Director, Ethics and Compliance
Job Description:
• Develop and administer account compliance program and risk assessments
• Develop and update account-specific compliance addenda to corporate policies, procedures, guidance, and training for employees
• Monitor and provide updates regarding federal and state regulations related to account compliance program
• Monitor and assess staff member compliance with policies, procedures, and laws and regulations
• Develop, oversee, and provide reports regarding account compliance program
• Develop preventative and corrective strategies and action plans to support the account compliance program
• Maintain documentation supporting the Corporate and/or account compliance program
• Communicate with leadership and client regarding account compliance program
• Lead internal and external compliance-related discussions, presentations, and activities
• Assist with audits by clients and government agencies
• Conduct or assist with investigations, as needed
Requirements:
• 7+ years of experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics
• State or federal agency experience highly desired
• Graduate or post-graduate degrees in law or experience in the pharmaceutical and compliance industries is required
• Certification in healthcare compliance or privacy (e.g., CHC, CHPC, CHRC, or CHC-F)
• Experience in pharmaceutical and/or compliance training course design, development, and implementation strongly preferred
• Experience with healthcare compliance program planning and implementation
• Experience with risk management analysis and strategies
• Knowledge of and experience with regulatory compliance requirements related to Medicare and Medicaid reimbursement, fraud, waste, and abuse laws, and HIPAA
• Proficient with Office 365 (Word, Excel, PowerPoint, Teams, and SharePoint)
Benefits:
• Health benefits
• 401(k) employer match
• Flexible vacation policy
• Educational assistance
• Leadership and technical development academies
Apply tot his job
Apply To this Job
• Develop and administer account compliance program and risk assessments
• Develop and update account-specific compliance addenda to corporate policies, procedures, guidance, and training for employees
• Monitor and provide updates regarding federal and state regulations related to account compliance program
• Monitor and assess staff member compliance with policies, procedures, and laws and regulations
• Develop, oversee, and provide reports regarding account compliance program
• Develop preventative and corrective strategies and action plans to support the account compliance program
• Maintain documentation supporting the Corporate and/or account compliance program
• Communicate with leadership and client regarding account compliance program
• Lead internal and external compliance-related discussions, presentations, and activities
• Assist with audits by clients and government agencies
• Conduct or assist with investigations, as needed
Requirements:
• 7+ years of experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics
• State or federal agency experience highly desired
• Graduate or post-graduate degrees in law or experience in the pharmaceutical and compliance industries is required
• Certification in healthcare compliance or privacy (e.g., CHC, CHPC, CHRC, or CHC-F)
• Experience in pharmaceutical and/or compliance training course design, development, and implementation strongly preferred
• Experience with healthcare compliance program planning and implementation
• Experience with risk management analysis and strategies
• Knowledge of and experience with regulatory compliance requirements related to Medicare and Medicaid reimbursement, fraud, waste, and abuse laws, and HIPAA
• Proficient with Office 365 (Word, Excel, PowerPoint, Teams, and SharePoint)
Benefits:
• Health benefits
• 401(k) employer match
• Flexible vacation policy
• Educational assistance
• Leadership and technical development academies
Apply tot his job
Apply To this Job