Compliance & Accreditation Technician

Responsibilities

• Remote Position Hiring Range: $21.00 - $35.54 Position Summary The Pharmacy Accreditation and Quality Assurance position is responsible for supporting the development, implementation, and maintenance of specialty pharmacy accreditation standards, regulatory compliance, and quality improvement initiatives.
• This role coordinates accreditation readiness activities, maintains policies and procedures, monitors compliance requirements, and conducts quality assurance reviews to ensure adherence to federal, state, and accreditation standards.
• Collaborates with pharmacy leadership and cross-functional teams to identify compliance gaps, implement corrective actions, and drive continuous process improvement to support operational excellence, patient safety, and ongoing accreditation compliance.
• Key Performance Areas KPA 1: Accreditation Standards, Policies, and Procedures Develop, implement, and maintain pharmacy Standard Operating Procedures (SOPs), policies, and workflows to support specialty pharmacy accreditation requirements.
• Review and update policies and procedures to align with changes in accreditation standards and regulatory requirements.
• Collaborate with pharmacy leadership and staff to implement accreditation standards and ensure consistent adherence to established procedures.
• Provide training, education, and follow-up to pharmacy staff regarding accreditation standards and role-specific compliance requirements.
• Partner with the Training Coordinator to develop, review, and update training materials and quality assurance activities.
• Maintain accurate licensure records and tracking systems, including primary source verifications and required documentation.
• KPA 2: Accreditation Surveys and Readiness Coordinate accreditation survey preparation activities to ensure pharmacy readiness and compliance with applicable standards.
• Prepare, organize, and maintain required documentation, policies, procedures, and supporting evidence for accreditation surveys.
• Support accreditation surveyors by responding to inquiries, providing requested documentation, and facilitating access to relevant information.
• Monitor and maintain regulatory and accreditation logs to ensure accuracy, completeness, and timely updates.
• Review staff-maintained logs and documentation to identify deficiencies and coordinate corrective actions.
• Track survey findings, corrective action plans, and follow-up activities to support continued accreditation compliance.
• KPA 3: Regulatory Compliance and Documentation Monitor adherence to applicable federal, state, and local regulations, corporate policies, pharmacy SOPs, and accreditation standards.
• Track and verify completion of required departmental compliance training within established deadlines.
• Monitor continuing education and licensure requirements to support ongoing compliance.
• Maintain the confidentiality and security of patient and employee information in accordance with HIPAA and applicable privacy regulations.
• Collaborate with department leadership to ensure the proper collection, storage, retention, and destruction of Protected Health Information (PHI).
• Identify compliance gaps, communicate findings to appropriate stakeholders, and assist with implementing corrective actions.
• Complete additional compliance-related assignments and projects as directed.
• KPA 4: Quality Assurance and Continuous Improvement Identify and recommend Quality Improvement Projects (QIPs) based on operational trends, compliance findings, and opportunities for process improvement.
• Develop and coordinate approved QIPs in collaboration with the Quality Management Committee (QMC).
• Collect, validate, and analyze quality improvement data to evaluate performance, identify trends, and measure outcomes.
• QIP documentation, track project milestones, and follow through on action items to ensure timely completion.
• Review pharmacy quality management events, investigate reported incidents, identify contributing factors, and coordinate resolution using established pharmacy best practices.
• Analyze quality management trends and recommend corrective and preventive actions to reduce recurring issues and improve pharmacy operations.
• Participate in AON's Quality Management Committee meetings and contribute to quality improvement initiatives, performance reviews, and action planning.
• Audit communication and documentation within CPR+, ONCO EMR, ORCA, and telephone systems to verify compliance with accreditation standards and documentation requirements.
• Communicate quality assurance findings and improvement recommendations to pharmacy leadership and relevant stakeholders.

Requirements

• Qualifications Education High school education required.
• Certifications/Licenses Active/Unrestricted Pharmacy Technician permit in the state of residence preferred.

Preferred

• Relevant Experience One year's experience in specialty, retail, mail order, or hospital pharmacy preferred.

Travel

0% Standard Core Workdays/Hours : Monday to Friday 9:00 AM – 5:30 PM EST. Occasional overtime may be required, and weekend shifts based on location hours and operational needs. #LI-REMOTE