Title: Compliance Analyst 

Schedule: M-F Business hours with preference on EST hours. 

Pay Range: $24.04-$33.65 

Are you a detail-oriented and proactive specialist with a foundational understanding of compliance management, ideally within the Pharmacy Benefit Management (PBM) environment? Do you excel at managing systems and projects independently while also thriving in a collaborative team setting? If so, we have an exciting Indefinite Length Contract opportunity with a strong potential to convert to a Full-Time Employee (FTE) in 2025 as we experience anticipated growth!

As a Compliance Analyst, you will play a crucial role in ensuring our organization adheres to all regulatory obligations as we continue to expand our client base. You will be instrumental in managing and maintaining policies and procedures related to state reporting, licensure, pharmacy reimbursements, and more. This is a fantastic opportunity to grow your compliance career within a dynamic and evolving organization.

Reason for Need: The Compliance Leader requires a dedicated specialist to effectively manage critical compliance systems and projects to support our ongoing growth.

Hiring Model: Indefinite Length Contract with a strong anticipation of converting to a Full-Time Employee (FTE) based on strong performance and projected organizational growth in 2025.

Summary of Role: As our client base expands, the need to ensure comprehensive adherence to all regulatory obligations. This Compliance Analyst will be critical in the effective management of policies and procedures, particularly concerning state reporting, licensure requirements, and pharmacy reimbursement processes.

Responsibilities:

REPORTING:

• Serve as the primary point of contact and support for all state and federal reporting requirements.
• Cultivate and maintain strong, collaborative relationships with internal stakeholders across various departments and external regulatory agencies.
• Take ownership of the timely and accurate submission of all required regulatory reports, including drug pricing, fees, and rebates, as well as the percentage of prescriptions filled by retail versus mail order pharmacies.
• Lead and coordinate reporting efforts directed to state and federal regulatory bodies.
• Partner with IT, Finance, and other relevant departments to identify and implement automation strategies for data collection and reporting processes, enhancing efficiency and accuracy.
• Develop, document, and implement clear policies and procedures for state and federal reporting activities.

RESEARCH:

• Proactively conduct thorough research and analysis of new and evolving laws and regulations that may impact our reporting obligations, licensure requirements, fair pharmacy audit and appeals processes, accurate drug pricing, and transparency in rebate agreements.

PROJECTS & ADMINISTRATION:

• Provide dedicated support in the planning and execution of assigned projects, ensuring timely completion and adherence to objectives.
• Maintain and meticulously update critical databases and tracking systems to ensure data integrity and accessibility.
• Draft, proofread, and finalize professional and accurate correspondences, comprehensive reports, and other essential documentation.
• Efficiently screen and evaluate incoming and outgoing correspondence, proactively preparing thoughtful and appropriate responses as needed.
• Prepare internal administrative requests, such as check requests and IT service requests.
• Actively foster positive and productive interdepartmental relationships, contributing to a supportive and collaborative team atmosphere.
• Identify and champion opportunities for process optimization and quality enhancement to proactively mitigate potential organizational risks.
• Perform other job-related duties and responsibilities as assigned to support the overall compliance function.

What You Need to Succeed:

Education:

• Bachelor’s degree or equivalent relevant industry experience is preferred.

Experience:

• 1–5 years of demonstrable experience in compliance management, preferably within the PBM environment. Experience at a Health Plan or other pharmacy-related organization will also be considered.
• Proven proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and Adobe Acrobat.

Knowledge, Skills & Abilities:

• Unwavering attention to detail and a strong track record of consistently meeting critical deadlines.
• Exceptional organizational, analytical, and problem-solving skills with the ability to interpret complex information.
• Highly effective written and verbal communication skills, with the ability to tailor your message for diverse audiences.
• Demonstrated ability to conduct thorough research and adapt quickly to evolving state and federal regulatory changes, including those related to reporting, licensing, and auditing.
• Proven ability to build and maintain positive and productive working relationships across all organizational levels, both internally and externally, demonstrating strong teamwork skills.
• Comfortable and capable of managing projects independently from initiation to completion.
• Strong analytical skills with a keen eye for detail and a proactive approach to research.
• Familiarity with privacy regulations such as HIPAA is a plus.

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.