Compliance Manager

Medimpact; Tempe, Northern (AZ, KY); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical/Dental/Vision

Wellness Programs

Paid Time Off / Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Job summary

MedImpact is seeking a Licensing Compliance Manager to lead regulatory filings, maintain the compliance calendar, and respond to government inquiries. You will develop internal controls, collaborate with management on filing requirements, and oversee an appeals process while supervising staff.

The role requires a BS/BA and 5+ years in compliance with 1 year SME and 3+ years of supervision, plus MedImpact experience preferred. On-site at San Diego or other company locations, with travel as needed.

Qualifications

• BS/BA degree or equivalent with 5+ years in compliance/licensing.
• Minimum 1 year SME in respective area(s) and 3+ years supervisory experience.
• 4 years of MedImpact experience with external leadership training preferred.

Responsibilities

• Maintain and manage a comprehensive compliance calendar with monthly, quarterly, and annual deadlines.
• File accurate and timely government reports in accordance with local, state, and federal regulations.
• Address inquiries from government agencies and coordinate with internal stakeholders for responses.
• Collaborate with the management team to keep the company informed on filing requirements and regulatory changes.
• Develop and implement internal controls and policies to ensure corporate compliance; conduct regular assessments.
• Oversee an efficient appeals process, monitor workflows, and drive continuous improvement.
• Supervise assigned staff, including hiring, training, and performance management; enforce company policies.

Skills

Excel

Word

PowerPoint

Written and verbal communication

Education

BS/BA degree

Job description

# **Job Description****Summary**As a Licensing Compliance Manager, you will play a pivotal role in ensuring the company's adherence to all relevant regulations and licensing requirements. Your primary responsibilities will include maintaining the compliance calendar, filing timely reports to government agencies, addressing inquiries, collaborating with the management team to uphold filing requirements, and contributing to the development of internal controls and policies.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.Maintain Compliance Calendar:* Develop and manage a comprehensive compliance calendar to track monthly, quarterly, and annual filing deadlines.* Ensure timely completion of all compliance-related tasks to meet regulatory obligations.* Government Reporting:* File accurate and timely reports to relevant government agencies in accordance with local, state, and federal regulations.* Stay informed about changes in regulatory requirements and adjust reporting processes accordingly.Inquiry Handling:* Assist in addressing inquiries from governmental agencies promptly and accurately.* Collaborate with internal stakeholders to gather necessary information and ensure a coordinated response.* Collaboration with Management: Work closely with the management team to keep the entire company informed and up to date on all local, state, and federal filing requirements.* Provide guidance on compliance matters and contribute to decision-making processes.Internal Controls, appropriate audit oversight, and Policies:* Assist in developing and implementing internal controls and policies to ensure comprehensive corporate compliance.* Conduct regular assessments to identify areas of improvement and recommend enhancements to existing processes.* Appeal Process Engagement:* Ensure an efficient and effective appeal process to address adverse claims requests.* Monitor the appeals workflow, track outcomes, and provide insights for continuous improvement. **Supervisory Responsibilities** Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.**Education and/or Experience**BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed within 12 months in new position may substitute for the supervisory experience requirement.**Computer Skills**To perform this job successfully, an individual should have expert skills of Microsoft Office Suite, especially Excel, Word, and PowerPoint.**Certificates, Licenses, Registrations**None required**Other Skills and Abilities**Excellent skills in written and oral communication; organization/prioritization; decision-making; problem analysis and resolution; negotiation; team building; and leadership. Ability to maintain a high degree of confidentiality using, tact, discretion, and professionalism in all aspects of the job. Strong attention to detail and follow-through skills. **Reasoning Ability** * Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.* Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.* Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.* undefined**Mathematical Skills** * Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.* Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.**Language Skills*** Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. * Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.**Competencies** To perform the job successfully, an individual should demonstrate the following competencies:Building Effective TeamsDecision QualityInformingConfronting Direct ReportsDelegationOrganizational AgilityCustomer FocusDrive for ResultsPolitical Savvy**Physical Demands**The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Ability to maintain clear near visual acuity at approximately 20 inches or less (i.e., “close vision”) to accurately read fine print, view computer screens, and handle small objects. Requires adequate color vision and depth perception to support safety and precision in detail-oriented tasks.**Work Environment**The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes, or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).**Work Location**This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.**Working Hours**This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.**Travel**This position requires domestic travel of up to 25% of the time. # **The Perks:*** Medical / Dental / Vision / Wellness Programs* Paid Time Off / Company Paid Holidays* Incentive Compensation* 401K with Company match* Life and Disability Insurance* Tuition Reimbursement* Employee Referral BonusMedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.