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Prime Therapeutics · 22 hours ago

Senior Compliance Analyst (Regulatory Change Management) - Remote

United States

Full-time

Remote

Mid, Senior Level

$74K/yr - $118K/yr

5+ years exp

Prime Therapeutics is a unique PBM focused on connecting care for those they serve. The Senior Compliance Analyst will assist in implementing compliance programs, lead initiatives, and collaborate with internal stakeholders to ensure compliance with regulatory requirements.

Health CarePharmaceutical

No H1B

Responsibilities

Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance

Lead project management efforts for highly sensitive Compliance initiatives

Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions

May collect, prepare and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime’s senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports

Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary

May execute and enhance Prime’s compliance programs by developing, maintaining and delivering compliance documentation and training, administering the annual conflict of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies

Research and interpret laws, industry guidance and regulatory issues that impact Prime’s compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalate findings as appropriate

If supporting licensing efforts, may manage regulatory submissions, filings, renewals, notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile required internal reports, perform research of licensing and reporting requirements, respond to requests for information and proposals, develop/revise/maintain departmental SOPs, Desk Top Procedures, and Licensing source documentation; manage the licensing IT application and conduct general maintenance of the licensing tools

Other duties as assigned

Qualification

Compliance program principlesHealthcare compliance experienceRegulatory submissions managementCertified ComplianceEthics ProfessionalCertified Project Management ProfessionalAnalytical skillsInfluenceExceptional communication skillsCritical thinking skillsOrganizational skills

Required

Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA)

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Exceptional written and oral communication skills

Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations

Complete understanding of effective compliance program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards and programs to support an organization's compliance priorities

Ability to effectively present complex information to a wide variety of audiences

Ability to establish rapport and effectively influence at all levels within an organization

Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously

Strong analytical skills

If working within Licensing, experience maintaining, tracking, renewing and submitting applications for licensure