legal
Posted 2 days agoCompliance Analyst - Corrections
at Why Hiring
Remote
Responsibilities
- Design and/or enhance corrective action process
- Initiate corrective actions (e.g., corrective action plans, warning letters)
- Collaborate with business stakeholders to perform root cause analysis
- Collaborate with business stakeholders to identify prevention, detection, and correction opportunities
- Ensure business partners complete corrective actions in a timely and effective manner
- Identify ways to mitigate risks to our organization
- Develop job aids, playbook, and other program documentation Additional Responsibilities:
- Build and maintain positive and strategic relationships with internal and external stakeholders
- Support our compliant and ethical culture
- Create and distribute written compliance standards where applicable
- Collaborate in Compliance training and education needs
- Investigate potential or reported issues of non-compliance
- Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness
- Collaborate with Legal and other stakeholders to interpret regulations
Requirements
- This is a remote, full time position and you may be required to sit or stand for extended periods of time.
- Bachelor’s degree or higher education in healthcare, compliance, or a related field, or equivalent years of relevant work experience is required
- experience at a PBM or health plan, and pharmacy operations oversight or similar experience would be considered Direct
- 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 healthcare compliance program corrective actions
- Working knowledge of external audit functions and procedures
- Familiarity with pharmacy operations and healthcare benefits
- Ability to work independently and within a team environment
Benefits
- We believe that the U.S. healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality.
- experience with pharmacy benefits, network, and claims is a bonus
- Current, unrestricted clinical or functional business licensure is a bonus (examples: certified pharmacy technician)
- Strong familiarity with ERISA, Healthcare Exchange Marketplace (Affordable Care Act), Worker’s Compensation, and Medicare preferred
- benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Discretionary Paid Time Off 12 Paid Holidays Wellness Benefits
- Paid Parental Leave benefits
- Metro New York City - Connecticut, New Jersey, New York and Pennsylvania Zone A Pay Range $107,100 — $126,000 USD
- Metro Seattle - Washington Zone B Pay Range $98,200 — $115,500 USD
- Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia Zone C Pay Range $89,300 — $105,000 USD Compensation & Benefits
- Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
- Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of
- benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).
Additional details
- SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.
- We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work.
- Integrity: Our purpose guides our actions and gives us confidence in the path ahead.
- With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
- Courage: We face continuous challenges with grit and resilience.
- We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability.
- We boldly challenge the status quo to keep moving forward—always.
- Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team.
- Our shared values bind us together and make us one.
- When one falls, we all fall; when one rises, we all rise. Job summary: