Senior Compliance Specialist

Job Details

Dublin Office - Dublin, OH

Description

JOB SUMMARY

As a Senior Compliance Specialist, you will maintain the day-to-day functions of maintaining the company’s compliance program. You will ensure that our operations comply with legal regulatory standards, procedures, and policies. Your duties will include completion of compliance activities, audits, and document creation/drafting. You will contribute to training development on compliance matters, handling complaints, and liaising with internal stakeholders, clients, partners, vendors and government agencies on compliance matters. The position has a heavy focus on payor sponsored programs and compliance such as CMS compliance for health plan and PBM client services and Pharma related compliance for manufacturer sponsored programs; other areas may fall under responsibilities as assigned.

ESSENTIAL DUTIES & RESPONSIBILITIES

Work with internal and external teams to manage and oversee compliance priorities, develop, and enact regulatory compliance strategies working with both internal and external stakeholders

Participate in applicable assignments related to overall corporate risk assessment and compliance work plan.

Complete compliance audits assigned to company by clients/customers, work with cross-functional teams to ensure successful submission and on-time completion

Assist in incident management, response, and investigations

Maintain expertise relevant areas of assigned compliance responsibilities including applicable requirements, regulations, and laws. Continually monitor changes in industry and company’s business activities that impact compliance risk.

Maintain monitoring and oversight of downstream vendors as assigned

Develop and assist with implementation and maintenance of compliance documentation, processes, and practices.

Assist with conducting process improvement and corrective action plans across the organization as assigned, monitor progress with action plans

Oversee assigned compliance monitoring systems and functions

Assist in the development of compliance trainings and corporate compliance programming

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Qualifications

KNOWLEDGE & REQUIREMENTS

Strong written and verbal communication skills

Ability to communicate across all levels of an organization, demonstrating professionalism and good judgment at all times

Must be able to work autonomously (with minimal direction) while also being part of an integrated team

Must be able to manage competing demands and multiple priorities, while maintaining a strong attention to detail

Technical proficiency related to PC and basic office software

Travel Requirements: Domestic and/or International, up to 10%

EDUCATION & EXPERIENCE REQUIREMENT

Minimum years of work experience: 5 years in in healthcare industry and at least 3 years experience as a regulatory compliance specialist or similar

Minimum level of education or education/experience: Bachelors or equivalent work experience in related field

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Frequent sitting in stationary position at a desk

Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs

Occasional twisting of body

Occasional reaching by extending hands and arms in any direction

Occasional lifting, pulling, or pushing

What’s In It For You?

Medical, Dental and Vision Plans

Voluntary Benefits

HSA & FSA

Fertility & Family Planning Benefits

Paid Parental Leave

Adoption Assistance Program

Employee Resource Groups

Flex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates

11 Paid Holidays

Corporate Wellness Program

401k Employer Match & Roth Option Available – immediate eligibility