Compliance Analyst -Medicare Part B- REMOTE

Lensa; Atlanta (GA); Remote; USD 59,000 - 94,000; Full time

Job summary

An innovative firm is seeking a Compliance Analyst to assist in implementing compliance programs and ensure adherence to regulatory standards. This role involves executing compliance procedures, managing regulatory submissions, and collaborating with key stakeholders. Ideal candidates will possess strong communication and problem-solving skills, along with a background in healthcare or regulated industries. Join a team that values your contributions and offers a supportive environment for professional growth. If you are passionate about compliance and making a difference, this is the perfect opportunity for you.

Qualifications

• 2+ years of experience in legal or compliance roles in healthcare.
• Bachelor’s degree or equivalent experience required.

Responsibilities

• Execute compliance procedures and enforce policy governance.
• Develop solutions to compliance problems and escalate issues.
• Manage regulatory submissions and maintain licensing documentation.

Skills

Strong communication skills

Critical thinking

Problem-solving abilities

Understanding of compliance principles

Organizational skills

Education

Bachelor’s degree in business or healthcare

HS diploma or GED

Job description

2 days ago, be among the first 25 applicants.

Get AI-powered advice on this job and access more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, Prime Therapeutics, is seeking professionals. Apply via Lensa today!

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Compliance Analyst - Medicare Part B - REMOTE

Job Description

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

Responsibilities

• Execute compliance procedures and enforce policy governance across the organization to ensure requirements are met and that business operations align with applicable regulatory guidance.
• Develop solutions to moderately complex compliance problems by referring to precedence, policies, and standard operating procedures; escalate issues to Compliance leadership as appropriate.
• Support and, at times, lead the project management efforts of Compliance initiatives.
• Represent the Compliance Department on projects of medium complexity, contracts, or other cross-functional assignments.
• Facilitate the development, maintenance, and delivery of compliance training, administer the annual conflict of interest process, and review standard operating procedures and policies.
• Research laws, industry guidance, and regulatory issues impacting Prime’s compliance programs or filings; document requirements or disciplinary actions and escalate findings as needed.
• Manage regulatory submissions, filings, renewals, notifications, and reports related to licensed functions; maintain licensing documentation and applications; and manage licensing IT systems.
• Perform other duties as assigned.

Education & Experience

• Bachelor’s degree in business, healthcare, or related field, or equivalent experience; HS diploma or GED required.
• At least 2 years of experience in legal, compliance, or project coordination roles in healthcare or highly regulated industries.
• Eligibility to work in the United States without sponsorship.

Additional Qualifications

• Strong communication skills.
• Critical thinking and problem-solving abilities.
• Understanding of compliance program principles and standards.
• Effective presentation skills for diverse audiences.
• Ability to influence at all organizational levels.
• Organizational skills for managing multiple projects.

Preferred Qualifications

• Experience in Pharmacy Benefit Management or healthcare.
• Knowledge of Medicare Part D, Medicaid, ACA.
• Certifications like CCEP, CHC, PMP.
• Experience with licensing processes and applications.

Physical Demands

• Travel up to 10%.
• Sitting, handling, talking, hearing, reaching, standing, walking, and lifting as described.

All employees must adhere to security responsibilities and legal requirements.

Salary range: $59,000 - $94,000, based on experience and skills.

For benefits details, visit our Benefits Page.

Prime Therapeutics LLC is an equal opportunity employer, encouraging diverse candidates to apply. We welcome applicants with arrest and conviction records and those requiring accommodations.