Manager of Compliance and Clinical Operations jobs in United States
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KPH HEALTHCARE SERVICES, INC ยท 5 hours ago

Manager of Compliance and Clinical Operations

KPH Healthcare Services, Inc. is a multistate organization focused on providing healthcare services, and they are seeking a Manager of Compliance and Clinical Operations. This role is responsible for maintaining an effective compliance program, overseeing clinical operations, and ensuring adherence to regulatory standards and accreditation requirements.

Health CareMedicalPharmaceutical

Responsibilities

Partners with internal and external legal resources as needed to resolve compliance issues
Keeps apprised of new regulatory developments by reviewing regulatory publications and applicable industry trade publications
Oversees the issuing of new licenses, licensing renewals, and reporting requirements for regulatory changes and updates
Track applicable legislation/regulation, analyze impact on company, and communicate relevant information to the organization
Participate in development and implementation of initiatives to improve processes and procedures
Acts as liaison for Boards of Pharmacy and related overseeing authorities throughout US
Oversee the development, implementation, and execution of all elements of accreditation standards
Acts as a channel of communication to receive and direct compliance issues to appropriate resources for investigation and resolution of claims adjudication issues
Ensures that activities are conducted according to the policies and procedures of HealthDirect
Supports HIPAA compliance efforts to ensure policies and procedures are appropriate to meet HIPAA requirements and identifying operational obstacles to compliance and working with other employees to identify and implement solutions
Responsible for legal compliance with state and federal laws
Interface with various auditors and outside agencies, as needed
Responsible for all aspects of Clinical Operations at HealthDirect
Responsible for the development, and management of the consultant pharmacists
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned

Qualification

Regulatory complianceClinical operations managementPharmacy knowledgeHIPAA complianceConsulting experienceAnalytical skillsCollaboration skills

Required

Minimum: BS in Pharmacy
Minimum 5 years in pharmacy, regulatory or compliance role
Requires strong understanding of the LTC space and ability to interpret regulatory and legal documents
Work with a high degree of autonomy, but able to successfully collaborate and build relationships with colleagues in a distributed work environment

Preferred

Preferred: Pharm D with consulting experience

Company

KPH HEALTHCARE SERVICES, INC

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KPH Healthcare Services, Inc.

Funding

Current Stage
Late Stage
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