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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