Senior Compliance Analyst - Medicare/Medicaid (Remote)

Prime Therapeutics; Minneapolis (MN); Remote; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Compliance Analyst (Medicare/Medicaid) to lead compliance initiatives and support enterprise programs in a remote capacity. This role requires deep regulatory knowledge and collaboration across the organization to ensure governance, licensing, and reporting standards are met.

The ideal candidate will manage sensitive projects, interpret complex requirements, and prepare executive reporting for senior leaders while building strong cross-functional

Qualifications

• Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required
• 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the ACA

Responsibilities

• Execute compliance procedures and enforce policy governance to validate regulatory reporting and operational requirements are met
• Serve as a compliance subject matter expert and develop solutions to highly complex issues; enhance supporting documentation
• Represent Compliance on complex contracts and cross-functional projects and establish effective stakeholder partnerships
• Lead project management for highly sensitive or complex compliance initiatives
• Prepare clear and accurate compliance records and executive or governance reporting for senior leaders and committees
• Execute and enhance compliance programs, training, conflict of interest, policy governance, and cyclical compliance processes
• Research and interpret laws, guidance, regulatory issues, and filing requirements; document and elevate findings
• Manage assigned licensing submissions, filings, renewals, reporting, source documentation, procedures, and tools
• Other duties as assigned

Skills

Communication skills

Critical thinking

Problem solving

Stakeholder influence

Analytical skills

Education

Bachelor's degree in business/healthcare

Job description

Prime Therapeutics is seeking a Senior Compliance Analyst (Medicare/Medicaid) to lead compliance initiatives and support enterprise programs in a remote capacity. This role requires deep regulatory knowledge and collaboration across the organization to ensure governance, licensing, and reporting standards are met.

The ideal candidate will manage sensitive projects, interpret complex requirements, and prepare executive reporting for senior leaders while building strong cross-functional