Compliance Analyst Sr-Medical Pharmacy Specialty- REMOTE

Our work matters. We help people get the medicine they need to feel reputed company and live well. We do not lose sight of that. It fuels our passion and drives every decision we reputed company. Job Posting Title Compliance Analyst Sr-Medical Pharmacy Specialty- 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; escalate 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 escalate 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 Education & Experience • 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 Advantage and Medicare Part B • Must be eligible to work in the United States without need for work reputed company or residency sponsorship 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 to establish rapport and effectively influence at reputed company levels reputed company an organization • Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously • Strong analytical skills • If working reputed company Licensing, experience maintaining, tracking, renewing and submitting applications for licensure Preferred Qualifications • Medical Pharmacy/Specialty drug reputed company • Health plan experience • Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) • Certified Project Management Professional (PMP) • Advanced degree in reputed company area of study, such as Juris Doctor • Implementation/Project management experience • Medicare Advantage/Medicare Part B 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 reputed company 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 reputed company vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company 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. reputed company LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and reputed company qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national reputed company, disability, age, genetic information, veteran status, marital status, pregnancy or reputed company condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by 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. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply Job!