Senior Compliance Analyst (Compliance Oversight Activities)

P
Prime TherapeuticsHealthcare compliance
Source API remote eligibility restrictions: United StatesFull-TimeSenior
Salary74,000 - 118,000 USD per year
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Job Details

Experience
5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry
Required Skills
Project ManagementAnalytical Skills

Requirements

  • Bachelor’s degree in business, healthcare, or a related area, or an equivalent combination of education and/or relevant work experience.
  • High school diploma from an accredited school or equivalent GED required.
  • 5 years of progressive work experience in legal or compliance-related roles.
  • Experience in a healthcare or PBM organization, or another highly regulated industry.
  • Experience with Medicare, Medicaid, and the Affordable Care Act (ACA).
  • Exceptional written and verbal communication skills.
  • Critical-thinking and problem-solving skills for highly complex situations.
  • Comprehensive understanding of compliance program principles, practices, standards, industry challenges, and emerging approaches.
  • Ability to present complex information and influence stakeholders at all organizational levels.
  • Advanced organization and analytical skills, including the ability to manage multiple projects simultaneously.
  • PBM or healthcare experience preferred.
  • CCEP or CHC certification and PMP certification preferred.
  • Medicare Part B Drug and Part D, Medicaid, and/or Affordable Care Act experience preferred.

Responsibilities

  • Lead compliance oversight activities, including monitoring, reviews, issue management, and corrective action plan governance.
  • Execute compliance procedures and enforce policy governance to validate regulatory reporting and operational requirements.
  • Serve as a compliance subject matter expert, develop solutions to complex issues, escalate findings, and enhance supporting documentation.
  • Represent Compliance on complex contracts and cross-functional projects, building effective stakeholder partnerships.
  • Lead project management for highly sensitive or complex compliance initiatives.
  • Prepare compliance records, reporting, and materials for senior leadership and governance committees.
  • Build relationships and influence stakeholders across organizational levels.
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74,000 - 118,000 USD per year
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