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ProfileCompliance Analyst The candidate will assist in the implementation of company’s compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and/or maintained. Execute compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of Medicare Part B and D regulatory guidance. Develop solutions to compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate. Support and at times, lead the project management efforts of Compliance initiatives. Represent the Compliance Department on projects of medium complexity, contracts or other cross-functional assignments. May execute company’s compliance programs by facilitating the development, maintenance and delivery of compliance training, administering the annual conflict of interest process, or completing regular review of standard operating procedures and policies; may develop annual revision and tracking process for policies and procedures. Research laws, industry guidance and regulatory issues that impact company’s compliance programs; document requirements and escalate findings as appropriate. Bachelors degree in business or healthcare, or Juris Doctor, or related area of study, or equivalent combination of education and/or relevant work experience required. 2+ years experience within legal or compliance related positions, OR 3+ years experience in a project coordination or operational role within a highly regulated industry required. Strong written and oral communication skills required. Demonstrated ability to apply critical thinking skills and problem solve through complex situations required. Thorough understanding of effective compliance program principles, concepts, practices and standards required. Ability: to effectively present complex information to a wide variety of audiences; to establish rapport and effectively influence at all levels within an organization required. PBM/health care experience preferred. Medicare Part B and D experience preferred. Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) preferred. Certified Project Management Professional (PMP) preferred.
Job ID: R-01357