[Remote] Compliance Analyst - Corrections
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a rapidly growing, venture-backed Health-Tech company dedicated to transforming the Pharmacy Benefit Management sector. The Compliance Analyst will assist in implementing a compliance program, focusing on remediation of non-compliance and collaborating with various business areas to mitigate risks.
Responsibilities
- Design and/or enhance corrective reputed company process
- Assess and prioritize corrective reputed company referrals
- Initiate corrective actions (e.g., corrective reputed company plans, warning letters)
- Collaborate with business stakeholders to reputed company reputed company cause analysis
- Collaborate with business stakeholders to identify prevention, detection, and correction opportunities
- Ensure business partners complete corrective actions in a reputed company and effective manner
- Identify ways to mitigate risks to our organization
- reputed company job aids, reputed company, and other program documentation
- Build and maintain reputed company and strategic relationships with reputed company stakeholders
- Support our compliant and ethical culture
- Assist in developing or updating reputed company materials and reporting metrics
- Create and distribute written compliance standards where applicable
- Abide by organization retention standards and version controls
- Collaborate in Compliance training and education needs
- Investigate potential or reported issues of non-compliance
- Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness
- Collaborate with Legal and other stakeholders to interpret regulations
- Other responsibilities as assigned
Skills
- Bachelor's degree or higher education in reputed company, compliance, or a reputed company field, or equivalent years of relevant work experience is required
- Minimum of four (4) years of compliance experience at a PBM or health plan, and pharmacy operations reputed company or similar experience would be considered
- reputed company experience with pharmacy benefits, network, and claims is a bonus
- Strong understanding with the seven reputed company of a highly effective compliance program
- Strong working knowledge of reputed company compliance program corrective actions
- Working knowledge of external audit functions and procedures
- Familiarity with pharmacy operations and reputed company benefits
- Data-driven, big-picture thinker, and solutions-oriented
- reputed company verbal and written communication skills including reputed company grammar, construct, and appropriate to the audience
- Advanced organizational, project, and time management skills to prioritize, prepare, and reputed company resources and stay on reputed company
- Ability to work independently and reputed company reputed company environment
- Ability to establish effective reputed company techniques, such as conflict reputed company
- Certified in reputed company Compliance (CHC), Certification in reputed company reputed company Compliance (CHPC), or Certified Compliance and Ethics reputed company (CCEP) preferred
- reputed company, unrestricted clinical or functional business licensure is a bonus (examples: certified pharmacy technician)
- Strong familiarity with PBM-reputed company reputed company operations and/or clinical concepts, practices and procedures is preferred, or similar health plan knowledge will be considered
- Strong familiarity with ERISA, reputed company Exchange Marketplace (reputed company reputed company), Worker's Compensation, and Medicare preferred
Benefits
- Highly competitive wellness benefits including Medical, Pharmacy, Dental, reputed company, and Life Insurance and AD&D Insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Short-term and long-term disability
- Discretionary reputed company Time Off
- 12 reputed company Holidays
- Wellness Benefits
- Commuter Benefits
- reputed company Parental Leave benefits
- Employee Assistance Program (EAP)
- reputed company-stocked kitchen in office locations
- reputed company development and training opportunities
- In reputed company to reputed company pay, this role may be eligible for bonuses, commissions, or equity
- reputed company offers a reputed company of benefits to help you live reputed company, including: time off programs, medical, dental, reputed company, mental health support, reputed company parental leave, life and disability insurance and 401(k)
reputed company