Analyst I, Controlled Substance Monitoring

JOB DESCRIPTION

Support the company's Controlled Substance Compliance Program (CSCP) structure and foundation through monitoring and research of dispensing activities in company pharmacies. 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

• Conduct transaction monitoring of assigned divisions to assess potential suspicious activity that may indicate diversion, abuse or fraud related to controlled substances
• Identify data trends and anomalies as they relate to controlled substance regulations and guidance
• Conduct investigations using all available systems to research suspicious activity
• Provide actionable insights and recommendations based on data analysis to support decision-making and improve compliance
• Provide feedback on alert effectiveness and partner with management and analyst team to design and implement program enhancements
• Perform periodic and for-cause pharmacy and prescriber risk analysis of assigned divisions and conduct related investigations to identify compliance risks
• Respond to requests from pharmaceutical suppliers' controlled substance monitoring programs to provide data and other related information as required for suspicious order monitoring activities
• 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 attend industry training programs to maintain expertise in current or future subject matter areas as approved by manager
• Ability to work cooperatively in high paced and sometimes stressful environment
• Ability to manage conflict in a reasonable, nonconfrontational and cooperative manner
• Ability to act with honesty and integrity regarding customer and business information
• Ability to follow directions and seek assistance when necessary to resolve customer and business issues
• Provide support and assistance through direct interaction with minors, individuals with special needs, and/or older adults
• Must be able to perform the essential functions of this position with or without reasonable accommodation.

• 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

• Bachelor's Degree
• Certified Fraud Examiner