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Legal Compliance Pharmacy Advisor - Medicare - Remote
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- Legal Compliance Advisor - Medicare Part D/ Rx Service Operations
- Medication Therapy Management (MTM), Formulary, Drug Utilization Review (DUR), Opioid Edits, Pharmacy & Therapeutics (P&T), End Stage Renal Disease (ESRD/ Hospice, Fraud, Waste and Abuse (FWA,) and Clinical Decision Making
- The Medicare Part D Legal Compliance Advisor is responsible for compliance support of service operations with specific focus on Medicare clinical programs.
- The Advisor will ensure operational compliance with all regulatory requirements and standards relative to Medicare Part D in assigned areas of oversight.
- This individual will represent compliance in such a way that ensures (i) all Medicare Part D regulatory requirements are understood, (ii) business processes required to address those requirements are implemented, (iii) compliance risks are communicated to the Legal Compliance Senior Manager and appropriate business leads, and (iv) oversight and approval of compliance related issue corrective actions are executed timely, tracked in accordance with department procedures, and escalated as needed.
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