Senior Compliance Analyst (Compliance Oversight Activities) - Remote

Prime Therapeutics•Home, WV

1d•$74,000 - $118,000•Remote

About The Position

The Senior Compliance Analyst leads compliance initiatives in assigned areas and supports implementation of enterprise compliance programs. The role manages sensitive projects, serves as a subject matter expert, interprets complex requirements, develops executive reporting, and partners across the organization on compliance oversight, including monitoring, issue management, corrective action governance, and regulatory compliance activities. The position also represents Compliance in complex contracts and cross-functional projects and builds stakeholder relationships across organizational levels.

Requirements

Bachelor’s degree in business, healthcare, or a related area, or an equivalent combination of education and/or relevant work experience; a high school diploma or GED is required.
Five years of progressive work experience in legal or compliance-related roles in a healthcare or PBM organization, or another highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA).
Must be eligible to work in the United States without work visa or residency sponsorship.
Exceptional written and verbal communication skills.
Critical-thinking and problem-solving skills for highly complex situations.
Comprehensive understanding of effective compliance program principles, practices, standards, industry challenges, and emerging approaches.
Ability to present complex information and influence stakeholders at all organizational levels.
Advanced organization and analytical skills, with the ability to manage multiple projects simultaneously.

Nice To Haves

PBM or healthcare experience.
Certified Compliance and Ethics Professional (CCEP) or Certified in Healthcare Compliance (CHC).
Project Management Professional (PMP).
Experience with Medicare Part B Drug and Part D, Medicaid, and/or the Affordable Care Act.

Responsibilities

Lead compliance oversight activities, including monitoring, reviews, issue management, and corrective action plan governance.
Execute compliance procedures and enforce policy governance to validate that regulatory reporting and operational requirements are met.
Serve as a compliance subject matter expert, develop solutions to highly complex issues, escalate findings as appropriate, and enhance supporting documentation.
Represent Compliance on complex contracts and cross-functional projects and establish effective stakeholder partnerships.
Lead project management for highly sensitive or complex compliance initiatives and represent Compliance on cross-functional projects and contracts.
Prepare clear and accurate compliance records, reporting, and materials for senior leadership and governance committees.
Build effective relationships and influence stakeholders across organizational levels.
Perform other duties as assigned.
Understand, comply with, and attest to the security responsibilities and controls unique to the role, and comply with applicable legal, regulatory, contractual, and internal requirements.
Perform the essential functions of the job; reasonable accommodations will be made upon request as applicable.