Compliance Analyst ensuring regulatory compliance through data analysis and monitoring for Prex, a leading LATAM financial platform.
About the role
- Senior Compliance Professional analyzing business requirements for Medicare compliance, conducting research, and implementing auditing plans for pharmacy operations. Cultivating relationships to minimize compliance risk across Humana’s pharmacy services.
Responsibilities
- Ensure adherence to governmental regulations and requirements
- Analyze business requirements, conduct research, and provide regulatory interpretation
- Develop and implement monitoring and auditing plans for business processes
- Cultivate relationships with key partners to ensure compliance alignment
- Conduct risk assessments and perform auditing and monitoring activities
- Develop and track compliance metrics
- Present findings of monitoring and auditing efforts
Requirements
- Bachelor’s degree in related field or equivalent work experience
- 2 plus years of experience in Health Plan Compliance or Health Plan Operations
- Experience working with regulatory agencies
- Knowledgeable in process improvement and metrics development
- Knowledgeable in regulations governing health care industries
- Strong communication skills
- 3 plus years of experience with pharmacy operations and/or claims processing in a pharmacy setting
- Intermediate Microsoft Excel, Word and PowerPoint proficiency
- Demonstrated ability to work independently
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
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