Compliance Analyst Sr
Company: Prime Therapeutics
Location: Jefferson City
Posted on: November 20, 2023
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Job Description:
Our work matters. We help people get the medicine they need to
feel better and live well. We do not lose sight of that. It fuels
our passion and drives every decision we make.
Job Posting Title
Compliance Analyst Sr
Job Description
The Senior Compliance Analyst assists in the implementation of
Prime's compliance programs and leads initiatives within their
designated areas. This role partners with key internal stakeholders
to monitor aspects of compliance and validate policies, procedures,
licensure, and program manuals are effectively followed and
maintained.
Responsibilities
Executes compliance procedures and enforces policy governance
across the organization to validate regulatory reporting
requirements are met and that business operations are aligned with
expectations of applicable regulatory guidance
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
May collect, prepare and maintain records and related documentation
for reporting to the Chief Compliance Officer, Prime's senior
leadership team, executives, Corporate Compliance Committee members
and the Board of Directors; collaborates across the compliance
organization to collect and organize information into clear,
accurate and effective executive reports
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
May execute and enhance Prime's compliance programs by developing,
maintaining and delivering compliance documentation and training,
administering the annual conflict of interest or other cyclical
compliance processes, or implementing a regular review cadence for
standard operating procedures (SOP) and policies
Research and interpret laws, industry guidance and regulatory
issues that impact Prime's compliance programs or Board of Pharmacy
and Department of Insurance filings; document requirements or
disciplinary actions and escalate findings as appropriate
If supporting licensing efforts, may manage regulatory submissions,
filings, renewals, notifications, and periodic reports related to
licensed functions (Pharmacy Benefit Management (PBM), Third Party
Administrator, Utilization Review Organization, Business, State
registrations, etc); compile required internal reports, perform
research of licensing and reporting requirements, respond to
requests for information and proposals, develop/revise/maintain
departmental SOPs, Desk Top Procedures, and Licensing source
documentation; manage the licensing IT application and conduct
general maintenance of the licensing tools
Other duties as assigned
Minimum Qualifications
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
Additional Qualifications
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
If working within Licensing, experience maintaining, tracking,
renewing and submitting applications for licensure
Preferred Qualifications
PBM/health care experience
Certified Compliance and Ethics Professional (CCEP) or Certified
Healthcare Compliance Professional (CHC)
Certified Project Management Professional (PMP)
Advanced degree in related area of study, such as Juris Doctor
Minimum Physical Job Requirements
Ability to travel up to 10% 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
Reporting Structure
Potential pay for this position ranges from $73,100.00 -
$109,500.00 based on experience and skills. Pay range may vary by
8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation,
visit our Benefits Page
(https://www.primetherapeutics.com/careers/benefits/) and click on
the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer. We
encourage diverse candidates to apply and all qualified applicants
will receive consideration for employment without regard to race,
color, religion, sex (including pregnancy), sexual orientation,
gender identity or expression, genetic information, marital status,
family status, national origin, age, disability, veteran status, or
any other legally protected class under federal, state, or local
law.
Prime Therapeutics' fast-paced and dynamic work environment is
ideal for proactively addressing the constant changes in today's
health care industry. Our employees are involved, empowered, and
rewarded for their achievements. We value new ideas and work
collaboratively to provide the highest quality of care and service
to our members.
If you are looking to advance your career within a growing,
team-oriented, award-winning company, apply to Prime Therapeutics
today and start making a difference in people's lives.
Prime Therapeutics LLC is an Equal Opportunity Employer. We
encourage diverse candidates to apply and all qualified applicants
will receive consideration for employment without regard to race,
color, religion, sex, sexual orientation, gender identity, national
origin, disability, or veteran status. --- If you are an applicant
with a disability and need a reasonable accommodation for any part
of the employment process, please contact Human Resources at
1.866.469.1257 or email Careers@primetherapeutics.com.
Keywords: Prime Therapeutics, Jefferson City , Compliance Analyst Sr, Professions , Jefferson City, Missouri
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