MedImpact Healthcare Systems, Inc.
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Compliance Assurance Manager
at MedImpact Healthcare Systems, Inc.
San Diego, CA
# of openings:
Added to system:
12/14/18 2:48 PM
Compliance Assurance Manager
If you’re interested in a career within a customer-focused, team-oriented environment that rewards innovation, quality, integrity and collaboration, MedImpact Healthcare Systems, Inc. welcomes your application. MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.
As a member of the Regulatory Compliance team, the Compliance Assurance Manager assists with the development, implementation, and oversight of the compliance monitoring and auditing process. They will support the efforts of the Corporate Compliance Officer with the administration of the organization’s Corporate Compliance Program and create and execute the annual compliance risk assessment process and annual compliance monitoring/audit work plan. The position coordinates with other internal partners to accomplish deliverables. This individual will perform through coordinated internal/external resources compliance monitoring and auditing which consists of reviews based on, but not limited to: OIG annual work plan; items identified during internal risk assessments, client conducted compliance audits, and internal requests. They will collaborate with the external compliance support team and other regulatory compliance staff members, in the management, reporting, and findings processes for audits conducted by clients, regulatory bodies, or third party entities. The Compliance Assurance Manager will develop the compliance monitoring and auditing work plan to address potential risk areas to be reviewed, including risks associated with the Part D benefit. In addition they will provide regular reports of activities related to the work plan, as well performance, documentation review, and updates on peripheral issues such as systems, process, staffing, etc.
The successful candidate will perform compliance monitoring/audits and define program parameters by gathering information and recruiting assistance within relevant business units as well as identify compliance issues and areas for improvement. The incumbent will provide back-up, as needed, to support MedImpact’s various accreditations (e.g., URAC) and/or certifications, which includes but is not limited to management of reaccreditation activities, onsite audits/reviews, inquiries, and training employees, as needed, on applicable accreditation/certification standards. The Compliance Assurance Manager will support ongoing monitoring, as needed, to ensure the organization is meeting accreditation/certification standards and will assist the Corporate Compliance Officer with the administration of the Corporate Compliance Program. As a key player, they will need to manage multiple complex projects and initiatives, perform risk assessment, define project scope, and prioritize initiatives. They will communicate and consult with business managers and advise management in the successful implementation of recommendations. Also they will interpret significance of findings, resolve issues, make recommendations and offer solutions for decisions.
For consideration candidates will need a Bachelor’s degree in business administration, business management, accounting, health care administration (or an equivalent combination of education and job related experience) along with a minimum of three (3) to five (5) years of related compliance audit experience in the job duties listed. Candidates must have in-depth knowledge of the audit function and the industry’s best practices. Prior PBM experience a plus. To perform this job successfully an individual must have excellent software skills with MS Office and Outlook, good familiarity working with databases and off-the-shelf Regulatory Compliance Software (e.g., Compliance 360).
Other Skills and Abilities :
- Proven ability to build good working relationships with internal and external clients
- Strong interpersonal skills, including the ability to work closely with people at all levels of the organization and facilitate the implementation of corrective action based on audit findings
- Excellent communication skills (written/verbal) and the ability to facilitate meetings
This position may require domestic and international travel. A valid passport and ability to leave the United States is required.
This position is eligible for Employee Referral Bonus at Level 1
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.