Compliance Analyst -Medicare Part B- REMOTE

Lensa; Providence (RI); Remote; USD 59,000 - 94,000; Full time

Job summary

An established industry player in healthcare is seeking a Compliance Analyst to ensure adherence to regulatory standards and enhance compliance programs. This remote role involves executing compliance procedures, managing regulatory filings, and collaborating with internal stakeholders. You'll play a crucial role in developing solutions for compliance challenges while supporting training initiatives. Ideal candidates will have a background in business or healthcare, strong communication skills, and the ability to navigate complex regulatory environments. Join a mission-driven team dedicated to improving healthcare outcomes and making a difference in people's lives.

Qualifications

• 2+ years of experience in legal, compliance, or project coordination roles.
• Bachelor's degree or equivalent experience in a related field.

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

Understanding of compliance principles

Ability to present complex information

Organizational skills

Education

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

HS diploma or GED

Job description

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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, 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 business operations align with applicable regulatory guidance.
• Develop solutions to moderately complex compliance problems by referring to precedence, policies, and SOPs; escalate issues to Compliance leadership as appropriate.
• Support and lead project management efforts of Compliance initiatives.
• Represent the Compliance Department on projects of medium complexity, contracts, or other cross-functional assignments.
• Facilitate development, maintenance, and delivery of compliance training; administer the annual conflict of interest process; review SOPs and policies; develop revision and tracking processes.
• 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, and reports related to licensed functions; maintain licensing documentation and IT applications; respond to information requests.
• 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 skills.
• Understanding of compliance principles, practices, and standards.
• Ability to present complex information effectively.
• 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.

Physical Demands

• Travel up to 10%.
• Constant sitting, using hands, talking, hearing.
• Frequent reaching; occasional standing, walking, stooping, kneeling, crouching.
• Ability to lift up to 25 pounds occasionally.
• Vision requirements.

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

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

For benefits details, visit Benefits Page.

Prime Therapeutics is an equal opportunity employer and values diversity. We welcome applicants from all backgrounds and abilities.

For accommodations, contact Human Resources at 1.866.469.1257 or [e-mail].

Additional Job Details

• Seniority level: Entry level
• Employment type: Contract
• Job function: Legal
• Industries: IT Services and IT Consulting