Job Posting Title

Senior Compliance Analyst (Medicare/Medicaid) - Remote

Job Description

The Senior Compliance Analyst leads compliance initiatives within assigned areas and supports implementation of enterprise compliance programs. This role manages sensitive projects, serves as a subject matter expert, interprets complex requirements, develops executive reporting, and partners across the organization to maintain effective compliance, governance, and licensing processes.

Responsibilities

- Execute compliance procedures and enforce policy governance to validate regulatory reporting and operational requirements are met
- Serve as a compliance subject matter expert and develop solutions to highly complex issues; enhance supporting documentation
- Represent Compliance on complex contracts and cross-functional projects and establish effective stakeholder partnerships
- Lead project management for highly sensitive or complex compliance initiatives
- Prepare clear and accurate compliance records and executive or governance reporting for senior leaders and committees
- Execute and enhance compliance programs, training, conflict of interest, policy governance, and cyclical compliance processes
- Research and interpret laws, guidance, regulatory issues, and filing requirements; document and escalate findings
- Manage assigned licensing submissions, filings, renewals, reporting, source documentation, procedures, and tools
- Other duties as assigned

Minimum Qualifications

- Bachelor's degree in business, healthcare, or related area of study,



or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required
- 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA)
- Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

- Exceptional written and verbal communication skills
- Critical thinking and problem-solving skills for highly complex situations
- Comprehensive understanding of effective compliance program principles, practices, standards, industry challenges, and emerging approaches
- Ability to present complex information and influence stakeholders at all organizational levels
- Advanced organization and analytical skills with ability to manage multiple projects simultaneously

Preferred Qualifications

- PBM or healthcare experience
- Certified Compliance and Ethics Qualified (CCEP) or Certified in Healthcare Compliance (CHC)
- Project Management Professional (PMP)
- Medicare Part D, Medicaid, and/or Affordable Care Act experience
- Advanced degree in a related area of study, such as Juris Doctor
- Licensing application maintenance, tracking, renewal, and submission experience

Disclaimer: This job posting and Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Sr Compliance Analyst (Medicare/Medicaid) - Remote (India)
🏢 Prime Therapeutics
📍 India