As a national provider of pharmaceutical and health care services with complementary businesses in both the retail and commercial segments of the industry, the Compliance Auditor is responsible for working with company management to ensure that corporate policies and procedures, regulatory requirements, and codes of conduct are documented, enforced, and monitored at all on-site retail and commercial locations. The Compliance Auditor will conduct routine compliance audits across all retail and commercial locations, as well as respond to external third-party insurance audit requests and assist company management in research of changes and updates to regulatory compliance. The Compliance Auditor must maintain confidentiality and is expected to exercise discretion, initiative, and professional judgment. Work is performed under general supervision of the Compliance Manager, and the Director of Internal Audit.

Travel: Extensive travel required. Attendance at various KPH business meetings and conferences required.

• Responsible for performing compliance audits at all locations per the Compliance Audit schedule
• Respond to external third-party insurance audits to demonstrate compliance with contractual obligations.
• Respond to external Fraud, Waste & Abuse insurance audits to demonstrate compliance with OMIG regulations.
• Develop an in-depth understanding of relevant industry compliance requirements.
• Assist the Sr. Compliance Auditor in monitoring relevant regulatory compliance requirements for changes or updates.
• Assist the Sr. Compliance Auditor in answering store location compliance questions and education.
• Recommend audit and operational changes where required.
• Report all audit findings to management.
• Follow up on all audit findings to ensure appropriate corrective action is completed.
• Responsible for completing all mandatory and regulatory training programs.
• Perform other duties as assigned.

Job Requirements:

• Sound independent judgement.
• Strong analytical skills
• High level of accuracy and attention to detail
• Strong PC Skills, including MS Word, PowerPoint, & Excel.
• Exceptional communication skills both verbal and written.

Education:

• Preferred: Bachelor’s degree or higher.

Experience:

• Preferred: Previous experience in Auditing and/or Pharmacy.

Compensation:

$60,450 - 62,000 per year.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education. 

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.