Careers

Regulatory and Compliance Analyst is needed to perform the following duties:

Help the pharmacist keep continuous process update with new compliance initiatives.

  • Assist Pharmacist in reviewing Center of Medicare & Medicaid service (CMS) prescription data claims as well as from third party insurance providers.
  • Assist Pharmacist in business operations including inventory control, medication adherence, drug-utilization review (DUR), medication therapy management (MTM), Comprehensive medication review (CMR), and price reconciliation.
  • Ensure Pharmacy is compliant with all regulatory, legal and statutory requirements set forth by state and federal governments.
  • Follow CDC Board (Centre of Disease Control) guidelines and news to update any changes in Immunization methods of practice.
  • Making sure biannual licensure renewals and required continuous educations programs specific to retail pharmacy practice. In addition, conspicuous display of all mandated certifications/license/registrations to the public and onsite visits.
  • Assist Pharmacist in developing new methodologies for effective prescription data entry, central claims for immediate retrieval of records.
  • Apply initiatives from Department of environmental conservation (DEC) to help retail pharmacies prevent violations and protect public health and the environment.
  • Assists in maintain the inventory record of CII, CIII, CIV and CV drugs.

Assure overall regulatory compliance promoting continuous improvement in our internal audit process and risk assessment affecting our business by coordinating all bits and pieces of our pharmacy research.

  • Draft Policy and Procedure (P & P) manual for Pharmacy to perform internal audit and to achieve regulatory compliance.
  • Record and maintain annual inventory of controlled substances in addition to developing real time inventory check after each dispensing.

Develop Policy & Procedure for conducting Medication Therapy Management sessions and Mirixa health care services to improve medication adherence and improve pharmacy star-rating.

  • Draft Policy and Procedure (P & P) manual for Pharmacy to perform internal audit and to achieve regulatory compliance.
  • Record and maintain annual inventory of controlled substances in addition to developing real time inventory check after each dispensing.

Support the research component of the pharmacy department through development of automated processes and reporting, targeted to improve efficiency and ensure compliance of health plan policy/procedures and regulatory standards.

  • Implementation of system-wide programs, policies, and procedures to ensure system compliance with applicable federal and state laws and regulations
  • Generated a report file to securely maintain Prescription Drug Monitoring program (TX PMP) in order to screen potential drug abuse/illegal activity along with automated submission to TX board of Pharmacy & DEA.
  • Retrospective data analysis of prescribing patterns of primary care providers.
  • Complete annual CMS review and continuous updates for Durable medical equipment (DME) regulations as per the state.

Support the research component of the pharmacy department through development of automated processes and reporting, targeted to improve efficiency and ensure compliance of health plan policy/procedures and regulatory standards.

  • Implementation of system-wide programs, policies, and procedures to ensure system compliance with applicable federal and state laws and regulations
  • Generated a report file to securely maintain Prescription Drug Monitoring program (TX PMP) in order to screen potential drug abuse/illegal activity along with automated submission to TX board of Pharmacy & DEA.
  • Retrospective data analysis of prescribing patterns of primary care providers.
  • Complete annual CMS review and continuous updates for Durable medical equipment (DME) regulations as per the state.

Develop operating procedures ensuring corrective and preventive action.

  • Develop quality assurance techniques to ensure safe and effective inventory control system.
  • To prevent Fraud, Waste and Abuse (FWA) by literature research on dosing codes along with diagnosis codes to substantiate the claims.
  • Develop and maintain the standard operating procedures (SOP) for retail pharmacy.
  • To make protocols for Dispense As Written (DAW) codes in accordance with state legislature.
  • Draft new procedures for preventative action when conducting Medication Therapy management sessions as well as documentation of root cause analysis.

Provide the required State, Federal, Medicaid and Medicare laws compliance support and assist in the DEA regulations compliance including bringing together the documentation of expired controlled substance and the inventory management of control substance consistent with the strategic plan of the company.

  • Strict maintenance of HIPPA regulations and updating in a timely manner, Maintaining Office of Inspector General (OIG) checklist for employees and vendors and reporting any exclusion list.
  • Review perspectives monthly in order to meet the FWA requirements of 45 CFR of part 46 regulated by office for Human Research Protections (OHRP)
  • Ensuring compliance with new rules, regulations as set forth by the DEA, Centers for Medicaid and Medicare Services, Texas state board of pharmacy and other state and Federal laws and regulations.
  • Maintain Up to date Standard Operating Procedures (SOP) for handling of prescriptions, filling prescriptions, storage of medications, Refrigerator logs, Daily logs, controlled substance storage.
  • Review and assist pharmacists with DEA-106 forms for loss or theft of federal controlled substances.

Involve in the procedures of review of third party audit, monitoring drug recall and product recall.

  • Making sure any and all overpayment will be refunded to the appropriate third-Party plan, Medicaid or CMS program within 60 days as per Affordable Care Act 2010.
  • Monitor Food and Drug Administration (FDA) periodically for voluntary medication recall, the most effective way to protect public from defective or detrimental products.
  • Submission of report by LOT numbers with specific manufacturers that listed on FDA initiated recall.

Bachelor's Degree is required in Pharmacy or Pharmaceutical Science or Drug Regulatory Affairs.

Looking for a Pharmacist-in-Charge In Our Pharmacy

Responsibilities include overseeing the daily business operations of a pharmacy, including dispensing prescription medication, patient counseling. Other duties include managing the pharmacy, staff and pharmacy inventory and ensuring the safe handling of controlled substances and non-controlled drugs.

  • Patient counseling on medication side effects, drug interactions and storage of prescription and non-prescription medicines.
  • Counsel patients about any significant drug-drug and drug-food interactions.
  • Verify any discrepancies on prescriptions by contacting the prescriber.
  • Follow aseptic technique to prepare and administer vaccination for different age groups.
  • Perform MTM to help patients maintain adherence by identifying their potential barriers.
  • Maintain perpetual inventory of all controlled substances and documented the quantity in stock.
  • Train pharmacy technicians on how to manage workflow in a community pharmacy setting. Inform prescribers about therapeutically equivalent drugs covered under the insurance plan.
  • Verify all prescriptions are billed for the correct medication, quantity, and days’ supply before dispensing.
  • Complete continuing education credits to stay updated about new advances in pharmacy.
  • Advise patients on selection of over-the-counter medicines for common illness such as flu, allergy, headaches, cold sores etc.
  • Educate patients about use and handling of blood glucose meters, blood pressure monitors or some over the counter self-diagnostic kits.
  • Provide specialized education programs and health promotions to help patients to manage chronic conditions such as diabetes, hypertension etc.
  • Accept and assess the appropriateness of prescription in accordance with patient’s medication history.
  • Support physicians/ physician assistants and nurse practitioners’ request on alternate medication option for patients.
  • Support, pharmacy team members such as pharmacy technicians or clerks to achieve patient service and sales goals.
  • Ensure compliance with federal and state laws by maintaining all patients’ records and pharmacy staffs’ credentials up to date.
  • Ensure the pharmacy stays compliant with Texas State Board of Pharmacy rules and regulations.

Minimum requirement: Bachelor Degree is required in Pharmacy or Pharmaceutical Science or Pharmaceutics and State Pharmaceutical License