Manager, Client Audit Services - Remote

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

Manager, Client Audit Services - RemoteJob Description

The Manager Client Audit Services executes strategies and department priorities as determined collaboratively with compliance leadership for client audit management (CAM). This position assists in the analysis, design, development, implementation, and monitoring of CAM initiatives, by identifying opportunities for improvement, and implementing innovative solutions to enhance business performance, and leads a team of professionals supporting day-to-day CAM activities.

Responsibilities

• Manage a team of compliance, audit management, and/or subject matter professionals responsible for intake and triage of client regulatory and client-initiated audit notifications; obtaining data and evidence to support audit deliverables and dedicated audit teams in preparing deliverables for submission to auditors; and establishing and maintaining business processes required to support day-to-day client audit management activities such as stakeholder communication, audit management data keeping, metrics tracking and reporting, process improvement and documentation, training and project management
• Evaluate applicable standards, obligations and expectations; identify, quantify, and communicate risks to client audit management objectives; provide recommendations for remedial activity to address risks and establish ongoing internal controls toward operational compliance and audit readiness
• Develop and track useful metrics to assist leadership in preparing periodic reports demonstrating client audit management effectiveness; develop and prepare accurate, timely and complete reports to be used in the identification, prioritization and mitigation of risks, and provide trend data to identify opportunities for improvement and provide recommendations on strategic planning
• Apply industry knowledge and understanding to support the development and maintenance of operational procedures to support alignment with audit management and compliance-related client contractual obligations and requirements; continuously evaluate and adjust processes in response to changing industry, regulatory or business requirements
• Accountable for cross-functional leadership; manage team training objectives; provide input on design and delivery of education opportunities to support assigned client audit services objectives
• Manage staffing, performance and development, and consistently demonstrate Prime's leadership expectations during interactions with direct reports, cross functional and external stakeholders
• In collaboration with CAM leadership, assist in planning and deploying an annual work plan that focuses on the most significant and emerging risks impacting Prime's business; confirm appropriate execution tactics in partnership with business area leadership; and drive timely and appropriate action, response, deliverables, closure and communication of status, progress or issues
• Other duties as assigned

Education & Experience

• Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

• 6 years of work experience in legal, compliance or operations related roles in the healthcare or Pharmacy Benefit Manager (PBM) industry
• 1 year of leadership/people management experience
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Exceptional written and oral communication skills
• Demonstrated ability to apply critical thinking skills to proactively identify issues and problem solve through the most complex compliance situations
• Expert level understanding of effective compliance program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges and experience developing new concepts, techniques, standards and programs to support an organization's compliance priorities
• Ability to effectively interpret and present complex information to a wide variety of audiences
• Ability to establish rapport and effectively influence at all levels within an organization
• Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously
• Experience identifying opportunities for improvement and leading the implementation of process changes
• Working knowledge of Medicare Part D, Medicaid, and/or Health Insurance Marketplace guidance
• Strong interpersonal communication skills, including team leadership, conflict resolution, listening, and leading meetings with various leaders in an organization
• Strong organizational, analytical, prioritization and time management skills

Preferred Qualifications

• 3 years of managing end-to-end healthcare regulatory or audit related processes
• 3 years of leadership/people management experience
• Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) or Certified Internal Auditor (CIA) designation
• Advanced degree in Business or related area of study

Physical Demands

• Ability to travel up to 10% of the time
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

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 $94,000.00 - $160,000.00 based on experience and skills.

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.