Compliance Analyst -Medicare Part B- REMOTE

Lensa; Austin (TX); Remote; USD 59,000 - 94,000; Full time

Job summary

An established industry player is seeking a Compliance Analyst for a remote role focused on Medicare Part B compliance. This position involves partnering with internal stakeholders to implement compliance programs, ensuring adherence to policies and regulatory requirements. The ideal candidate will have a strong background in compliance within healthcare, excellent problem-solving skills, and the ability to influence at all organizational levels. Join a dynamic team that values diversity and provides the necessary support for your success in a meaningful role.

Qualifications

• 2+ years of experience in legal, compliance, or project coordination roles.
• Legal authorization to work in the U.S. without sponsorship.

Responsibilities

• Execute compliance procedures and enforce policy governance.
• Develop solutions to compliance issues and support project management efforts.
• Facilitate compliance training and manage conflict of interest processes.

Skills

Strong communication skills

Critical thinking

Problem-solving abilities

Understanding of compliance principles

Effective presentation skills

Organizational skills

Education

Bachelor’s degree in business, healthcare, or related field

HS diploma or GED

Job description

Lensa is the leading career site for job seekers at every stage of their career. Our client, Prime Therapeutics, is seeking a Compliance Analyst - Medicare Part B for a remote position. 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 implementing Prime’s compliance programs within their designated areas, partnering with internal stakeholders to monitor compliance, and ensuring policies, procedures, licensure, and program manuals are effectively followed and maintained.

Responsibilities

• Execute compliance procedures and enforce policy governance to meet regulatory requirements and align with business operations.
• Develop solutions to moderately complex compliance issues, referencing policies and procedures, and escalate as needed.
• Support and lead project management efforts of compliance initiatives.
• Represent the Compliance Department on medium complexity projects and cross-functional assignments.
• Facilitate compliance training, manage conflict of interest processes, review SOPs and policies, and participate in department initiatives.
• Research laws and regulatory issues impacting compliance programs; document and escalate findings.
• Manage regulatory submissions, licensing, renewals, and reports related to licensed functions, and maintain related documentation and 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 within healthcare, PBM, or a regulated industry.
• Legal authorization to work in the U.S. without sponsorship.

Additional Qualifications

• Strong communication skills.
• Critical thinking and problem-solving abilities.
• Understanding of compliance principles and standards.
• Effective presentation skills.
• 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, or ACA.
• Certifications like CCEP, CHC, PMP.
• Experience managing licensing applications and renewals.

Physical Demands

• Travel up to 10%.
• Sitting, using hands, talking, hearing.
• Reaching, standing, walking, stooping, lifting up to 25 lbs.
• Visual acuity for various vision requirements.

Salary range: $59,000 - $94,000, based on experience and skills. For benefits details, visit our Benefits Page.

Prime Therapeutics is an equal opportunity employer, encouraging diversity and providing accommodations as needed.