KPA 1 – Accreditation & Regulatory Compliance
• Will actively contribute to the Pharmacy Quality Management Program by understanding, compiling, trending, and presenting data.
• Track and report accreditation-related metrics (e.g., standards compliance rate, survey outcomes).
• Oversee internal audits and self-assessments of high-risk areas such as patient intake/enrollment, clinical monitoring, adherence programs, billing/reimbursement, drug storage/handling, and documentation of patient counseling and outcomes
• Prepare for external audits and inspections from accrediting organizations (URAC/ACHC surveys), regulatory agencies (FDA, DEA, State Board of Pharmacy), payers, manufacturers, and other stakeholders.
• Complete timely gap analyses, mock surveys, and corrective actions; ensure 100% readiness for accreditation surveys.
• Monitor and track changes in federal/state regulations, accreditation standards, payer requirements, and industry guidelines; interpret implications for the organization and update policies, procedures, and training accordingly.
• Departmental compliance with accreditation standards maintained and required documentation is completed and audit-ready at all times.
KPA 2 – Training & Staff Development
• Structured onboarding and ongoing training programs implemented.
• Staff competency assessments completed and documented.
• Identified skill gaps addressed through development plans.
• Regular coaching, feedback, and performance evaluations conducted
• Training materials and documentation maintained and up to date.
KPA 3 – Leadership & Operational Management
• Team productivity and morale maintained at high levels.
• Regular team meetings and individual check-ins conducted
• Departmental goals aligned with organizational strategic objectives.
• Operational reports prepared and submitted accurately and timely.
• Collaborative relationships maintained across departments.
KPA 4 – Financial Assistance Program and Revenue Oversight
• Monitor Financial assistance applications are processed accurately and within established turnaround times.
• Pull reporting for approvals, denials, trends, and program outcomes accurately.
• Assist with the development of metrics and ensuring compliance with federal, state and organizational guidelines as well as established timelines and benchmarks.
• Assist with timecards and PTO requests of team members.