Legislative Services Compliance Manager II

Legisl previsão Services Compliance Manager II $98,327 - $135,200 - $172,073 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. curl Impact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join curl Impact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for-selection individuals who want teams that cares about making a difference in the value of healthcare. At curl Impact, we deliver leading edge pharmaceutical UNIVERSAL and technology-related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! The Scoop: Responsible for maintaining an effective compliance program by managing and overseeing med Impact’s regulatory compliance activities and compliance with comprehensive federal and state laws, and regulations. This position manages requests and inquiries received from clients, regulatory authorities, and internal customers relating to MedImpact’s federal and state reviews/assessments, regulatory compliance initiatives, and related processes. This position advises internal business partners on changing laws and regulations and maintains an effective communication program and record keeping mechanism for government regulations as required by various government regulatory agencies. What You Get To Do: Monitors state and federal regulations, sub-regulatory guidance, and any other applicable communications distributed by regulatory bodies Analyzes information for dissemination to appropriate internal operational areas and, where appropriate, prepares overviews and other documentation to serve as compliance guidance in relation to implementation of specified requirements Interfaces with internal operational areas on compliance matters impacting MedImpact’s initiatives Oversees internal implementation efforts relating to new legislation in concert with the Counsel, Legislative ServicesCommunicates to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements Manages state regulatory reporting for initial and updated reporting and submission requirements Works with internal subject matter experts, licensing, and outside counsel as appropriate Develops and maintains state regulatory reporting repository (PBMSource) and C360 and serves as subject matter expert for applicability, scope, and reporting parameters according to state regulatory requirements Interfaces with clients and legal counsel on matters relating to compliance with applicable laws or regulations at updated Assists with the development and review of organization’s policies and procedures in relation to state or federal regulations Identifies needed policies and procedures in order to demonstrate compliance with applicable requirements and works with appropriate internal operational units to ensure creation and maintenance of needed documentation Ensures policies and procedures are revised to address regulatory changes Develops client communications relating to state and federal regulatory changes Mentors and leads Regulatory Compliance, Government Programs and Services teams, and other functional teams, including facilitation of review meetings Works directly with the Compliance Officer to support the Corporate Compliance Program in relation to new or amended requirements Manages various organizational committees and/or work groups to disseminate federal and state compliance information Maintains records, as appropriate, to memorialize decisions, direction, actions, and ensures information is retrievable Communicates to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements Keeps up to date on the industry’s best practices and regulatory changes through PCMA and PBMSource Leads and manages complex organizational corporate projects. (examples – NQTL, Website Accessibility, Consumer Protection Act) Develops and presents training to departments across the organization in relation to enacted state or federal laws that impact multiple lines of business and presents updates on initiatives to the Corporate Compliance Committee Interfaces with Contracts Department to assist in the creation and modification of client contracts, pharmacy network contracts, vendor contracts, and regulatory addendums for state or federal regulations, as needed Development and implementation of strategic initiatives relating to emerging state and federal regulations Supervisory Responsibilities This position has no supervisory responsibilities. Education and/or Experience Bachelor’s degree (or equivalent combination of education and experience) Minimum seven (7) years previous related experience Prior experience working in regulatory compliance and ability to analyze legislation for applicability to the PBM business required Computer Skills freie Strong PC skills in Microsoft Office Suite, MS Outlook. Familiar with relational databases and industry specific software. Certificates, Licenses, Registrations None required. Other Skills and Abilities Solid working knowledge of current assigned state and federal regulatory requirements and related company training initiatives required Strong listening skills and ability to convey regulatory compliance information, verbally and in writing, in an easy to understand format to employees of organization Travel This position requires no regular travel; however, attendance may be required at occasional conferences and meetings. The Perks: Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus This position is eligible for Employee Referral Bonus at Level I To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets. Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. #J-18808-Ljbffr MedImpact