JOB DESCRIPTION
Support the company's Controlled Substance Compliance Program (CSCP) structure and foundation through monitoring and research of controlled substance activities within the Kroger enterprise. Work closely with the Controlled Substance Monitoring team and manager to perform other critical functions. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety.
RESPONSIBILITIES
- Perform periodic and for-cause facility and prescriber risk analysis of assigned geographic region and conduct related investigations using all available systems to identify compliance risks and research suspicious activity. Identify data trends and anomalies as they relate to controlled substance regulations and guidance
- Collaborate with manager to provide actionable insights and recommendations based on data analysis to support decision-making and improve compliance
- Complete assessments of assigned divisions and report findings to manager
- Provide feedback on alert effectiveness and partner with management and controlled substance monitoring team to design and implement program enhancements
- Maintain case investigation documentation in accordance with department standards
- Liaise with applicable Regulatory Compliance and Training departments when appropriate
- Adhere to Kroger policies and procedures and comply with all applicable federal and state laws, regulations and guidance as they relate to controlled substances
- Travel up to 10% to meet with internal clients.; travel to attend industry training programs to maintain expertise in current or future subject matter areas as approved by manager
- Must be able to perform the essential functions of this position with or without reasonable accommodation
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QUALIFICATIONS
MINIMUM
- 2+ years healthcare, pharmacy, fraud prevention, risk management, audit, or compliance
- Working knowledge of controlled substance regulations and indicators of potential diversion of controlled substances in pharmacy or healthcare
- Strong analytical, problem-solving, and organizational skills
- Proficient in Microsoft Word, PowerPoint, and Excel with experience using Excel and other data analytics tools
- Excellent oral/written communication
- Ability to manage multiple tasks, work independently and contribute to a collaborative team environment
DESIRED
- Bachelor's Degree
- Certified Fraud Examiner