Who we are:
SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.
Job summary:
We are looking for a Compliance Analyst to assist in all operational aspects of implementing a highly-effective compliance program in a dynamic PBM regulatory landscape. This position will focus on successful remediation of identified non-compliance with regulatory requirements and company policies and procedures. In this role, you will assist, build, and lead initiatives which correct and mitigate organization risks using the key seven elements of a compliance program.
What you will do:
Primary Responsibilities:
- Design and/or enhance corrective action process
- Assess and prioritize corrective action referrals
- Initiate corrective actions (e.g., corrective action plans, warning letters)
- Collaborate with business stakeholders to perform root cause analysis
- Collaborate with business stakeholders to identify prevention, detection, and correction opportunities
- Ensure business partners complete corrective actions in a timely and effective manner
- Identify ways to mitigate risks to our organization
- Develop job aids, playbook, and other program documentation
Additional Responsibilities:
- Build and maintain positive and strategic relationships with internal and external stakeholders
- Assist in developing or updating oversight materials and reporting metrics
- Create and distribute written compliance standards where applicable
- Investigate potential or reported issues of non-compliance
- Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness
- Collaborate with Legal and other stakeholders to interpret regulations
What you bring:
- Bachelor’s degree or higher in healthcare, compliance, or a related field, or equivalent years of relevant work experience
- Minimum of four (4) years of compliance experience at a PBM or health plan, and pharmacy operations oversight
- Strong understanding of the seven elements of a highly effective compliance program
- Working knowledge of external audit functions and procedures
- Strong familiarity with ERISA, Healthcare Exchange Marketplace (Affordable Care Act), Worker’s Compensation, and Medicare
- Data-driven, big-picture thinker, and solutions-oriented