Govt Progs Compliance Consultant (Medicare Part D) - Remote

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for supporting the evaluation of Government Programs (Medicare) regulatory requirements and CMS guidance to assess compliance risks associated with HCSC government contracts. Will serve as a subject matter expert (SME) to assist in evaluation of Medicare regulations and ensure regulatory requirements are implemented accurately and timely across internal operations and assigned First Tier, Downstream, and Related Entities (FDRs). Assists in overseeing operational compliance through activities such as universe and report reviews, attendance at operational meetings, and targeted monitoring of high-risk areas of concern. Responsibilities include identifying, assessing, and escalating compliance risks and issues, partnering with stakeholders to develop, implement, and monitor effective mitigation and remediation strategies. Additional responsibilities include supporting Part D and FDR compliance activities as needed, fostering strong cross-functional relationships, liaising between Compliance and business teams, and performing other duties as assigned. This role collaborates closely with other compliance colleagues, business partners, leadership, governmental agencies, and FDRs. Required Job Qualifications Bachelor’s degree and 3 years’ experience in health plans, regulatory compliance or risk management OR 6 years’ experience in health plans, regulatory compliance, or risk management Ability to communicate with and build relationships with internal business units and/or various external government agencies Critical thinking, risk assessment, and mitigation Verbal and written communication skills Ability to work with minimal supervision Organizational, analytical, and decision‑making skills PC proficiency to include Word, PowerPoint, and Excel Preferred Job Qualifications Government Programs Healthcare Compliance experience and equivalent experience Knowledge of Medicare Part D regulatory and operational requirements Government programs operational experience Certified Pharmacy Technician or Pharmacy related experience Experience with communicating regulatory requirements and compliance risk to senior leadership and business partners Experience working with PBMs or other delegated entities #LI-Remote #LI-AS1 Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. health and wellness benefits 401(k) savings plan pension plan paid time off paid parental leave disability insurance supplemental life insurance employee assistance program paid holidays tuition reimbursement plus other incentives We offer a robust total rewards package for employees. Learn more about your benefit offerings by visiting The compensation offered will vary depending on your job‑related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $61,500.00 - $136,100.00. Exact compensation may vary based on skills, experience, and location. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at View phone number on click.appcast.io to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. #J-18808-Ljbffr HCSC Group