Senior Compliance Analyst (Risk Assessment and Oversight) - Remote

Senior Compliance Analyst (Risk Assessment And Oversight)

Our work matters. We help people get the medicine they need to feel better and live well. It fuels our passion and drives every decision we make. The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute assigned Compliance Oversight activities, which may include validating compliance gap closures throughout the business, partnering to facilitate company-wide Compliance Risk Assessment, and conducting new and ongoing compliance oversight activities to ensure alignment with regulatory expectations.

Responsibilities

Conduct Compliance Oversight activities in effort to prevent, detect, and correct compliance concerns.

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; escalates 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 document requirements or disciplinary actions and escalate findings as appropriate.

Respond to requests for information and proposals, develop / revise / maintain departmental SOPs and other supporting documentation.

Other duties as assigned.

Education & Experience

Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and 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.

Additional Qualifications

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.

Preferred Qualifications

PBM / health care experience related to Medicare, Medicaid, Commercial, HIM.

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.

Ability to travel up to 10% of the time.

Constantly required to sit, use hands to handle or feel, talk and hear.

Frequently required to reach with hands and arms.

Occasionally required to stand, walk and stoop, kneel, and crouch.

Occasionally required to lift and / or move up to 10 pounds and occasionally lift and / or move up to 25 pounds.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.