supports the Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff. Business Performance Management * Responsible for analyzing performance data including pharmacy financial, customer service, and inventory. Manages pharmacy asset protection activities and oversees inventory management. Reviews KPI's with Pharmacist, Store Manager and Healthcare Supervisor. Identifies pharmacy performance trends and opportunities for improvement. Business Planning * Develops and maintains good relationships with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote the pharmacy business and further enhance growth opportunities. Supports Store Manager in expanding health and wellness awareness in the community. Basic Qualifications * BS in Pharmacy or Pharm D Degree from an accredited educational institution. * Current pharmacist licensure in the states within the district (or willing to obtain in 1 year) per district guidelines. * Certified Immunizer or willing to become an immunizer within 90 days of hire. * 1 year pharmacy experience in a retail setting including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance. * Experience performing prescription dispensing activities that demonstrate a strong working knowledge of applicable state and federal controlled substance laws. Preferred Qualifications * Supervisory experience planning, organizing, and directing the work of pharmacy staff. * Overall score of Exceeds Expectations for the most recent performance review period and an overall score of Meets or Exceeds Expectations for Apply Save jobSaved Walgreens Livonia MI

Manager Quality Assurance- Medcart Specialty Pharmacy

Expired Job

Safeway