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Job Posting Title

Senior Compliance Analyst (COM/HIM)

Job Description

The Senior Compliance Analyst assists in the implementation of Prime’s compliance programs and may lead some initiatives and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and/or maintained.

Responsibilities

• Lead research, collaborate cross-functionally with business areas across the enterprise and serve as subject matter expert within Compliance to response to regulatory inquiry(ies) or complaints.

• Lead project management efforts for highly sensitive Compliance initiatives

• 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

• 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

• 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

• 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

• 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 and policies

• Other duties as assigned

Minimum Qualifications

• Bachelor’s degree in business or healthcare, or Juris Doctor, 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 experience within legal or compliance related positions, or a combination of 7 years’ experience working with healthcare claims, federal/state government or experience working within a highly regulated industry

• 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; previous 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

Preferred Qualifications

• PBM/health care experience

• State/ACA experience

• Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)

• Certified Project Management Professional (PMP)

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

• Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department

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.