Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote

$74,500 - $111,700/Yr

Prime Therapeutics - Pierre, SD

Full-time - Mid Level

Remote - Pierre, SD

Administrative and Support Services

About the position

The Senior Compliance Analyst (Regulatory Complaints & Inquiries) plays a crucial role in implementing and overseeing compliance programs at Prime Therapeutics. This position involves working independently to address regulatory inquiries and complaints, ensuring that compliance policies and procedures are adhered to across the organization. The analyst collaborates with various internal stakeholders to validate compliance with regulatory requirements and enhance the effectiveness of compliance initiatives.

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
• Develop solutions to compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate
• 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
• 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 programs or business operations; document requirements or disciplinary actions and escalate findings as appropriate
• Other duties as assigned

Requirements

• 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)
• Must be eligible to work in the United States without need for work visa or residency sponsorship
• 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

Nice-to-haves

• PBM/health care experience
• Commercial/Medicare Part D/Medicaid/ACA experience
• Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401k
• 401k matching
• Paid holidays
• Paid time off
• Flexible scheduling
• Professional development
• Tuition reimbursement
• Employee discount programs