Director, PBM Compliance and Regulatory Affairs

Job not on LinkedIn

🔥 24 minutes ago

⛰️ Colorado, Florida, +2 more states – Remote

⛰️ Colorado – Remote 🐊 Florida – Remote 🗽 New York – Remote 🤠 Texas – Remote

💵 $185k - $220k / year

⏰ Full Time

🔴 Lead

🚔 Compliance

🦅 H1B Visa Sponsor

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Rightway

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $100M Series C on 2021-03

Healthcare • Healthcare Insurance • SaaS

Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.

📋 Description

• Perform federal and state regulatory research and anticipate business needs and requirements • Identify and communicate potential risks and develop policies, procedures, and strategic plans to mitigate risks • Prepare, file, and manage business registrations and licenses, including required reporting • Partner with department leads on statutory, regulatory, pharmacy, and PBM compliance initiatives • Develop and maintain regulatory and legislative compliance plans • Create, implement, and maintain effective internal controls, policies, and procedures • Ensure vendor and client contract terms comply with state and federal regulations • Track and communicate policies, procedures, performance and reporting requirements, and key metrics • Serve as compliance subject matter expert on mandated projects and escalated matters • Maintain knowledge of regulatory affairs across applicable jurisdictions • Lead development of company positions and responses related to pending regulatory initiatives • Develop and implement training and communication plans • Manage compliance projects and provide consultation services to departments • Provide strategic compliance leadership and guidance to clients and business partners • Identify and implement regulatory process improvements • Lead internal and external regulatory and client audits and responses to findings • Lead, mentor, and develop a team of compliance professionals and people leaders

🎯 Requirements

• Bachelor’s Degree Required • JD (Juris Doctorate) degree or equivalent combination of practical experience • Minimum 7 years of relevant work experience in the healthcare industry • PBM industry experience preferred • Detail-oriented, analytical, intellectually curious, good listener, empathetic, ability to challenge status quo, values exemplar • Solid communication, research and organizational skills • Ability to lead projects and influence others even without direct reporting line ownership • Ability to work independently and manage multiple projects in a fast-paced, fluid environment • Advanced computer and Windows skills required

🏖️ Benefits

• Bonus • Equity • Equal Opportunity Employer with an inclusive culture

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