Compliance Specialist managing and monitoring accreditations, certifications, and regulatory requirements for Pharmacy Benefit Dimensions. Ensuring compliance standards and documentation for audits and requirements.
Responsibilities
Manage and monitor compliance activities related to PBD’s accreditations, certifications, licenses, and regulatory requirements
Ensure policies, procedures, and reporting align with compliance standards
Interpret and advise on accreditation and regulatory requirements
Review documentation for audit readiness and compliance
Serve as a liaison with accreditation bodies and coordinate validation reviews
Support regulatory audits, market conduct exams, and compliance submissions
Facilitate meetings, dashboards, and oversight activities with leadership and committees
Manage policy and procedure processes and timelines
Coordinate STAR measures, corrective actions, and privacy/security events
Requirements
High school diploma or GED required
Associates degree preferred
Four (4) years of compliance, legal, quality monitoring/reporting, or program/process management experience required
Experience working with regulatory and accreditation agencies (e.g. URAC, DOL and CMS) and compliance, quality monitoring/reporting or program management preferred
Experience in the creation or review of policies, procedures, and reports and ability to assess controls needed to meet requirements, render decisions and troubleshoot issues
Excellent analytical and critical thinking skills
Strong problem solving, time management and organizational skills
Advanced PC and Microsoft Office applications required
Excellent presentation, interpersonal, written, and verbal communication skills
Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring
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