PBM Regulatory Compliance Specialist
About The Position
We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview The PBM Regulatory Compliance Specialist will conduct state and federal regulatory research and monitoring to understand PBD’s business registration and license filing obligations. The Specialist will receive and review reporting and documentation requests related to PBD’s license submissions. They will evaluate the submission needs and request the necessary data from the applicable PBD business units; gather organizational documentation, review responses for accuracy and completeness and provide the final reporting and documentation for compilation in the required filings. The Specialist will assist with the creation and maintenance of tracking and monitoring processes, necessary policies and procedures, performance and reporting requirements and communicating overall metrics to key stakeholders.
Requirements
- High school diploma or GED required.
- Three (3) years of experience in corporate/regulatory licensing management, regulatory/compliance research or monitoring required.
- Excellent analytical and critical thinking skills, with proven ability to analyze abstract components of legislation, regulations, or accreditation standards for requirements identification.
- Strong analytical, problem solving, time management and organizational skills
- Detail oriented, while maintaining an awareness of overall goals.
- Ability to work independently and manage multiple projects in a fast-paced fluid environment.
- Ability to learn new software applications.
- Excellent presentation, interpersonal, written, and verbal communication skills.
- Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring.
Nice To Haves
- Associates degree preferred.
Responsibilities
- Research, define, capture, and understand the business needs to support the review, fulfillment, submission and approval of all registrations, licenses, and filings for PBD’s state and federal PBM, TPA, and business regulations and requirements.
- Monitor and track for changes or updates to all registrations, licenses, and filings.
- Conduct research for applications and regulatory requirements for PBMs to obtain and maintain licensure or business registration in various states in which PBD wishes to conduct business.
- Request reporting necessary to support licensing and registration activities.
- Aid in the completion and facilitation of necessary application and documentation requirements for the timely submission of all initial and renewal license and registration applications or filings.
- Maintain tracking and monitoring processes to ensure compliance with business operations, application, renewal requirements and processes. This will include but is not limited to performance metrics and applicable policies, procedures, and other documentation specific to PBD business to appropriately support the processes and duties.
- Appropriately communicate requirements, needs, status and overall performance metrics to all key stakeholders.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
