Director, Ethics and Compliance

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

Develop and administer account compliance program and risk assessments
Develop and update account-specific compliance addenda to corporate policies, procedures, guidance, and training for employees
Monitor and provide updates regarding federal and state regulations related to account compliance program
Monitor and assess staff member compliance with policies, procedures, and laws and regulations
Develop, oversee, and provide reports regarding account compliance program
Develop preventative and corrective strategies and action plans to support the account compliance program
Maintain documentation supporting the Corporate and/or account compliance program
Communicate with leadership and client regarding account compliance program
Lead internal and external compliance-related discussions, presentations, and activities
Assist with audits by clients and government agencies
Conduct or assist with investigations, as needed

7+ years of experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics
State or federal agency experience highly desired
Graduate or post-graduate degrees in law or experience in the pharmaceutical and compliance industries is required
Certification in healthcare compliance or privacy (e.g., CHC, CHPC, CHRC, or CHC-F)
Experience in pharmaceutical and/or compliance training course design, development, and implementation strongly preferred
Experience with healthcare compliance program planning and implementation
Experience with risk management analysis and strategies
Knowledge of and experience with regulatory compliance requirements related to Medicare and Medicaid reimbursement, fraud, waste, and abuse laws, and HIPAA
Proficient with Office 365 (Word, Excel, PowerPoint, Teams, and SharePoint)