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Regulatory Analyst Sr - Remote
Regulatory Analyst Sr - RemoteIdaho Staffing • Boise, ID, US
Regulatory Analyst Sr - Remote

Regulatory Analyst Sr - Remote

Idaho Staffing • Boise, ID, US
1 day ago
Job type
  • Full-time
  • Remote
Job description

Regulatory Analyst Sr - Remote

At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.

Responsibilities

  • Participate in Regulatory Review Committee Meetings, Healthcare Reform Meetings, Regulatory Oversight Meetings, CMS User Calls, and Government Programs Compliance Committee Meetings to monitor new regulations and provide necessary updates to these committees
  • Monitor national and state healthcare regulation requirements and update appropriate stakeholders of changes or new requirements
  • Take the lead on any new business issues and opportunities generated by Government and / or Commercial laws, rules, regulations or guidelines that impact Consumer Delivery
  • Ensure successful implementation and execution of regulatory compliance requirements including project leadership and governance; ensure appropriate requirements are in place for new Client and Group implementations
  • Establish and maintain engaged relationships with leadership of other functional areas within the corporation to ensure effective collaboration, communication, and delivery of required regulations
  • Recommend changes to policies and procedures based on regulatory changes
  • Liaison with Internal Audit and External Audit teams to represent departments in CMS, Client, mock, and vendor audits
  • Review audit feedback, initiate action items related to audit or compliance review findings, and recommend ideas for improvement and summarize action plans
  • Other duties as assigned

Minimum Qualifications

  • Bachelor's degree in business, finance, health services or related area of study, or equivalent combination of education and / or relevant work experience
  • 5 years of successful project management and / or operations management experience related to, or within Pharmacy Benefit Management (PBM) or health insurance
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship
  • Additional Qualifications

  • Excellent verbal and written communication skills including interpersonal skills necessary to drive results and deliver on commitments
  • Proficient at meeting facilitation, conflict management, and consensus building
  • Proven client service skills with a track record for building strong client relations
  • Ability to handle multiple projects simultaneously and to work under pressure with strict timelines
  • Proven problem solving and solution crafting skills
  • Demonstrated critical thinking and analysis skills with the ability to interpret regulations into operational requirements
  • Preferred Qualifications

  • 2 years Medicare Part D, Medicaid, and / or state or federal regulatory experience
  • Prior experience giving presentations
  • Proficient in Microsoft Project and Visio
  • Extensive knowledge of CMS regulations and Health Care
  • Experience with regulatory reporting
  • 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.

    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, 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.

    If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

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    Regulatory Analyst • Boise, ID, US

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