Compliance Analyst

AffirmedRx is on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access, and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.

Join us in improving healthcare outcomes for all!  We promise to do what’s right, always.

Position Summary:

The Compliance Analyst is a vital contributor to the organization’s commitment to maintaining the highest standards of regulatory compliance and ethical conduct. This role encompasses a wide range of responsibilities, including the continuous monitoring and auditing of compliance programs, proactively identifying and addressing potential risks, and ensuring alignment with internal policies and external regulatory requirements. The Compliance Analyst will also play a key role in analyzing and interpreting regulatory changes, providing actionable insights, and developing comprehensive guidance to support various departments in adhering to applicable laws and regulations. By fostering a culture of compliance, the Compliance Analyst will help safeguard the organization’s reputation and operational integrity.

What you will do:

 Regulatory Monitoring and Analysis:

• Monitor and interpret federal, state, and local regulations affecting the PBM industry
• Analyze regulatory changes and assess their impact on the organization
• Communicate regulatory updates to relevant stakeholders and provide guidance on implementation

Compliance Audits and Reporting:

• Conduct regular audits of compliance programs to ensure adherence to internal policies and regulatory requirements
• Prepare detailed reports on audit findings and recommend corrective actions
• Collaborate with internal departments to address compliance issues and implement corrective measures

Policy Development and Implementation:

• Assist in the development and maintenance of compliance policies and procedures
• Ensure that policies are up-to-date and in line with current regulations
• Provide training and support to staff on compliance policies and procedures

Risk Assessment and Management:

• Identify potential compliance risks and develop strategies to mitigate them
• Conduct risk assessments and monitor the effectiveness of compliance controls
• Work with management to implement risk management strategies and ensure ongoing compliance

 Stakeholder Communication and Collaboration:

• Maintain effective communication with regulatory agencies, external auditors, and other stakeholders
• Collaborate with legal, finance, and operational departments to ensure compliance across the organization
• Participate in cross-functional teams to address compliance-related issues and initiatives

What you need:

• Bachelor's degree in Business, Healthcare Administration, Law, or a related field
• Minimum of 3-5 years of experience in compliance, regulatory affairs, or a related field, preferably within the PBM or healthcare industry
• Experience with compliance audits, risk assessments, and regulatory analysis
• Legal background with an understanding of healthcare laws and regulations
• Experience working with legal documents and regulatory filings
• Strong understanding of federal, state, and local regulations affecting the PBM industry
• Excellent analytical and problem-solving skills
• Strong written and verbal communication skills, with the ability to effectively convey complex regulatory information to non-experts
• Detail-oriented with strong organizational and time management skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite and compliance management software
• May require up to 10% travel

What you get:

• To impact industry, change in the pharmacy benefits management space, while delivering the highest quality patient outcomes.
• To work in a culture where people thrive because when OUR team thrives, OUR business thrives.
• Competitive compensation, including health, dental, vision, and other benefits.

Note: 

AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.