Senior Medicare/Medicaid Compliance Lead - Remote

Prime Therapeutics; Oregon; Hybrid; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Compliance Analyst to lead compliance initiatives related to Medicare and Medicaid in a remote capacity across the United States. The role focuses on governance, regulatory reporting, and enterprise compliance program support.

You will serve as a subject matter expert, interpret complex requirements, manage licensing submissions, and partner with cross-functional teams to ensure accurate documentation and timely executive reporting for senior leadership.

Qualifications

• Bachelor’s degree or equivalent; 5 years in legal or compliance roles in healthcare or regulated industry.
• Experience with Medicare, Medicaid, and the ACA.
• Eligible to work in the United States without visa sponsorship.

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 escalation findings.
• Manage licensing submissions, filings, renewals, reporting, source documentation, procedures, and tools.

Skills

Written and verbal communication

Analytical thinking

Project management

Stakeholder engagement

Education

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

HS diploma or GED

Job description

Prime Therapeutics is seeking a Senior Compliance Analyst to lead compliance initiatives related to Medicare and Medicaid in a remote capacity across the United States. The role focuses on governance, regulatory reporting, and enterprise compliance program support.

You will serve as a subject matter expert, interpret complex requirements, manage licensing submissions, and partner with cross-functional teams to ensure accurate documentation and timely executive reporting for senior leadership.