Job Information
Independent Health PBM Regulatory Compliance Specialist in United States
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We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.
Overview
The PBM Regulatory Compliance Specialist will conduct state and federal regulatory research and monitoring to understand PBD’s business registration and license filing obligations. The Specialist will receive and review reporting and documentation requests related to PBD’s license submissions. They will evaluate the submission needs and request the necessary data from the applicable PBD business units; gather organizational documentation, review responses for accuracy and completeness and provide the final reporting and documentation for compilation in the required filings. The Specialist will assist with the creation and maintenance of tracking and monitoring processes, necessary policies and procedures, performance and reporting requirements and communicating overall metrics to key stakeholders.
Qualifications
High school diploma or GED required. Associates degree preferred.
Three (3) years of experience in corporate/regulatory licensing management, regulatory/compliance research or monitoring required.
Excellent analytical and critical thinking skills, with proven ability to analyze abstract components of legislation, regulations, or accreditation standards for requirements identification.
Strong analytical, problem solving, time management and organizational skills
Detail oriented, while maintaining an awareness of overall goals.
Ability to work independently and manage multiple projects in a fast-paced fluid environment.
Ability to learn new software applications.
Excellent presentation, interpersonal, written, and verbal communication skills.
Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring.
Essential Accountabilities
Research, define, capture, and understand the business needs to support the review, fulfillment, submission and approval of all registrations, licenses, and filings for PBD’s state and federal PBM, TPA, and business regulations and requirements.
Monitor and track for changes or updates to all registrations, licenses, and filings.
Conduct research for applications and regulatory requirements for PBMs to obtain and maintain licensure or business registration in various states in which PBD wishes to conduct business.
Request reporting necessary to support licensing and registration activities. Aid in the completion and facilitation of necessary application and documentation requirements for the timely submission of all initial and renewal license and registration applications or filings.
Maintain tracking and monitoring processes to ensure compliance with business operations, application, renewal requirements and processes. This will include but is not limited to performance metrics and applicable policies, procedures, and other documentation specific to PBD business to appropriately support the processes and duties.
Appropriately communicate requirements, needs, status and overall performance metrics to all key stakeholders.
Immigration or work visa sponsorship will not be provided for this position
Hiring Compensation Range: $30.00 - $35.00 hourly
Compensation may vary based on factors including but not limited to skills, education, location and experience.
In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.
As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information) for additional EEO/AAP or Reasonable Accommodation information.
Current Associates must apply internally via the Job Hub app.
The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.
Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.
We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.
We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.
Apply today and join us on the journey to a happier, healthier, and more inclusive community.
We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221.
Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.