Prime Therapeutics · 2 days ago
Sr. Compliance Analyst (Regulatory Intelligence and Assessment) - Remote
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Health CarePharmaceutical
No H1B
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Responsibilities
Monitor, research, analyze, interpret laws, industry guidance and other regulatory releases (collectively referred to as “regulatory releases”) that may impact Prime
Conduct impact assessments on regulatory releases
Prepare detailed section-by-section summaries of regulatory releases and identify the applicable key stakeholders responsible for implementation
Timely communicate new regulatory guidance to the applicable key stakeholders
Monitor and track company implementation of regulatory releases
Facilitate meetings and Committees surrounding regulatory releases
Trend regulatory releases and related data mining
Executes compliance procedures and enforces policy governance across the organization to validate regulatory 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 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, Board of Directors, and other required reporting
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
Maintain a regular review cadence for standard operating procedures (SOP) and policies
May 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 source documentation
Assist with managing the regulatory change management application and conduct general maintenance of the tool
Other duties as assigned
Qualification
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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 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
Preferred
PBM/health care experience
Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
Certified Project Management Professional (PMP)
Advanced degree in related area of study, such as Juris Doctor
Company
Prime Therapeutics
Prime Therapeutics is an independent pharmacy benefit manager that primarily serves Blue Cross Blue Shield plans