Sr. Compliance Analyst (Regulatory Intelligence and Assessment) - Remote

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

Sr. Compliance Analyst (Regulatory Intelligence and Assessment) - Remote

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

• Monitor, research, analyze, interpret laws, industry guidance and other regulatory releases (collectively referred to as “regulatory releases”) that may impact Prime
• Conduct impact assessments on regulatory releases
• Prepare detailed section-by-section summaries of regulatory releases and identify the applicable key stakeholders responsible for implementation
• Timely communicate new regulatory guidance to the applicable key stakeholders
• Monitor and track company implementation of regulatory releases
• Facilitate meetings and Committees surrounding regulatory releases
• Trend regulatory releases and related data mining
• Executes compliance procedures and enforces policy governance across the organization to validate regulatory 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 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, Board of Directors, and other required reporting
• 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 
• Maintain a regular review cadence for standard operating procedures (SOP) and policies
• May 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 source documentation
• Assist with managing the  regulatory change management application and conduct general maintenance of the tool
• 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

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