Compliance Client Services Strategist Senior Principal- REMOTE

Posted 5 Days Ago
Be an Early Applicant
Hiring Remotely in Home, PA
Remote
124K-211K Annually
Senior level
Insurance
The Role
The role involves developing and implementing compliance strategies, managing resources, and oversight of compliance programs for various governmental sectors.
Summary Generated by Built In

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Compliance Client Services Strategist Senior Principal- REMOTEJob Description

The Compliance Client Services Strategist Sr Principal role is responsible for the development, implementation, execution, and maintenance of Prime's Compliance program specific to the State Public Sector (SPS), Government Programs (GP) and Employer Group Waiver Plans (EGWP) lines of business.

Responsiblities

  • Develop and implement compliance strategy in support of state public sector (SPS), Government Programs (GP) and Employer Group Waiver Plans (EGWP)
  • Define and build mechanisms for capturing and understanding compliance risk within SPS, GP and EGWP for visibility to Prime’s leaders
  • Establish and grow strategic partnership with State Public Sector (SPS) and Government Programs (GP) business stakeholders and leaders
  • Develop and manage resources and tools needed to support compliance and contractual obligations
  • Ensure proper oversight and monitoring practices are in place across the SPS, GP and EGWP business areas, bringing synergy to the overall compliance oversight and monitoring plan(s) (
  • Plan and prepare new business opportunities and expansions, ensuring visibility, aligning partnership expectations, and establishing the compliance support structures
  • Represent Compliance during the SPS, GP and EGWP Requests for Proposal and implementation processes to ensure bid and contractual commitments align with a compliance support model including the 7 elements of an effective compliance program
  • Develop and deliver executive level business reporting to update compliance leaders on the health of the SPS, GP and EGWP compliance program(s)
  • Other duties as assigned

Education & Experience

  • Bachelor’s degree in legal studies, business management, information management or related area of study, or equivalent combination of education and/or relevant work experience
  • 10 years of work experience in legal, compliance, or related field
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Exceptional relationship skills, with proven ability to quickly built and maintain strong relationships across diverse functions and leaders
  • Strong strategic thinking and business acumen with the ability to align strategies and recommendations with business objections
  • Adaptable and flexible style of collaborating with key stakeholders
  • Proven ability to quickly gain credibility, influence and partner with business leaders
  • Demonstrated use of and general knowledge of industry practices, techniques, and standards
  • Effective verbal and written communication skills
  • Demonstrated ability to organize and prioritize work
  • Works effectively with others in a variety of functions

Preferred Qualifications

  • Advanced degree in a relevant discipline (JD, MBA, MHA, etc.)
  • PBM/health care experience

Physical Demands

  • Ability to travel up to 10% of the time
  • Must be able to remain in a stationary position 50% of the time. Must be able to “move or traverse”
  • Must be able to constantly operate a computer and/or other office productivity equipment.
  • Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

    Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.

    To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

    Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   

    We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

    Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

    Positions will be posted for a minimum of five consecutive workdays.

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    The Company
    HQ: Eagan, MN
    3,577 Employees
    On-site Workplace
    Year Founded: 1987

    What We Do

    Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years.

    In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US.

    In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products:
    • NetResults™
    • Specialty Drug Management
    • Best in Care™
    • GuidedHealth®
    • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations
    • Prime Analytics™
    • CareCentered Contracting™Controlled Substance Management Program

    Join us!
    Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career.

    At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact.

    Follow Prime on LinkedIn to learn more.

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