Compliance Associate
Aviso de fuente externaen PharmPix Corp
Join PharmPix Corp as a Compliance Associate supporting its Compliance Program, regulatory requirements, audits, policies, training, and compliance reporting.
Salario
No especificado
Ubicación
Guaynabo, Puerto Rico
Tipo de empleo
Tiempo completo
Modalidad
No especificado
Compliance Associate
Guaynabo, Puerto Rico
Descripción del empleo
About the role
PharmPix Corp is seeking a detail-oriented and proactive Compliance Associate to support and strengthen its Compliance Program. The role focuses on adherence to federal and state regulations, contractual obligations, internal policies, and Medicare-related requirements. The ideal candidate has healthcare industry experience, particularly within a PBM, Health Plan, or Medicare environment, and is passionate about ethical business practices and regulatory excellence.
Responsibilities
- Support implementation, monitoring, and oversight of the Compliance Program.
- Monitor and interpret regulatory changes affecting PBM operations, including CMS, HIPAA, and Medicare Part D requirements.
- Assist with Medicare regulatory compliance, reporting requirements, and audit readiness.
- Draft, review, and track agreements, amendments, and other legal or compliance-related documents.
- Conduct internal compliance reviews and audits to check adherence to applicable policies and procedures.
- Maintain documentation related to compliance activities, investigations, complaints, and corrective actions.
- Prepare compliance reports and presentations for leadership.
- Assist with internal and external audits, including CMS, URAC, and other regulatory reviews.
- Develop, maintain, and communicate compliance policies, procedures, and standard operating procedures (SOPs).
- Facilitate employee education and training on compliance topics.
- Collaborate with cross-functional teams to identify, mitigate, and address compliance risks.
- Support special projects and other duties as assigned by the Compliance Director.
Requirements
- Bachelor's Degree in Healthcare Administration, Law, Paralegal Studies, or a related field.
- 1-3 years of experience in a PBM, Health Plan, Managed Care, or Medicare environment.
- 1-2 years of experience reviewing and managing contractual agreements.
- Bilingual proficiency in...
Datos clave
- Bachelor's Degree in Healthcare Administration, Law, Paralegal Studies, or a related field is required.
- Requires 1-3 years of experience in a PBM, Health Plan, Managed Care, or Medicare environment.
- Requires 1-2 years of experience reviewing and managing contractual agreements.
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Preguntas frecuentes
What does the Compliance Associate do?
The role supports and strengthens the Compliance Program, including regulatory monitoring, audits, documentation, reporting, policies, and employee training.
What qualifications are required?
A bachelor's degree in Healthcare Administration, Law, Paralegal Studies, or a related field is required, along with experience in a PBM, Health Plan, Managed Care, or Medicare environment and contractual agreements.
What industry experience is preferred?
The ideal candidate has healthcare industry experience, particularly within a PBM, Health Plan, or Medicare environment.