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Regulatory and Compliance Reporting Manager

🕒 August 18

☕ Washington – Remote

infoinfo

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Logo of TrueScripts Management Services

TrueScripts Management Services

51 - 200 employees

Founded 2014

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

TrueScripts Management Services is dedicated to providing exceptional prescription benefit management services. With a focus on delivering maximum savings and amazing care, TrueScripts works closely with members, clients, brokers, and prescribers to offer personalized and customized solutions. The company prides itself on transparency and efficiency, featuring a 24-48 hour turnaround time for prior authorization requests and a commitment to customer service, ensuring that real people are available to assist over 99% of the time.

📋 Description

• Own and maintain a comprehensive inventory of regulatory and compliance reporting requirements • Develop and maintain a centralized reporting calendar with deadlines, owners, data, approvals, and submission requirements • Coordinate preparation, validation, review, approval, and submission of regulatory and compliance reports • Ensure reports are accurate, complete, documented, and submitted on time • Partner with Compliance and Legal to translate regulatory requirements into reporting requirements • Monitor regulatory changes affecting reporting obligations • Establish reporting ownership and accountability across the organization • Maintain historical records of reports, submissions, approvals, supporting documentation, and methodologies • Develop compliance monitoring reports, recurring dashboards, and leadership visibility into compliance performance • Support compliance monitoring and testing with accurate, timely data • Identify trends, exceptions, deficiencies, and potential compliance risks; escalate significant discrepancies • Support corrective action and remediation activities • Establish controls over reporting, validate source data, investigate discrepancies, and maintain data lineage documentation • Standardize reporting definitions and methodologies and ensure repeatable processes • Review reporting processes and controls for improvement opportunities • Coordinate regulatory change implementation across processes, data, systems, controls, calendars, and procedures • Communicate reporting changes and track implementation to completion • Support market conduct audits, state and federal regulatory examinations, client audits, internal compliance audits, and other reviews • Prepare audit reports and documentation, demonstrate methodologies, respond to auditor requests, and maintain an audit-ready repository • Identify and implement automation opportunities for regulatory and compliance reporting • Define reporting enhancement requirements and participate in system development, testing, and implementation • Develop scalable reporting solutions and leverage analytics, workflow automation, and AI where appropriate • Reduce reliance on spreadsheets and manual processes while ensuring automated reporting controls and validation

🎯 Requirements

• Bachelor's degree in Business, Healthcare Administration, Compliance, Finance, Information Systems, Analytics, or related field • 5+ years of experience in healthcare, PBM, insurance, compliance, regulatory reporting, analytics, or related field • Experience working with complex data and reporting requirements • Strong analytical and problem-solving skills • Exceptional attention to detail and accuracy • Experience managing multiple deadlines and regulatory requirements • Strong project and process management skills • Ability to translate regulatory requirements into operational and reporting processes • Strong written and verbal communication skills • Ability to work effectively across multiple departments • Values aligned with Integrity, Respect, Innovation, and Service • Positive, proactive, can-do attitude • 10% travel required

🏖️ Benefits

• A wide range of health insurance options including medical, dental and vision • A strong salary and bonus program • A robust 401k and company match • ESOP participation with annual allocation of company stock shares • Wellness program including financial incentives, massage services, and fitness stipends • Dream Manager Program • Cohesive, family-based culture • Charitable contributions and volunteer time • Lots of celebrations

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