Advisor, Network Compliance

Job description

Job Description What Network and Payor Relations contributes to Cardinal Health The Advisor, Network Compliance plays a critical role in safeguarding the Pharmacy Services Administrative Organization’s (PSAO) network integrity by ensuring adherence to both PBM and PSAO contractual obligations and the compliance standards of its member retail pharmacy providers. This position involves monitoring, detailed investigation, and collaborative efforts to navigate complex regulatory landscapes and contractual agreements, ultimately mitigating risks and fostering a compliant pharmacy network. Responsibilities: - Serve as a Subject Matter Expert (SME) on PBM contract, Provider Manual, and relevant regulatory requirements pertinent to member pharmacies. - Develop and maintain resources to support internal understanding and ensure PSAO member pharmacies have access to essential compliance information. - Foster member compliance through various communication and support channels. - Conduct thorough investigations into potential PSAO member compliance issues, utilizing available data and information sources. - Collaborate with legal counsel to prepare and issue any official notices required. - W...