Danielle King
Seasoned pharmacy audit compliance manager / director that drives initiatives with innovation across business needs with transparency. I excel within the PBM industry driving pharmacy fraud waste & abuse detection.
- Role
- Pbm Compliance Manager at Carelonrx
- Location
- Boise, ID, US
- LinkedIn followers
- 500 followers
About Danielle King
Highly skilled manager / director within pharmacy compliance, plan benefit, claim…
Experience
Pbm Compliance Manager
Jul 2022 — Present · US
Responsible for coordinating pharmacy compliance activities and initiatives across the PBM and the enterprise by maintaining department approved regulatory and legislative compliance plan and implementing effective internal controls. Identifies, monitors, revises and tracks business unit processes and implementing procedures to ensure compliance with all related measures. Identifies potential risks associated with PBM activities and ensures procedures are in place to minimize risks. Partners with business units to ensure compliance with all statutory and regulatory requirements. Participates as compliance subject matter expert on all mandated projects; achieves business operational compliance with all related measures relative to HIPAA and SOX and Privacy and Security Office initiatives. Conducts, directs, leads and facilitates all activities related to Internal and External (Regulatory and Client) audits and responds to findings. Performs high level regulatory research, develops strategic plans and pro-actively anticipates business needs and requirements. Develops and implements training and communication plans; manages and leads scheduled and ad-hoc compliance projects; provides and delivers compliance consultation services to the business unit
Education
North Idaho College
Associate of Arts (A.A.)
1998 — 2000
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