Senior Regulatory Compliance Analyst

Lumen Solutions Group Inc.; Great Falls Crossing (VA); Remote; USD 90,000 - 140,000; Full time

Job summary

A leading company is seeking a Senior Regulatory Compliance Analyst focused on pharmacy communications to ensure compliance with federal and state regulations. The role involves reviewing content, collaborating with various teams, and managing regulatory risks. Candidates should have extensive experience in regulatory compliance and strong communication skills.

Qualifications

• Strong understanding of CMS, URAC, state regulations.
• Minimum 5 years in regulatory compliance or pharmacy communications.
• Excellent written and verbal communication skills.

Responsibilities

• Monitor and interpret regulations affecting pharmacy communications.
• Review and validate pharmacy-related content for compliance.
• Collaborate with internal teams to ensure regulatory alignment.

Skills

Regulatory compliance

Pharmacy communications

Content review

Verbal communication

Written communication

Organizational skills

Education

Bachelor’s Degree or 4 years relevant experience

Job description

Role: Senior Regulatory Compliance Analyst – Pharmacy Communications

Location: Remote

Client: CareFirst BCBS

Type: Contract to Hire

Job Summary:

We are seeking a Senior Regulatory Compliance Analyst to ensure all pharmacy-related, member-facing communications comply with federal and state regulations. The ideal candidate will have strong knowledge of CMS, URAC, and other regulatory standards, and will be skilled at content review, compliance analysis, and cross-functional collaboration.

This role is key to maintaining regulatory alignment, mitigating risk, and supporting legal and compliance initiatives across pharmacy communications.

Key Responsibilities:

• Monitor and interpret federal and state regulations (CMS, URAC, state mandates) affecting pharmacy communications.
• Review, validate, and approve pharmacy-related content for compliance, clarity, and accuracy.
• Collaborate with Legal, Compliance, Regulatory Affairs, and Business Units to align communication strategies with regulatory requirements.
• Respond to inquiries from regulatory agencies (e.g., MIA, VBOI, DISB) and support internal investigations and audits.
• Maintain thorough documentation, including version control and audit records.
• Analyze internal systems and processes to identify regulatory risks and recommend corrective actions.
• Support litigation and legal processes by preparing and summarizing documentation.
• Provide research and analysis for special regulatory or compliance-related projects.

Required Qualifications:

• Bachelor’s Degree (or 4 additional years of relevant experience in lieu of degree).
• Minimum 5 years of experience in regulatory compliance, pharmacy communications, or a related healthcare field.
• Strong knowledge of CMS, URAC, and state healthcare/pharmacy regulations.
• Excellent written and verbal communication skills.
• Ability to audit content for regulatory accuracy and consistency.
• Experience working with legal and compliance teams in a healthcare environment.
• Strong organizational skills with the ability to manage multiple deadlines and priorities.

Preferred Skills:

• Experience responding to regulatory agencies or supporting audits/litigation.

Familiarity with pharmacy benefit communications and content standards.

Ability to interpret insurance laws and healthcare-related legislation.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Health Care Provider

• Industries

  Pharmaceutical Manufacturing

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