Iris Vandyke Email & Phone Number

Portland, Oregon Area

Compliance department liaison to the pharmacy business area at Cambia.Coordinate internal and external audits (CMS audits, CMS monitoring activities, and other audit requests), including preparation of materials under the direction of the Medicare Compliance Officer; Assist in the preparation of materials for the Medicare Compliance Committee;Track and.

Portland, Oregon Area

• Responsible for all federal and state guidance interpretation and dissemination.
• Responsible for monitoring plan-wide compliance results for public programs, with an emphasis on Medicare compliance. Complete root cause analyses and implement work plans and corrective actions.
• Develop policy and procedures for multiple departments including; Claims, Pharmacy, Appeals & Grievances, Health Care Services, and Customer Service.
• Review and create reports, analyze data from a variety of information systems to track issues, education, review disclosed conflicts and assess need for mitigation plans, project tracking, learning management systems.
• Review and approve Medicare member and provider facing materials.
• Project Manager for several large assignments such as creating member materials for all 14 Plan Benefit Packages and developing the Monitoring program for all MA reporting.

Portland, Oregon Area

• Create Policies and Procedures for company-wide compliance to be implemented for PayLess use; coordinate the pharmacy staff schedule, department budget, and assist with personnel hiring, training, monitoring and.
• Effectively resolve insurance rejections and other Medicare issues.
• Researching E-kit problems, E-kit billing.
• Work closely with the Mental Health Organizations throughout Oregon as well as various Hospice providers with the common goal of Right Patient, Right Medication.
• Directly supervise four Pharmacy Technicians, interns and support staff while on duty.
• Process all Schedule II-V medications while staying in compliance with the DEA and the Board of Pharmacy.

Opening and closing the lab, maintaining and monitoring lab usage

Assist callers with prescription concerns, refills, prescription pricing, and customer serviceData entry, spreadsheets, also put together the monthly organization newsletterWorkers compensation and Medicare prescription benefit processing and billingAssist with new hire training and coaching

Dispatching, data entry, billing and price quotesSupervisory duties overseeing several employees, assist with new hire trainingProvide remote tech support to service stations and field technicians

Bachelor Of Science (Bs), Geological And Earth Sciences/Geosciences

Activities and Societies: Geology Club Secretary

A.S, General Sciences