Senior Compliance Professional - Medicare Pharmacy and Part D - Remote

Overview

The Senior Compliance Professional ensures compliance with governmental requirements, focusing on Medicare Pharmacy and Part D. This role involves analyzing business requirements, providing regulatory interpretation, and advising internal and external partners to minimize compliance risk.

In Short

• Ensure compliance with governmental requirements
• Analyze business requirements related to Medicare Pharmacy and Part D
• Conduct risk assessments and auditing activities
• Develop compliance metrics to monitor potential issues
• Present findings to business partners and compliance leaders
• Support resolution of CMS inquiries
• Build relationships with operational leaders and business partners
• Provide backup support to other compliance team members
• Work collaboratively across operational units
• Participate in occasional travel for training or meetings

Requirements

• Bachelor’s degree or 5+ years in Compliance or related field
• Experience with regulatory agencies
• Knowledge of healthcare industry regulations
• Strong communication skills
• Intermediate proficiency in Microsoft Excel, Word, and PowerPoint
• Ability to research and apply relevant laws and regulations
• Experience in pharmacy operations or claims processing
• Preferred: Juris Doctor or MBA
• Preferred: 3+ years in Health Plan Compliance or Operations
• Familiarity with Medicare pharmacy laws

Benefits

• Competitive medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off and holidays
• Short-term and long-term disability insurance
• Life insurance
• Additional wellness opportunities