Compliance principal

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that.

It fuels our passion and drives every decision we make.

Job Posting Title: Compliance Principal - Remote

The Compliance Principal is responsible for the successful execution of key components and elements of Prime's corporate compliance program. This position works closely with designated business areas, legal, and other internal stakeholders on the development, implementation, and monitoring of compliance initiatives as well as identifying changing laws and regulations or client contractual compliance obligations, interpreting the impact and managing solutions for designated functions. This role supports and partners directly with compliance department leadership and Prime's Chief Compliance Officer.

Responsibilities

1. Promote awareness and engagement in organizational culture of compliance and ethics.
2. Serve as a compliance subject matter expert, providing strategic guidance and second line of defense oversight to improve organizational-wide processes and establish, measure, and improve compliance program practices.
3. Proactively identify and resolve complex business and compliance issues, while aligning with organizational goals and minimizing friction and maximizing productivity and impact.
4. Serve as a trusted partner working cross-functionally with operational business teams building a deep understanding of how their teams work, their needs and how compliance requirements can be operationalized in their teams and work.
5. Lead compliance program process execution in assigned function to ensure organizational obligations are met and business operations are aligned with applicable laws and regulatory guidance.
6. Provide consultative leadership and direct efforts to communicate compliance program components, including training and education materials designed to promote understanding of compliance elements, regulations and laws, and consequences of non-compliance.
7. Lead successful implementation of projects and initiatives, including developing, leading and/or oversight of large, complex initiatives that may be function-specific and/or involve multiple business areas and partners.
8. Monitor changes to laws, regulatory enforcement trends and industry landscape to stay ahead of evolutions, trends and best practices to inform business strategy and compliance program strategic plan.
9. Develop, track, and produce data metric reports demonstrating compliance program effectiveness.
10. Represent Prime, the Compliance program and its interests in external interactions with trade associations, State and Federal regulators, consulting agencies and accrediting bodies.
11. Provide direct, or indirect leadership to other compliance professionals, consistently role modeling Prime's employee and leadership expectations.
12. Serve as a consultant to management on major matters pertaining to laws and regulations, policies, plans and objectives and provide Subject Matter Expertise in their areas of focus (Commercial/HIM and Government Programs).
13. Lead the Regulatory Inquiry and Response efforts and support legal and government affairs in hearings or regulator communications.
14. Independently research, determine root cause and collaborate with others to resolve complex business and technical issues and regulatory inquiries.
15. Provide prompt and thorough resolution for client and/or member satisfaction.

Minimum Qualifications

1. Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required.
2. 8 years of progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA).
3. Must be eligible to work in the United States without need for work visa or residency sponsorship.

Additional Qualifications

1. Strong interpersonal communication skills, including team leadership, conflict resolution, listening, establishing rapport and effectively influence at all levels within an organization.
2. Well-developed organization, analytical, interpretative and time management skills with the ability to effectively work on multiple projects simultaneously.
3. Expert level understanding of effective compliance program principles, concepts, practices and standards.
4. Demonstrated ability to apply critical thinking skills to proactively identify issues and problem solve through the most complex compliance situations.
5. Effective use of interpersonal skills including the ability to handle conflict, promote teamwork, display empathy, and maintain a positive attitude.

Minimum Physical Job Requirements

1. Ability to travel up to 20% of the time.
2. Constantly required to sit, use hands to handle or feel, talk and hear.
3. Frequently required to reach with hands and arms.
4. Occasionally required to stand, walk and stoop, kneel, and crouch.
5. Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Reporting Structure

Reports to a Director in the Compliance department.

Compensation

Potential pay for this position ranges from $109,000.00 - $174,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.