Job Details

Senior Compliance Analyst - Remote

At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.

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; 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)

Additional Qualifications

Experience with managing compliance investigations or incident response, supporting compliance education and communication activities, and/or compliance program effectiveness assessments and reporting, including experience with Microsoft SharePoint and 365 apps (i.e., Teams, Forms, Lists, Power BI).
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

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

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.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

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.

Prime Therapeutics LLC is 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 to race, color, religion, gender, sex (including pregnancy), 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.