Lead Compliance Coordinator

BeneCard PBF; Town of Florida, Northern (NY, KY); Hybrid; USD 85,000 - 125,000; Full time

Benefits offered by this job

Medical Insurance

Vacation Time

401(k)

Tuition Reimbursement

Job summary

BeneCard PBF seeks a detail-oriented Lead Compliance Coordinator to support regulatory and compliance activities across PBM, pharmacy, vision, and healthcare operations.

You will help ensure compliance with state, federal, client, contractual, and company requirements, working with multiple departments to conduct reviews, support audits, monitor regulatory changes, identify risks, and assist with corrective actions.

Qualifications

• 3-5 years of relevant experience in compliance, regulatory affairs, auditing, quality assurance, or healthcare operations.
• Bachelor's degree preferred.
• Experience within the pharmaceutical, healthcare, PBM, managed care, vision, or health insurance industry preferred.
• Strong analytical and critical thinking skills.
• Excellent attention to detail and organizational skills.
• Ability to manage multiple priorities and deadlines.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office, including Excel, Word, PowerPoint, and Outlook.

Responsibilities

• Monitor and review state, federal, contractual, and regulatory requirements impacting the business.
• Develop, review, and maintain compliance-related policies, procedures, forms, and documentation.
• Conduct quality assurance and compliance reviews to ensure adherence to regulatory and company standards.
• Support auditing and monitoring activities, including documentation reviews, issue tracking, and follow-up actions.
• Identify, assess, and track compliance risks and collaborate with business partners on mitigation efforts.
• Review compliance-related inquiries, issues, and escalations and provide recommendations for resolution.
• Assist with corrective action plans and remediation efforts to address identified compliance concerns.
• Support Fraud, Waste, and Abuse (FWA) monitoring, reporting, and compliance activities.
• Assist with oversight of vendors, delegated entities, and business partners to ensure compliance requirements are met.
• Monitor and maintain compliance tracking tools, reports, and documentation.
• Prepare compliance reports, summaries, dashboards, and presentations for leadership and stakeholders.
• Provide compliance guidance and support to operational departments.
• Assist with the development and delivery of compliance training and educational materials.
• Maintain organized records to support audits, compliance reviews, and regulatory requirements.
• Perform other duties and special projects as assigned.

Skills

Analytical thinking

Attention to detail

Time management

Communication skills

Microsoft Office

Education

Bachelor's degree preferred

Job description

Benecard is seeking a detail-oriented Lead Compliance Coordinator to support regulatory and compliance activities across our pharmacy benefit management (PBM), pharmacy, vision, and healthcare operations.

In this role, you will help ensure compliance with state, federal, client, contractual, and company requirements. You will work closely with multiple departments to conduct compliance reviews, support audits, monitor regulatory changes, identify potential risks, and assist with corrective action efforts.

Duties & Responsibilities

• Monitor and review state, federal, contractual, and regulatory requirements impacting the business.
• Develop, review, and maintain compliance-related policies, procedures, forms, and documentation.
• Conduct quality assurance and compliance reviews to ensure adherence to regulatory and company standards.
• Support auditing and monitoring activities, including documentation reviews, issue tracking, and follow-up actions.
• Identify, assess, and track compliance risks and collaborate with business partners on mitigation efforts.
• Review compliance-related inquiries, issues, and escalations and provide recommendations for resolution.
• Assist with corrective action plans and remediation efforts to address identified compliance concerns.
• Support Fraud, Waste, and Abuse (FWA) monitoring, reporting, and compliance activities.
• Assist with oversight of vendors, delegated entities, and business partners to ensure compliance requirements are met.
• Monitor and maintain compliance tracking tools, reports, and documentation.
• Prepare compliance reports, summaries, dashboards, and presentations for leadership and stakeholders.
• Provide compliance guidance and support to operational departments.
• Assist with the development and delivery of compliance training and educational materials.
• Maintain organized records to support audits, compliance reviews, and regulatory requirements.
• Perform other duties and special projects as assigned.

Qualifications

• 3-5 years of relevant experience in compliance, regulatory affairs, auditing, quality assurance, or healthcare operations.
• Bachelor's degree preferred.
• Experience within the pharmaceutical, healthcare, PBM, managed care, vision, or health insurance industry preferred.
• Strong analytical and critical thinking skills.
• Excellent attention to detail and organizational skills.
• Ability to manage multiple priorities and deadlines.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office, including Excel, Word, PowerPoint, and Outlook.
• Ability to work independently and collaborate effectively across departments.

Featured Benefits

• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- and Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition Programs
• Tuition Reimbursement
• Professional Development and Training

Benecard Services, LLC has been administering carve-out, fixed-rate insured prescription drug benefit programs since 1990. Benecard is a full-service, in-house prescription benefit administrator that includes mail-order and specialty drug dispensing. We are a premier nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused clinical expertise. Our customized claims processing platform offers flexibility to meet client needs in an evolving marketplace. Advanced clinical programs and technology help maximize data utilization and facilitate collaboration among physicians, pharmacists, and patients to promote better health outcomes.

Headquartered in Bonita Springs, Florida.

National Vision Administrators (NVA)

For more than 40 years, National Vision Administrators (NVA) has provided vision benefit solutions to public employer groups, Health & Welfare Funds, associations, and coalitions across the United States. NVA serves millions of members through cost-effective, customized, and clinically integrated vision care programs.

We are proud to have retained more than 99% of our clients, reflecting our commitment to delivering high-quality benefits and exceptional service to both clients and members.