Sr. Compliance Analyst - Remote

Sr. Compliance Analyst - Remote

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.

Responsibilities

The Senior Compliance Analyst assists in the implementation of Primes compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, and program manuals are effectively followed and maintained.

• 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
• Research and interpret laws, industry guidance and regulatory issues that impact Primes compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalate findings as appropriate
• 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, Primes 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
• Regularly reviews new legislation and regulation to assist business and regulatory teams identify impacts
• 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 Primes compliance programs by developing, maintaining and delivering compliance documentation and training, or implementing a regular review cadence for standard operating procedures (SOP) and policies
• Other duties as assigned

Education & Experience

Bachelors 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

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 organizations 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 Qualifications

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

Physical Demands

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.