About the role

  • 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

Benefits

  • full range of benefits
  • generous paid time off

Job title

Senior Compliance Specialist

Job type

Experience level

Senior

Salary

$30 - $40 per hour

Degree requirement

High School Diploma

Location requirements

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