Senior Compliance Analyst - Remote

Lensa; Harrisburg (Dauphin County); Remote; USD 74,000 - 118,000; Full time

Job summary

An established industry player is seeking a Senior Compliance Analyst to enhance compliance programs and ensure regulatory alignment. This remote role involves collaborating with various stakeholders to execute compliance initiatives and validate effectiveness through audits and reporting. Ideal candidates will possess strong analytical skills, critical thinking abilities, and a solid background in compliance within healthcare or regulated industries. Join a dynamic team dedicated to improving healthcare outcomes while advancing your career in a supportive environment.

Qualifications

• Bachelor’s degree required; 5 years in compliance roles preferred.
• Experience with Medicare, Medicaid, and ACA is essential.

Responsibilities

• Enforce policy governance and validate regulatory compliance.
• Lead sensitive compliance initiatives and manage cross-functional projects.

Skills

Compliance Program Management

Regulatory Requirements Knowledge

Project Management

Analytical Skills

Communication Skills

Critical Thinking

Education

Bachelor’s degree in business or healthcare

5 years of compliance experience

Job description

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Job Posting Title

Senior Compliance Analyst - Remote

Job Description

The Senior Compliance Analyst assists in the implementation of Prime’s compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute compliance program and compliance department activities related to demonstrating compliance program effectiveness through compliance attestations, external audit or client oversight activities, and RFP responses as well as executing review and validation of compliance related contract provisions.

Responsibilities

• Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance.
• Lead project management efforts for highly sensitive Compliance initiatives.
• Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions.
• May collect, prepare, and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime’s senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports.
• Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies, and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary.
• Research and interpret laws, industry guidance and regulatory issues that impact Prime’s compliance programs or Board of Pharmacy and Department of Insurance filings; document requirements or disciplinary actions and escalate findings as appropriate.
• Other duties as assigned.
  
  

Education & Experience

• Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is 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 Affordable Care Act (ACA)
• Must be eligible to work in the United States without need for work visa or residency sponsorship
  
  

Additional Qualifications

• Experience with RFP response management, review and assessment of contract requirements, and/or development of audit response strategies to demonstrate compliance program effectiveness.
• Exceptional written and oral communication skills
• Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations.
• Complete understanding of effective compliance program principles, concepts, practices, and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards, and programs to support an organization’s compliance priorities
• Ability to effectively present complex information to a wide variety of audiences
• Ability to establish rapport and effectively influence at all levels within an organization.
• Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously.
• Strong analytical skills
  
  

Physical Demands

Ability to travel up to 10% of the time. Constantly required to sit, use hands to handle or feel, talk, and hear. Frequently required to reach with hands and arms Occasionally required to stand, walk, and stoop, kneel, and crouch Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Preferred Qualifications

Pharmacy services, PBM, managed care or health care industry experience Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) Certified Project Management Professional (PMP) Advanced degree in related area of study, such as Juris Doctor

Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

_Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [e-mail].

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Legal

• Industries

  IT Services and IT Consulting

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