SmithRx

SmithRx revolutionizes pharmacy benefits with transparent technology, connecting stakeholders for efficient drug delivery and cost savings.

Pharmaceuticals

Health Care

1K-5K (1200)

Founded 2016

$38M raised

11 open positions

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Compliance Analyst - Corrections

13 hours, 56 minutes ago

United States

Full-time

Mid Level

Compliance Manager

Legal

Apply Now

SmithRx

SmithRx revolutionizes pharmacy benefits with transparent technology, connecting stakeholders for efficient drug delivery and cost savings.

Pharmaceuticals

1K-5K

Founded 2016

$38M raised

View All Jobs 11

Description

Design and enhance the corrective action process.
Assess and prioritize corrective action referrals.
Initiate corrective actions such as corrective action plans and warning letters.
Collaborate with business stakeholders to perform root cause analysis and identify prevention, detection, and correction opportunities.
Ensure business partners complete corrective actions in a timely and effective manner.
Identify ways to mitigate organizational risk.
Develop job aids, playbooks, and other program documentation.
Build and maintain positive relationships with internal and external stakeholders.
Assist with compliance oversight materials, reporting metrics, standards, and training needs.
Investigate potential or reported issues of non-compliance and support interpretation of regulations with Legal.

Requirements

Bachelor’s degree or higher in healthcare, compliance, or a related field, or equivalent relevant work experience.
Minimum of 4 years of compliance experience at a PBM or health plan, or similar pharmacy operations oversight experience.
Direct experience with pharmacy benefits, network, and claims is a bonus.
CHC, CHPC, or CCEP certification preferred.
Current, unrestricted clinical or functional business licensure is a bonus, such as certified pharmacy technician.
Strong understanding of the seven elements of an effective compliance program.
Strong familiarity with PBM-related healthcare operations and/or clinical concepts is preferred.
Working knowledge of healthcare compliance corrective actions and external audit functions and procedures.
Familiarity with ERISA, ACA Marketplace, Workers’ Compensation, and Medicare preferred.
Advanced organizational, project, and time management skills with strong verbal and written communication skills.

Benefits

Competitive salary range of $89,300-$126,000 depending on location and experience.
Eligibility for bonuses, commissions, or equity.
Medical, pharmacy, dental, vision, life, and AD&D insurance.
Flexible Spending Benefits, short-term and long-term disability, and 401(k) retirement savings.
Discretionary paid time off and 12 paid holidays.
Paid parental leave.
Wellness benefits, mental health support, commuter benefits, and Employee Assistance Program (EAP).
Professional development and training opportunities.

Interested in this position?

Apply directly on the company website

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