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Position Summary

The compliance and accreditation technician is responsible for creating and maintaining policies and standards needed for accreditation, along with creating and maintaining logs to meet compliance standards.  This role is under the supervision of the Compliance Manager.

Key Performance Areas

KPA 1 – Create and Maintain Standards for Accreditation

• Demonstrate the ability to adapt to changes with standards as required for a specialty pharmacy.
• Assist in the development and implementation of AON Pharmacy Standard Operating Procedures; develops policies and procedures to assist pharmacy staff. Training and follow up with staff on accreditation standards as it relates to their position.
• Assist Training Coordinator to create and/or edit existing training and quality assurance activities.
• Maintain licensure tracking system. Including but not limited to Primary Source Verifications.

KPA 2 – Surveys and Accreditation Maintenance

• Responsible for preparing the pharmacy staff for surveys, will assist surveyors through the survey, answering question and providing polices as needed for accreditation.
• Assisting with maintenance of logs as required by law and/or accreditation.
• Assuring staff provide complete and accurate logs as required.

KPA 3 – Maintaining and Compliance

• Ensure all local, state, and federal guidelines are followed as well as corporate policies, pharmacy Standard Operating Procedures (SOPs) and accreditation bureaus’ standards.
• Verify all department compliance training is completed by the established deadlines.
• Maintain continuing education requirements for licensure.
• Maintain and ensure the confidentiality of all patient and employee information as required by the HIPAA regulations. Will assist department management in ensuring the storage, collection, and destruction of all Protected Healthcare Information is adherent to all federal and state guidelines, in addition to all accreditation standards.
• Performs other duties and projects as assigned.

KPA 4 – Quality Assurance

• Responsible for brainstorming QIP Ideas – pending approval from QMC.
• Obtaining data as it relates to QIP, analyzing data for accuracy and appropriateness.
• Monitoring QIP forms and following to completion.
• Responsible for oversight of Pharmacy Team documentation of quality management events, trending, investigating, and resolving any incidents utilizing pharmacy best practices.
• Acts as an active member of AON’s Quality Management Committee, initiating and partaking in QM (Quality Management) projects, focusing on quality improvements.
• Monitoring communication and documentation in CPR+, ONCO EMR, ORCA and the phone system to ensure accreditation standards are maintained.

Position Qualifications

Education

High school education or GED equivalent required.

Minimum Relevant Experience

One year's experience in specialty, retail, mail order, or hospital pharmacy preferred.

Certifications/Licenses

Active/Unrestricted Pharmacy Technician permit in the state of residence preferred.

Travel:  0%

Standard Core Workdays/Hours: Monday to Friday 9:00 AM – 5:30 PM EST.  Occasional overtime may be required, and weekend shifts based on location hours and operational needs.

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