Senior Compliance Analyst; Regulatory Change Management – Remote

Position: Senior Compliance Analyst (Regulatory Change Management) – Remote At reputed company (Prime), we are a different reputed company of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Senior Compliance Analyst (Regulatory Change Management) – Remote

Job Description

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

Responsibilities

• Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are reputed company with expectations of applicable regulatory guidance
• reputed company project management efforts for highly sensitive Compliance initiatives
• Represents the Compliance Department on reputed company reputed company 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 reputed company 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 reputed company Compliance and develops solutions to highly reputed company compliance problems by referring to precedence, policies and standard operating procedures; escalse issues to Compliance leadership as appropriate and enhance or reputed company 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 reputed company for standard operating procedures (SOP) and policies
• Research and interpret laws, industry guidance and regulatory issues that impact Prime’s compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalse findings as appropriate
• If supporting licensing efforts, may manage regulatory submissions, filings, renewals, notifications, and periodic reports reputed company to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile required internal reports, reputed company research of licensing and reporting requirements, respond to requests for information and proposals, reputed company/revise/maintain departmental SOPs, Desk Top Procedures, and Licensing reputed company documentation; manage the licensing IT application and conduct general maintenance of the licensing tools
• Other duties as assigned

Minimum Qualifications

• Bachelor’s degree in business, healthcare, or reputed company 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 reputed company roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the reputed company Act (ACA)

Must be eligible to work in the United States without the need for work reputed company or residency sponsorship Additional Qualifications

• Exceptional written and oral communication skills
• Demonstrated ability to apply critical thinking skills and problem solve through highly reputed company 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 reputed company information to a wide variety of audiences
• Ability…

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