Compliance Expert in Healthcare

5 days ago


Jacksonville, Florida, United States STRATEGYGEN CO Full time

STRATEGYGEN CO is seeking an experienced Compliance Expert to join our team. As a Compliance Expert, you will play a key role in ensuring that drug manufacturers comply with state and federal laws and regulations.

This is a full-time remote position with limited travel opportunities. The successful candidate will have the ability to work independently and collaboratively with cross-functional teams to achieve goals.

The estimated salary for this position is between $120,000 and $180,000 per year, based on experience and qualifications. Benefits include competitive compensation, a generous benefits package, flexible schedules, and a collaborative work environment.

Job Description

The Compliance Expert will be responsible for performing multiple tasks and auditing activities to evaluate drug manufacturer compliance with state and federal laws and regulations, such as the Affordable Care Act (ACA) and the Inflation Reduction Act (IRA). Additionally, the Compliance Expert may be assigned to serve as a team lead or team member supporting a project team.

Auditing activities may include on-site or desk audits, compliance and policy reviews, maximum fair price evaluations, and regulatory investigations. The Compliance Expert will identify necessary information and methodology, including required documents and data sample sizes, preparing work plans for drug manufacturers, preparing data requests for entities and evaluating submitted data to ensure accuracy and relevance to reviews, examinations, investigations, and/or audits.

  • Candidates for this position must be a licensed pharmacist or have a Bachelor's degree in economics and extensive experience working with drug manufacturers.
  • Significant experience in the health pharmaceutical sector, specifically related to healthcare compliance, healthcare regulations, healthcare auditing, or fraud investigation is required.

The ideal candidate will have excellent analytical, organizational and project management skills, with the ability to prioritize multiple tasks and adapt to changing priorities to ensure delivery of high-quality, on-time and within budget work products and deliverables.

Required Skills and Qualifications
  • Extensive knowledge of state and federal laws and regulations pertaining to the Affordable Care Act (ACA), Inflation Reduction Act (IRA), Medicare Part D, health insurance, and/or healthcare services.
  • Strong project management, organizational, communication and writing skills, with the ability to change priorities quickly, handle multiple tasks simultaneously and meet deadlines.
  • Excellent interpersonal skills, with the ability to build strong working relationships, give and follow instructions accurately and efficiently while being proactive in asking clarifying questions to ensure work effort is directed toward desired outcome.

The selected candidate will possess high-level attention to detail, proficiency with MS Outlook, Excel, Word, Adobe, PowerPoint, general knowledge of database programs and spreadsheet options, and TeamMate Plus software experience is desired.



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