Manager, Compliance - Remote

Lensa; Annapolis (MD); Remote; USD 81,000 - 138,000; Full time

Job summary

An established industry player is seeking a Compliance Manager to lead compliance initiatives and ensure adherence to regulatory standards. This remote position involves collaborating with various stakeholders, managing compliance processes, and fostering a culture of compliance throughout the organization. The ideal candidate will have extensive experience in legal and compliance roles, particularly within healthcare, and will be responsible for developing training programs and managing audits. Join a mission-driven team that is dedicated to improving healthcare outcomes and making a difference in people's lives.

Qualifications

• 6+ years of experience in compliance roles within healthcare or regulated industries.
• Expertise in ACA, Medicare, Medicaid compliance issues.

Responsibilities

• Execute and enforce compliance procedures across the organization.
• Support investigations of compliance issues with Legal and HR.
• Develop and track metrics to demonstrate compliance effectiveness.

Skills

Compliance Management

Legal Knowledge

Communication Skills

Critical Thinking

Project Management

Education

Bachelor's Degree in Business or Healthcare

Advanced Degrees (JD, MHA, MPA)

Job description

Be among the first 25 applicants and get AI-powered advice on this job along with exclusive features.

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

Manager, Compliance - Remote

Job Description

The Compliance Manager works closely with designated business areas, Legal, and other internal partners to identify changing laws and regulations, accreditation standards, and client contractual compliance obligations, interpret the impact, and manage solutions for designated business areas. This position serves as a consultant to internal stakeholders regarding the development, implementation, and monitoring of compliance initiatives and helps to create a culture of compliance throughout the organization.

Responsibilities

• Execute compliance procedures and enforce policy governance across the organization and assigned functions to ensure regulatory requirements are met and business operations align with applicable guidance; develop and maintain compliance, risk, assessment, vendor, and ethics processes, audits, work plans, and communications based on business needs and risk ranking.
• Support investigations of reported compliance issues, partnering with Legal and HR as needed.
• Represent the compliance organization and, at times, Prime, as a primary contact on contracts or enterprise projects; collaborate with internal and external stakeholders.
• Serve as a consultant on policies, plans, and objectives, providing Subject Matter Expertise in areas such as ACA, Medicare, Medicaid, Corporate Compliance, etc.
• Develop and track metrics to demonstrate the effectiveness of compliance functions.
• Manage the creation, implementation, and review of compliance standards and procedures; develop strategies for regulatory change management.
• Provide leadership to compliance professionals, role modeling Prime’s expectations.
• Oversee audit and corrective action plans, designing remedies and supporting implementation.
• Evaluate training needs and develop training programs to foster a compliance culture; may manage conflict of interest and code of conduct programs.
• Perform other duties as assigned.

Minimum Qualifications

• Bachelor’s degree in business, healthcare, or related field, or equivalent experience; HS diploma or GED required.
• 6 years of progressive experience in legal or compliance roles within healthcare, PBM, or a highly regulated industry, including experience with Medicare, Medicaid, and ACA.
• Legal authorization to work in the U.S. without sponsorship.

Additional Qualifications

• Excellent written and oral communication skills.
• Critical thinking skills for complex compliance issues.
• Experience developing and delivering enterprise training programs.
• Expertise in compliance program principles, standards, and challenges.
• Ability to interpret and present complex information effectively.
• Strong organizational skills for managing multiple projects.
• Experience with licensing applications, if applicable.

Preferred Qualifications

• Certifications such as CCEP or CHC.
• Previous healthcare, insurance, or PBM experience.
• Advanced degrees like JD, MHA, MPA.
• Leadership experience.

Physical Job Requirements

• Travel up to 20%.
• Constantly sit, handle, talk, and hear.
• Frequently reach with hands and arms.
• Occasionally stand, walk, stoop, kneel, crouch.
• Occasionally lift/move up to 25 pounds.
• Visual abilities include near, far, color, peripheral, depth perception, and focus adjustment.

Reporting Structure

• Reports to Director or Senior Director in Compliance.

Every employee must understand and comply with security responsibilities, legal, regulatory, contractual, and internal policies.

Potential pay ranges from $81,000 to $138,000 based on experience and skills.

For benefits details, visit our Benefits Page.

Prime Therapeutics is an equal opportunity employer and encourages diverse candidates to apply. We prohibit discrimination based on race, color, religion, gender, sexual orientation, gender identity, national origin, disability, age, veteran status, or other protected classes.

We welcome applicants with different backgrounds, experiences, and abilities, including those requiring reasonable accommodations.