
Proactive Accreditation & Compliance Specialist with a focus on regulatory interpretation and continuous improvement. Known for developing impactful training programs and optimizing compliance processes, ready to drive operational excellence and ensure adherence to standards.
· Supported accreditation compliance for 5 pharmacy locations, contributing to successful audit outcomes and 100% on-time renewals
· Partnered with cross-functional teams to meet service level agreements (SLAs) and improve overall compliance performance by ~15–25%
· Interpreted and implemented regulatory requirements from URAC, ACHC, Joint Commission, HIPAA, and CMS, ensuring continuous operational compliance
· Developed and delivered training programs for 60 staff members, increasing adherence to CQI, Performance Improvement (PI), and Quality Management (QM) standards
· Reviewed and optimized Standard Operating Procedures (SOPs), reducing process inefficiencies and improving audit readiness
· Managed and resolved audit requests, regulatory inquiries, and internal compliance issues, consistently meeting tight deadlines
· Maintained detailed compliance documentation, audit logs, and performance reports, ensuring 100% documentation accuracy during reviews
· Assisted with Board of Pharmacy inspections, ensuring adherence to state and federal regulatory requirements
· Identified compliance risks and implemented corrective action plans, reducing recurring issues by ~20%
· Participated in internal audits and external accreditation surveys, contributing to continuous improvement initiatives across the organization
· Utilized compliance tracking systems and reporting tools to monitor KPIs and support data-driven decision-making
-Led patient engagement and medication access, improving medication adherence and reducing complications.
- Collaborated with nursing teams, providers, and pharmacists to manage therapy-related concerns and maintain treatment continuity.
- Oversaw prior authorizations, coordinated Patient Assistance Programs, and drove case management.
- Implemented data-driven strategies to boost retention rates by 15% with contracted pharmacies.
- Trained and supported new staff during system-wide rollout of specialty pharmacy operations.
- Facilitated communication between healthcare providers and pharmacy teams to streamline medication management.
- Assisted in resolving prescription inquiries, ensuring timely responses for optimal patient care.
- Collaborated with healthcare professionals to optimize patient medication management strategies.
- Developed educational materials for patients and staff on pharmaceutical therapies and compliance.
- Led patient engagement and medication access support post-transplant, improving medication adherence
and reducing complications.
- Collaborated with transplant teams, providers, and pharmacists to manage therapy-related concerns and maintain treatment continuity.
- Oversaw prior authorizations, coordinated Patient Assistance Programs, and drove case management for over 100 patients.
- Implemented data-driven strategies to boost retention rates by 15%.
- Trained and supported new staff during system-wide rollout of specialty pharmacy operations.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Split and delegated daily production and adjudication tasks to optimize operational throughput.
- Designed and conducted SOP training for pharmacy technicians, achieving 100% compliance within one month.
- Collaborated with interdepartmental teams to reduce order processing time by 30%, enhancing customer satisfaction.
- Led operational excellence initiatives, improving efficiency and workflow management across pharmacy departments.
- Streamlined inventory management processes, optimizing stock levels and reducing waste in pharmacy operations.
- Developed training programs for staff, enhancing skill sets and ensuring compliance with regulatory standards.
- Implemented new technology solutions, increasing accuracy in prescription dispensing and patient safety protocols.
- Directed retail pharmacy operations in a high-volume environment, managing staff schedules, compliance, and inventory.
- Mentored and trained new hires, elevating overall team competency and efficiency