At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Compliance Analyst Principal - Remote

Job Description

The Compliance Principal is responsible for the successful development, implementation and execution of the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business with internal business partners responsible for account management and their clients and prepares regulatory related communications.

Responsibilities

Promotes awareness and communication of compliance and regulatory change management initiatives with internal business partners and external clients and stakeholders
Partner with Corporate Communications on various communication activities
Researches and responds to inquiries and questions from external clients and stakeholders
Actively participates in client and stakeholder meetings
Reviews proposed federal and state public policy and rule changes and prepares position papers for internal and external distribution Compliance Committee and the Compliance and Audit Committee and supports the Chief Compliance Officer’s compliance governance responsibilities
Represents Compliance Regulatory Intelligence and Change Management teams in internal and external client and stakeholder meetings, preparing and presenting summaries and updates as needed
Accountable for ongoing external facing relationships as established for the purposes of compliance activities; ensure consultative and collaborative interactions with stakeholders in working through the regulatory change process
Supports new client implementations
Supports all lines of business (commercial/HIM, Medicare and Medicaid)
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
8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a 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

Additional Qualifications

Exceptional written and oral communication skills
Demonstrated ability to apply critical thinking skills to proactively identify issues and problem solve through the most complex compliance and ethics situations
Extensive experience assessing training requirements and developing, delivering and assessing effective enterprise compliance and ethics training programs through a variety of channels
Expert level understanding of effective compliance and ethics program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges and experience developing new concepts, techniques, standards and programs to support an organization’s compliance and ethics priorities
Extensive experience establishing rapport and effectively influencing all levels within an organization
Advanced organizational skills with the ability to effectively work on multiple projects simultaneously

Preferred Qualifications

Previous leadership/people management experience
PBM/health care experience
Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
Advanced degree in related area of study, such as Juris Doctor
Medicare Part D, Medicaid, and/or Affordable Care Act knowledge and experience

Physical Demands

Ability to travel up to 20% 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.

Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

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.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics jobs

Compliance Analyst Principal - Remote