Senior Compliance Analyst – Compliance Oversight Activities

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee compliance activities, which include monitoring, reviews, issue management, and governance of corrective action plans.

• Implement compliance procedures and enforce policy governance to ensure adherence to regulatory reporting and operational standards.

• Act as a subject matter expert in compliance and devise solutions for highly intricate issues.

• Appropriately escalate findings and improve supporting documentation.

• Represent the Compliance department in complex contracts and cross-functional initiatives.

• Build effective partnerships with stakeholders and influence individuals across various organizational levels.

• Manage projects related to sensitive or complex compliance initiatives.

• Create clear and precise compliance records, reports, and materials for senior leadership and governance committees.

• Fulfill additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in business, healthcare, or a related field, or an equivalent combination of education and relevant work experience.

• High school diploma from an accredited institution or equivalent GED is required.

• A minimum of 5 years of progressive experience in legal or compliance-related roles within a healthcare or PBM organization, or another highly regulated sector.

• Familiarity with Medicare, Medicaid, and the Affordable Care Act (ACA).

• Must be eligible to work in the United States without requiring a work visa or residency sponsorship.

• Outstanding written and verbal communication capabilities.

• Strong critical thinking and problem-solving skills for addressing highly complex situations.

• Thorough understanding of compliance program principles, practices, standards, industry challenges, and emerging methodologies.

• Capability to present complex information effectively and influence stakeholders across all organizational levels.

• Advanced organizational and analytical abilities; capable of managing multiple projects at once.

• Experience in PBM or healthcare is preferred.

• Certification as a Compliance and Ethics Professional (CCEP) or in Healthcare Compliance (CHC) is preferred.

• Project Management Professional (PMP) certification is preferred.

• Experience with Medicare Part B Drug & Part D, Medicaid, and/or the Affordable Care Act is preferred.

• Must comply with all applicable legal, regulatory, and contractual obligations, as well as internal policies and procedures.

• Must be able to perform the essential functions of the position.

🏝️ Benefits

• Benefits, incentives, and additional compensation (details available on the employer’s Benefits Page).

• Equal opportunity and affirmative action employer.

• Reasonable accommodations for employees with disabilities.

• Tobacco-free workplace.