Legislative Services Compliance Manager (I, II, III)

MedImpact•San Diego, CA

7d•Remote

About The Position

Responsible for maintaining an effective compliance program by managing and overseeing MedImpact’s regulatory compliance activities and compliance with comprehensive federal and state laws, and regulations. This position manages requests and inquiries received from clients, regulatory authorities, and internal customers relating to MedImpact’s federal and state reviews/assessments, regulatory compliance initiatives, and related processes. This position advises internal business partners on changing laws and regulations and maintains an effective communication program and record keeping mechanism for government regulations as required by various government regulatory agencies.

Requirements

BS/BA and 3+ years’ experience or equivalent combination of education and experience
Strong PC skills in Microsoft Office Suite, MS Outlook, and intermediate knowledge of Excel.
Familiar with relational databases and industry specific software.
Solid working knowledge of current assigned state and federal regulatory requirements and related company training initiatives required.
Strong listening skills and ability to convey regulatory compliance information, verbally and in writing, in an easy to understand format to employees of organization.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
Composure
Decision Quality
Organizational Agility
Problem Solving
Customer Focus
Drive for Results
Peer Relations
Time Management
Dealing with Ambiguity
Learning on the Fly
Political Savvy

Responsibilities

Monitor state and federal regulations, sub-regulatory guidance, and any other applicable communications distributed by regulatory bodies.
Analyze information for dissemination to appropriate internal operational areas and, where appropriate, prepare overviews and other documentation to serve as compliance guidance in relation to implementation of specified requirements.
Interfaces with internal operational areas on compliance matters impacting MedImpact’s initiatives.
Oversee internal implementation efforts relating to new legislation in concert with the Counsel, Legislative Services.
Communicates to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements
Manage state regulatory reporting for initial and updated reporting and submission requirements.
Work with internal subject matter experts, licensing, and outside counsel as appropriate.
Develop documentation on best practice and establish ongoing processes and parameters to fully support the initial regulatory reporting and overall client support of regulatory reporting requests.
Develop and maintain state regulatory reporting repository (PBMSource) and C360 and serve as subject matter expert for applicability, scope, and reporting parameters according to state regulatory requirements.
Independently interface with clients and legal counsel on matters relating to compliance with applicable laws or regulations with standard summaries and potential challenges.
Assist with the development and review of organization’s policies and procedures in relation to state or federal regulations.
Identifies needed policies and procedures in order to demonstrate compliance with applicable requirements and works with appropriate internal operational units to ensure creation and maintenance of needed documentation.
Ensure policies and procedures are revised to address regulatory changes.
Work directly with the Compliance Officer to support the Corporate Compliance Program in relation to new or amended requirements.
Manage various organizational committees and/or work groups to disseminate federal and state compliance information.
Maintains records, as appropriate, to memorialize decisions, direction, actions, and ensures information is retrievable.
Communicate to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements.
Keep up to date on the industry’s best practices and regulatory changes through PCMA and PBMSource.
Lead and manage complex organizational corporate projects. (examples – NQTL, Website Accessibility, Consumer Protection Act)
Develop and present training to departments across the organization in relation to enacted state or federal laws that impact multiple lines of business and presents updates on initiatives to the Corporate Compliance Committee.
Development and implementation of strategic initiatives relating to emerging state and federal regulations.