Regulatory Compliance Analyst

Benecard is a leader in pharmacy benefit and healthcare solutions, committed to ensuring regulatory excellence, innovation, and exceptional service. We are seeking a detail-oriented and analytical Regulatory Compliance Analyst to support our growing compliance team and ensure adherence to federal and state regulations.

Position Overview

The Regulatory Compliance Analyst plays a critical role in ensuring Benecard maintains compliance with Medicare, Medicaid, CMS regulations, and other federal and state requirements. This role is responsible for regulatory research, compliance monitoring, risk assessment, and supporting enterprise-wide compliance initiatives across pharmacy, vision, and healthcare operations.

This is an ideal opportunity for a compliance professional with experience in healthcare, managed care, pharmacy benefit management (PBM), or regulatory affairs located in Bonita Springs Florida.

Key Responsibilities

• Research, interpret, and analyze regulatory and legal requirements, including CMS, Medicare, Medicaid, and state laws
• Monitor and ensure ongoing compliance with federal, state, and local healthcare regulations
• Support compliance efforts related to pharmacy, optometry, opticians, and pharmacy benefit management (PBM)
• Communicate regulatory updates and ensure internal stakeholders understand and implement requirements
• Assist in the development, review, and maintenance of compliance policies, procedures, manuals, and contracts
• Contribute to the organization's Fraud, Waste, and Abuse (FWA) program
• Evaluate internal requests, assess regulatory applicability, identify risks, and provide compliance recommendations
• Identify compliance risks and collaborate with cross-functional teams to develop risk mitigation strategies
• Track and report on regulatory compliance metrics, KPIs, and audit findings
• Develop compliance reports, dashboards, and presentations for leadership, including Compliance Committees and Board-level reporting
• Support enterprise-wide compliance training programs and communication initiatives
• Manage compliance projects and regulatory initiatives across multiple departments
• Maintain and manage compliance databases and documentation systems

Required Qualifications

• Bachelor's degree (BA/BS) or Associate degree (AS)
• Minimum 3+ years of current proven experience in regulatory compliance, legal, or healthcare compliance roles
• Experience with Medicare, Medicaid, CMS regulations, or healthcare regulatory frameworks
• Background in healthcare, pharmacy, PBM, managed care, or vision/optometry regulation
• Strong knowledge of regulatory compliance, quality improvement, and risk management practices

Key Skills & Competencies

• Strong analytical, critical thinking, and problem-solving skills
• Excellent written and verbal communication skills
• High attention to detail and strong organizational abilities
• Ability to manage multiple priorities and meet tight deadlines
• Project management skills with the ability to coordinate cross-functional deliverables
• Collaborative mindset with strong interpersonal skills
• Ability to work independently and proactively

Technical Skills

• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Project)
• Experience with compliance tracking tools, databases, or SharePoint (preferred)

Additional Requirements

• High degree of professionalism and ethical conduct
• Positive attitude and team-oriented approach
• Minimal travel required

About Benecard and our affiliated companies:

Benecard Services, LLC

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

Website:

BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.

Website:

National Vision Administrators

For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.

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We are an equal opportunity employer

In-office only - Monday-Friday 8:30am-5:00pm