Under general supervision, the Pharmacy Compliance Program Analyst assists various departments of the health plan in the development and integration of Pharmacy information and processes, with an emphasis in Medicare, related to all Federal and State–level regulatory guidelines. Leads and provides expert technical assistance to highly visible, sensitive, and multifaceted Medicare, Medicaid, Children’s Health Plan Plus, Commercial, and Healthcare Exchange compliance initiatives. The Analyst provides assistance in setting strategic direction of projects, developing project plans, analytic support services and technical expertise to a broad array of plan issues. This position will interact with all levels of management and employees, external consultants and Federal and State representatives.
Education: Bachelor’s degree or equivalent experience in Medicare, health services administration, information systems, medical records technology, or other ancillary medical area is strongly preferred.
Experience: Typically a minimum of three years of direct health care experience with a specific emphasis on Medicare operations, regulatory issues, policy development, or compliance.
Knowledge, Skills & Abilities: Critical thinking and strong written and verbal communication skills, and the ability to effectively interact within a team. Ability to develop data requirements and work with the Pharmacy team and other analytical groups to extract, organize and analyze data and trends. Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to effectively present information and respond to questions from management and others. Ability to use systematic approach to problem solving and troubleshooting. High energy level, comfortable performing multifaceted projects in conjunction with day-to-day activities. Excellent interpersonal skills, ability to get along with diverse personalities. Demonstrates positive attitude, and able to interact well and collaborate with other corporate groups (such as Compliance Department, and Information Systems). Able to work on several tasks simultaneously. Self-motivated; requires limited supervision. Proficiency in Work, Excel, and PowerPoint. Proven ability to provide feedback to peers and leadership regarding federal and state regulatory requirements, compliance guidelines; audit results; daily, weekly and monthly reports; and risk areas
Certificate/License/Registration: Pharmacy Technician Certificate (PTCB) required. All Certifications and Licenses required for this job must be kept current as a condition of continued employment.
Internal Number: 54043
About Denver Health
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.
Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level 1 trauma center, pediatric emergency and urgent care center, and is home to Denver Public Health and many of the nation's leaders in medicine.