Senior Compliance Analyst (Medicare/Medicaid) - Remote

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. Come build the future of pharmacy with us.

Senior Compliance Analyst (Medicare/Medicaid) - Remote

Job Description
The Senior Compliance Analyst leads compliance initiatives within assigned areas and supports implementation of enterprise compliance programs. This role manages sensitive projects, serves as a subject matter expert, interprets complex requirements, develops executive reporting, and partners across the organization to maintain effective compliance, governance, and licensing processes.
Execute compliance procedures and enforce policy governance to validate regulatory reporting and operational requirements are met
Serve as a compliance subject matter expert and develop solutions to highly complex issues; Represent Compliance on complex contracts and cross-functional projects and establish effective stakeholder partnerships
Lead project management for highly sensitive or complex compliance initiatives
Prepare clear and accurate compliance records and executive or governance reporting for senior leaders and committees
Execute and enhance compliance programs, training, conflict of interest, policy governance, and cyclical compliance processes
Research and interpret laws, guidance, regulatory issues, and filing requirements; document and escalate findings
Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; 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 the need for work visa or residency sponsorship
Comprehensive understanding of effective compliance program principles, practices, standards, industry challenges, and emerging approaches
Advanced organization and analytical skills with ability to manage multiple projects simultaneously
Certified Compliance and Ethics Professional (CCEP) or Certified in Healthcare Compliance (CHC)
Project Management Professional (PMP)
Licensing application maintenance, tracking, renewal, and submission experience
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
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. 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.
Positions will be posted for a minimum of five consecutive workdays.