SmithRx

SmithRx is a tech-forward PBM committed to changing the way pharmacy benefits are managed.

Compliance Analyst, Corporate Compliance

ComplianceComplianceFull TimeRemoteTeam 51-200Since 2018H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

28 days ago

Salary

Not specified

Bachelor Degree4 yrs expEnglish

Job Description

• Research compliance program benchmarks, maturity measures, and other requirements • Design and/or enhance organizational code of conduct • Write, edit, or maintain compliance policies, procedures, and program descriptions • Construct specific and effective compliance training and education • Establish and enforce timely reviews of business owned policies and procedures • Create and manage policy & procedure workgroup initiatives • Assist with compliance vendor oversight activities • Create compliance communication plans that increase workforce engagement • Write and track compliance program responses to client requests for proposal/information (RFP/RFI), questionnaires, and other attestations • Develop job aids, playbook, and other program documentation • Build and maintain positive and strategic relationships with internal and external stakeholders • Support our compliant and ethical culture • Assist in developing or updating oversight materials and reporting metrics • Abide by organization retention standards and version controls • Investigate potential or reported issues of non-compliance • Perform root-cause analysis and identify prevention, detection, and correction opportunities • Ensure business partners complete corrective actions in a timely and effective manner • Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness • Collaborate with Legal and other stakeholders to interpret regulations • Other responsibilities as assigned

Job Requirements

  • Bachelor’s degree or higher education in healthcare, compliance, or a related 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 oversight or similar experience would be considered
  • Direct experience with pharmacy benefits, network, and claims is a bonus
  • Certified in Healthcare Compliance (CHC), Certification in Healthcare Privacy Compliance (CHPC), or Certified Compliance and Ethics Professional (CCEP) preferred
  • Current, unrestricted clinical or functional business licensure is a bonus (examples: certified pharmacy technician)
  • Strong understanding with the seven elements of a highly effective compliance program
  • Strong familiarity with PBM-related healthcare operations and/or clinical concepts, practices and procedures is preferred, or similar health plan knowledge will be considered
  • Strong working knowledge of writing healthcare compliance standards and frameworks
  • Working knowledge of external audit functions and procedures
  • Strong familiarity with ERISA, Healthcare Exchange Marketplace (Affordable Care Act), Worker’s Compensation, and Medicare preferred
  • Familiarity with pharmacy operations and healthcare benefits
  • Data-driven, big-picture thinker, and solutions-oriented
  • Professional verbal and written communication skills including proper grammar, construct, and appropriate to the audience
  • Advanced organizational, project, and time management skills to prioritize, prepare, and leverage resources and stay on focus
  • Ability to work independently and within a team environment
  • Ability to establish effective collaborative techniques, such as conflict resolution

Benefits

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits
  • 401(k) Retirement Savings Program
  • Short-term and long-term disability
  • Discretionary Paid Time Off
  • Paid Company Holidays
  • Wellness Benefits
  • Commuter Benefits
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

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