Compliance Analyst -Medicare Part B- REMOTE

Lensa; Washington (District of Columbia); Remote; USD 59,000 - 94,000; Full time

Job summary

An established industry player is seeking a Compliance Analyst to support their Medicare Part B initiatives. In this remote role, you will be instrumental in implementing compliance programs, ensuring that policies and procedures are adhered to. Your responsibilities will include executing compliance procedures, developing solutions for complex compliance issues, and managing project efforts. This role offers the chance to work in a dynamic environment where your expertise will directly impact the healthcare landscape. If you have a passion for compliance and a desire to make a difference, this opportunity is perfect for you.

Qualifications

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

Responsibilities

• Execute compliance procedures and enforce policy governance.
• Support project management efforts of Compliance initiatives.
• Research laws and regulatory issues impacting compliance programs.

Skills

Compliance Program Principles

Critical Thinking

Problem-Solving

Communication Skills

Project Management

Education

Bachelor’s Degree in Business or Healthcare

High School Diploma or GED

Job description

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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

• Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of 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.
• May execute Prime’s compliance programs by facilitating the development, maintenance, and delivery of compliance training, administering the annual conflict of interest process, or reviewing standard operating procedures and policies; may develop annual revision and tracking processes for policies and procedures and participate in department projects and improvement initiatives.
• Research laws, industry guidance, and regulatory issues impacting Prime’s compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalate findings as appropriate.
• If supporting licensing efforts, may manage regulatory submissions, filings, renewals, notifications, and periodic reports related to licensed functions; compile internal reports, research licensing requirements, respond to information requests, and maintain departmental documentation; may also manage licensing IT applications.
• 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 work experience in legal, compliance, or project coordination roles in healthcare, PBM, or a highly regulated industry.
• Must be eligible to work in the US without sponsorship.

Additional Qualifications

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

Preferred Qualifications

• Experience in pharmacy benefit management or healthcare.
• Knowledge of Medicare Part D, Medicaid, or ACA.
• Certifications like CCEP, CHC, or PMP.
• Experience managing licensing applications and renewals.

Physical Demands

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

Employees must adhere to security and legal requirements. Potential pay ranges from $59,000 to $94,000 based on experience. For benefits details, visit Benefits Page.

Prime Therapeutics is an equal opportunity employer and values diversity. We welcome applicants with diverse backgrounds and those requiring accommodations.