Licensing Manager

4 weeks ago

Orlando, United States EmpiRx Health Full time
Job DescriptionJob DescriptionWho We Are:

EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.

What We Do:

We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.

Who We're Looking For:

EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Licensing Manager who will be responsible for leading licensing and registration, for all required PBM licensure including submission and renewals for state license registrations, PBM, TPA and URA. This position is responsible as the primary point of contact for internal and external business partners regarding related licensing and registration activity and communication with state regulators.  This position also will develop SOP, polices and procedures, and ensure maintenance. 
If you are a highly motivated Licensing Manager with a strong background in PBM and licensing, and passionate about making a meaningful impact in the healthcare industry, we encourage you to apply.

What You'll Do:
  • Complete and submit licensure and business registration applications for required states related to Pharmacy Benefit Management (PBM), Third-Party Administrator (TPA) and Utilization Review Agency (URA) applications, renewals, reporting and all other regulatory filings or reports.
  • Perform operational functions including licensure, reporting, research, administrative support, and projects as assigned.
  • Create and maintain licensing databases and recordkeeping mechanisms to accurately track all licensing, renewal and registration activity.
  • Establish process for tracking and submission of regular required reporting.
  • Monitor updates to regulations for required licensure.
  • Maintain regulatory and licensure gap status reporting and keep all areas of the company informed
  • Lead efforts for response to inquiries received from State Regulators.
  • Maintain updated database for NAIC bios and other required documentation.
  • Development and maintenance of related policies and procedures . Update P&Ps to meet new or updated statutes, laws, regulations, or guidance.
  • Other duties and projects as assigned.

What You Need:
  • Bachelor’s degree required.
  • Minimum 3 years experience with PBM, Health Plan or health care industry.
  • Certified Healthcare Compliance (CHC) license preferred.
  • Roles within Legal, Regulatory, and/or Compliance departments at PBM or Health Plan preferred.

Additional Qualifications
  • Excellent project management skills, adept at overseeing multiple complex projects simultaneously.
  • Strong attention to detail and a firm commitment to meeting established deadlines.
  • Highly flexible, exceptionally organized, and capable of easily adapting to shifting priorities.
  • Successful track record in managing licensing timelines and meeting deliverables
  • Proficient in developing and maintaining licensing databases.
  • Ability to effectively communicate across departments and with individuals at all organizational levels, both internally and externally.
  • Strong verbal and written communication skills.
  • Demonstrated critical thinking and analytical abilities, with the capacity to translate regulations into actionable licensing requirements.
  • Familiarity with general licensing requirements as stipulated by Departments of Insurance.
  • Proficiency in standard software applications such as Word, Excel, and PowerPoint.
**This Position Could be Remote for the Right Candidate**

Why Join Us:
  • EmpiRx Health is on an extraordinary journey where excellence meets innovation.
  • We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
  • You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
  • We offer a generous and competitive benefits package.
  • You will share in the company's success through our discretionary bonus program.
EmpiRx Health is an Equal Opportunity Employer

At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're not just breaking down barriers but actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.

Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
Careers - EmpiRx Health

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