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Job Posting Title

Compliance Analyst Principal (Performance and Oversight) - Remote

Overview

The Compliance Principal is responsible for supporting Oversight and Monitoring of Compliance Programs by directing and assisting leaders in the implementation, monitoring, and maintenance of regulatory requirements throughout the enterprise. This position acts as the subject matter expert on applicable regulations, training, and awareness programs, and for responding to compliance-related inquiries.

Responsibilities

• Successfully manage Riskonnect Compliance module. As a technical SME for the Riskonnect Compliance module, provide expert guidance on compliance-related matters within the platform.
• Guiding a product from ideation to launch and beyond, focusing on balancing customer needs with business goals.
• Consults with business areas and other subject matter experts to identify compliance requirements, assess risks, and recommend compliant solutions that support enterprise goals
• Conducts analysis to create written reports, process flows, and other documentation. Represent AVP of compliance and managers in work groups, committees, and special meetings when needed
• Leads and supervise employees on assigned tasks, project risk assessments and manage relationships to help ensure efficient and effective solutions are implemented
• Perform and review detail plans to address complex compliance issues by identifying goals, objectives, and risks to achieving compliance outcomes. Coordinate with business owners to implement corrective action plans
• Develops compliance communication for risk assessment and corrective action plans for the Chief Compliance Officer’s reporting to the Corporate Compliance Committee (CCC) and Finance, Compliance & Audit Committee (FCA) meeting materials.
• Act as a liaison between technical and non-technical staff, communicating business requirements in a clear and understandable way.
• Collaborate with internal and external vendor IT teams to ensure systems are configured and maintained properly.
• Oversee the implementation and maintenance of Compliance system modules
• Monitor system performance and make recommendations for improvements.
• 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 (pregnancy, sexual orientation, and gender identity), 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\' 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.