Compliance Analyst -Medicare Part B- REMOTE

Lensa; Nashville (TN); Remote; USD 59,000 - 94,000; Full time

Job summary

A leading company is seeking a Compliance Analyst for a remote position to assist in implementing compliance programs. The role involves executing compliance procedures, managing regulatory submissions, and collaborating with internal stakeholders to ensure adherence to policies. Ideal candidates will have a Bachelor’s degree and at least 2 years of relevant experience, along with strong communication and problem-solving skills.

Qualifications

• At least 2 years of experience in legal, compliance, or project coordination roles in healthcare.

Responsibilities

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

Skills

Communication

Critical Thinking

Problem Solving

Organizational Skills

Education

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

HS diploma or GED

Job description

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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 validate requirements are met and that business operations are aligned 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; develop annual revision and tracking processes for policies and procedures.
• Research laws, industry guidance, and regulatory issues impacting Prime’s compliance programs or filings; document requirements or disciplinary actions and escalate findings.
• Manage regulatory submissions, filings, renewals, notifications, and reports related to licensed functions; maintain licensing documentation and applications; manage licensing IT tools.
• Perform other duties as assigned.

Education & Experience

• Bachelor’s degree in business, healthcare, or related area, 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 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 such as CCEP, CHC, PMP.
• Experience with licensing processes.

Physical Demands

• Travel up to 10%.
• Sitting, using hands, talking, hearing, reaching, standing, walking, lifting as specified.

Employees must comply with security and legal requirements. The pay range is $59,000 - $94,000, based on experience.

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

Prime Therapeutics is an equal opportunity employer and values diversity. We welcome applicants with different backgrounds and experiences, including those requiring accommodations.