This job is responsible for the comprehensive success of achieving and maintaining quality accreditation lead by industry accreditation organizations such as, TJC, URAC, ACHC, or other applicable organizations as it pertains to the specific practice within the system. Primary responsibilities include, broad understanding of pharmacy operational flow and processes, development of expertise in accreditation quality standards for each applicable accreditation organization, an organized approach to development and revision of clear, executable and measurable policies and procedures as it relates to Accreditation standards, creation of cohesiveness between team and established policies and procedures (via employee training, observations, communications), and the routine reevaluation of survey readiness via mock audits and pharmacy inspections. Key additional responsibilities include, participating in national standards development/revision process associated with accreditation organizations, providing communication and routine updates to directors and key stakeholders, and responding to inquires related to interpretation of the pharmacy standards. Assumes responsibility for staying up to date on all state and federal regulatory changes and ensuring the pharmacy’s compliance to multi-state licensure.
Demonstrates total understanding of all Accreditation Standards for TJC, URAC, ACHC, and others as determined by Ochsner Specialty Pharmacy
Serves as Compliance officer, conducting mock audits and pharmacy inspections to ensure compliance to accreditation standards and multi-state regulations.
Trains staff to support related accreditation, quality standards, policy and procedures and industry changes.
Creates and implements new policies and procedures and documents, maintains and reviews logs, meeting minutes and existing policies and procedures.
Performs root cause analysis and continuous quality improvement.
Works with third party data validator, assisting with the extraction and compilation of data required for performance measures
Required – Doctorate degree in Pharmacy
Preferred – 2 years’ experience working in a specialty pharmacy or managing accreditation processes
Required – Pharmacy License in State of Practice, or eligible for licensure by examination or reciprocity from another state
About Ochsner Health System
Ochsner Health System is Louisiana’s largest non-profit, academic, healthcare system. Driven by a mission to Serve, Heal, Lead, Educate and Innovate, coordinated clinical and hospital patient care is provided across the region by Ochsner's 40 owned, managed and affiliated hospitals and specialty hospitals, and more than 100 health centers and urgent care centers. Ochsner is the #1 ranked hospital in Louisiana by U.S. News & World Report and is recognized as a “Best Hospital” across two specialty categories caring for patients from all 50 states and more than 70 countries worldwide each year. Ochsner employs nearly 25,000 employees and over 4,500 employed and affiliated physicians in over 90 medical specialties and subspecialties and conducts more than 700 clinical research studies. Ochsner Health System is proud to be a tobacco-free environment. For more information, please visit ochsner.org and follow us on Twitter and Facebook.