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 to enhance their compliance programs. This remote role involves executing compliance procedures, developing solutions for complex problems, and managing compliance training. The ideal candidate will have a strong background in healthcare compliance, excellent communication skills, and the ability to influence at all organizational levels. Join a team that values your contributions and offers a supportive environment where your expertise can make a significant impact on compliance initiatives. If you're ready to take on this exciting challenge, we encourage you to apply!

Qualifications

• Bachelor’s degree in business, healthcare, or related field required.
• At least 2 years of experience in legal or compliance roles.

Responsibilities

• Execute compliance procedures and enforce policy governance.
• Develop solutions for moderately complex compliance problems.
• Support project management efforts for compliance initiatives.

Skills

Strong communication skills

Critical thinking

Problem-solving abilities

Understanding of compliance principles

Effective presentation skills

Organizational skills

Education

Bachelor’s degree in business or healthcare

HS diploma or GED

Job description

Be among the first 25 applicants and get AI-powered advice on this job along with access to 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 implementing Prime’s compliance programs within their designated areas and partners with key internal stakeholders to monitor compliance and ensure policies, procedures, licensure, and program manuals are effectively followed and maintained.

Responsibilities

• Execute compliance procedures and enforce policy governance to meet requirements and align with applicable regulatory guidance.
• Develop solutions for moderately complex compliance problems, referencing policies and procedures; escalate issues as needed.
• Support and lead project management efforts for compliance initiatives.
• Represent the Compliance Department on projects of medium complexity and cross-functional assignments.
• Facilitate development, maintenance, and delivery of compliance training; administer conflict of interest processes; review SOPs and policies; develop revision and tracking processes.
• Research laws, industry guidance, and regulatory issues impacting compliance programs; document requirements and escalate findings.
• Manage licensing efforts, including regulatory submissions, filings, renewals, and reporting; maintain licensing documentation and IT applications.
• 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 a highly regulated industry.
• Must be eligible 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, ACA.
• Certifications such as CCEP, CHC, PMP.
• Experience with licensing processes.

Physical Demands

• Travel up to 10%.
• Prolonged sitting, use of hands, talking, hearing.
• Occasional standing, walking, lifting up to 25 pounds.
• Visual acuity requirements.

Employees must adhere to security responsibilities and comply with all legal, regulatory, and internal policies.

Potential pay ranges from $59,000 to $94,000 depending on experience.

For benefits details, visit our Benefits Page and click on 'Benefits at a glance'.

Prime Therapeutics is an equal opportunity employer, encouraging diverse candidates to apply. We welcome applicants of various backgrounds and abilities, including those requiring accommodations.