When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Under the supervision of the Pharmacy Quality, Accreditation and Licensing Manager the Quality and Accreditation pharmacist oversees the quality, compliance, and accreditation requirements for our specialty and retail pharmacies which are regulated by multiple state boards of pharmacy, federal agencies, and various accrediting bodies including but not limited to URAC and ACHC. Serves as a point of contact for all pharmacy related audits. Participates in the Specialty Pharmacy and retail pharmacy Quality Management Program and all requirements associated with our accreditations.
Job Description:
Primary Responsibilities:
1. Serves on the quality and accreditation team, coordinating and collaborating with URAC, ACHC and other accreditation entities and business partners to ensure compliance with all accreditation requirements. Assists in preparing the organization for accreditation submissions, reviews and reaccreditation. (essential)
2. Participates on the Pharmacy Quality Management Committee in accordance to the policies and procedures developed to maintain compliance with the various accrediting bodies, (essential)
3. Ensures that all quality related projects, data collection, reporting, and metrics are accurate, up to date and reported as required to maintain accreditation. (essential)
4. Complete patient chart audits for the specialty and retail pharmacies and tracks adherence to the patient management program.
5. Ensures compliance with the licensing and registration requirements of all staff and facilities. (essential)
6. Oversees the review of Board of Pharmacy regulations in states where we are licensed in order to ensure that we are compliant with all current and pending rules and regulations. (essential)
7. Utilizes tools/programs that assist in determining exposure to accreditation risks and identifies opportunities to manage and mitigate those risks. (essential)
8. Tracks training material required for maintaining accreditation with various accrediting bodies. (essential)
9. Manages complex quality improvement projects annually or as required by our various accrediting bodies. Prepares and distributes various reports to key stakeholders. Meets with departmental staff and leadership to review reports or requests for data. (essential)
10. Provides oversight of clinical decision making aspects of the patient management program and participates on the Clinical Oversight Committee
11. Provides guidance to staff regarding clinical operational aspects of the patient management program
12. Provides emergency staffing coverage in the specialty pharmacy to assist operations along with gaining insight into the operation and potential quality, compliance, and accreditation shortcomings/issues. (essential)
13. Trains new staff on the quality, compliance, and accreditation requirements of the specialty pharmacy. Develops and maintains policy and procedures pertaining to retail and specialty pharmacy.. (essential)
14. Works on interdepartmental teams to implement new pharmacy dispensing and patient management software systems. Responsible for ensuring the new system maintains compliance with accreditation standards.(essential)
15. Preceptor to Advanced Experiential Students at local schools of pharmacy
16. Senior Clinical Person for the specialty pharmacy Responsible for providing oversight of clinical decision making aspects of the patient management program (essential)
17. Responsible for the management of Pharmacy Benefit Management (PBM) reporting. Ensuring the reporting is timely and accurate. When applicable developing action plans to meet deficiencies.
Required Qualifications:
1. Bachelor's degree in Pharmacy required.
2. License Massachusetts Pharmacist required.
3. 3-5 years related work experience required in Pharmacy.
4. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
Preferred Qualifications:
1. Specialty pharmacy experience. URAC, ACHC, TJC, CPPA specialty pharmacy accreditation experience.
2. Pharmacy quality, safety, or accreditation experience.
3. Board of Pharmacy Specialty Certification.
Competencies:
1. Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
2. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
3. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
4. Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
5. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
6. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
7. Team Work: Ability to lead collaborative teams for larger projects or groups both internal and external to the Medical Center and across functional areas. Results have implications for the management and operations of multiple areas of the organization.
8. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.
Social/Environmental Requirements:
1. Work requires close attention to task for work to be accurately completed. Intermittent breaks during the work day do not compromise the work.
2. Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.
3. Potential exposure to adverse environmental conditions
o Daily: Exposure to dust,gas,fumes,steam,chemicals.
o Seasonally: Potential exposure to infectious diseases and/or airborne pathogens.
4. Health Care Status: HCW 3: Regular provision of service in a patient care area. Examples: Unit coordinators, lead coordinator/supervisor, patient liaison, nutrition services, environmental services, registrars, information desks, security, etc-Health Care Worker Status may vary by department
Sensory Requirements:
Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity <3 feet, Hot/Cold, Sharp/Dull, Smell, Conversation, Monitoring Equipment, Telephone, Background Noise.
Physical Requirements:
Light work: Exerting up to 20 pounds of force frequently to move objects. Some elements of the job are sedentary, but the employee will be required to stand for periods of time or move throughout the hospital campus
This job requires constant Keyboard use, frequent sitting, walking, standing, Fine Manipulation using one hand. There may be occasional Pushing/Pulling using both hands.
Pay Range:
$128,960.00 USD – $170,560.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.