Regulatory and Compliance Clerk

Overview

Scope of Responsibilities: Assist with regulatory and compliance matters within ProAct.

Job Summary:

Responsible for administrative tasks to meet the regulatory and compliance needs of ProAct and ProAct Pharmacy Services.  Partner with other team members to assist with processes related to contracting, licensing, reporting, and other regulatory/compliance requirements. Communicate with those outside department as necessary.

Responsibilities

• Assist in preparation, organization, and communication relating to items such as contracts, licensing/registration applications, and reports
• Provide support for other departments within ProAct for the status of contracts, licenses, or other items
• Provides support, when needed, to ProAct Pharmacy Services for regulatory and/or compliance matters, including licensing and/or registration
• Update tracking documents relating to expiration, renewal, or other dates relating to contracts, licenses, and/or reports
• Create agendas and gather information for meetings and presentations
• Assist with required application or report submissions, mailings, and payment requests
• Support preparation and review of regulatory filings
• Supports HIPAA compliance efforts to ensure policies and procedures are appropriate to meet requirements
• Communicates with external agencies or partners as needed
• Prioritizes workflow to meet internal and external deadlines
• Maintain appropriate records and documentation relating to job duties
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned

Qualifications

Job Skills Required:

• Strong Communication Skills: Must be able to effectively communicate both on the phone and in group setting
• Strong Organizational Skills
• Proficient in Microsoft Excel and Word along with Adobe
• Self-motivated with ability to prioritize multiple tasks along with a strong sense of urgency and responsiveness
• Understanding of PBM and/or TPA industry, preferred

Education:

• Minimum: High School Diploma (or currently enrolled) or GED
• Preferred: AS Degree or Higher

Experience: 

• Preferred: prior role in clerical position or similar
• Preferred: minimum of 1 year in a pharmacy benefit manager (PBM) setting with working knowledge of operations.

Special Conditions of Employment:

• Drug test
• Initial and continuous exclusion and sanction/disciplinary monitoring
• Any and all additional eligibility requirements based on the specific position

Compensation

$17.84 - 18.84 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.  

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.