Manager, Compliance - Remote

Lensa; Atlanta (GA); Remote; USD 81,000 - 138,000; Full time

Job summary

A leading company is seeking a Compliance Manager to oversee compliance initiatives and foster a culture of compliance. This role involves executing compliance procedures, advising management, and collaborating with stakeholders to ensure adherence to regulations. Ideal candidates will have a background in healthcare compliance and strong problem-solving skills.

Qualifications

• At least 6 years of progressive experience in legal or compliance roles.
• Legal authorization to work in the U.S. without sponsorship.

Responsibilities

• Execute compliance procedures and ensure regulatory reporting requirements are met.
• Support investigations of compliance-related issues.
• Advise management on policies and provide Subject Matter Expertise.

Skills

Communication

Critical Thinking

Problem Solving

Interpersonal Skills

Organizational Skills

Education

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

HS diploma or GED

Job description

Manager, Compliance - Remote

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. The role involves interpreting the impact and managing solutions for designated business areas, serving as a consultant to internal stakeholders on compliance initiatives, and fostering a culture of compliance throughout the organization.

Responsibilities

1. Execute compliance procedures, enforce policy governance, and ensure regulatory reporting requirements are met, aligning business operations with applicable guidance. Develop and maintain compliance, risk assessment, vendor, and ethics processes, audits, and communications based on business needs and risk ranking.
2. Support investigations of compliance-related issues in collaboration with Legal and HR.
3. Represent the compliance organization and Prime in contracts and enterprise projects, collaborating with internal and external stakeholders.
4. Advise management on policies, plans, and objectives; provide Subject Matter Expertise in areas such as ACA, Medicare, Medicaid, and Corporate Compliance.
5. Develop and track metrics to demonstrate the effectiveness of compliance functions.
6. Manage compliance standards, procedures, and review documentation; develop strategies for regulatory changes to support change management efforts.
7. Provide leadership to compliance professionals, role modeling Prime’s employee and leadership expectations.
8. Oversee audit and corrective action plans, designing remedies and supporting their implementation and tracking.
9. Evaluate training needs and develop programs to promote a compliance culture; manage conflict of interest and code of conduct programs if applicable.
10. Perform other duties as assigned.

Minimum Qualifications

• Bachelor’s degree in business, healthcare, or related field, or equivalent experience; HS diploma or GED required.
• At least 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.
• Strong critical thinking and problem-solving skills for complex compliance issues.
• Experience developing and delivering enterprise training programs.
• Deep knowledge of compliance principles, standards, and industry best practices.
• Ability to interpret and present complex information effectively to diverse audiences.
• Strong interpersonal skills to influence at all organizational levels.
• Excellent organizational skills for managing multiple projects.

Preferred Qualifications

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

Physical Job Requirements

• Travel up to 20%.
• Prolonged sitting, use of hands, talking, hearing.
• Reaching with hands and arms.
• Occasional standing, walking, stooping, kneeling, crouching.
• Lifting up to 25 pounds occasionally.
• Visual acuity including close, distance, color, peripheral, and depth perception.

Reporting Structure

• Reports to Director or Senior Director of Compliance.

Every employee must understand and adhere to security responsibilities, legal, regulatory, and internal policies. The salary range for this role is $81,000 - $138,000, based on experience and skills. For benefits details, visit our Benefits Page.

Prime Therapeutics is an equal opportunity employer committed to diversity and inclusion. We encourage candidates from all backgrounds to apply and offer accommodations for applicants with disabilities.