Compliance Analyst Principal

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

Job Description

The Compliance Principal is responsible for the successfuldevelopment, implementationand 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 awarenessand communicationofcomplianceand regulatory change management initiatives with internal business partners and external clients and stakeholders
• Partnerwith CorporateCommunications onvarious communicationactivities
• Researches and responds to inquiries and questions from external clients and stakeholders
• Actively participates inclient and stakeholder meetings
• Reviews proposedfederal 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.

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.