Commission Medical Coder Auditor Jobs in Rancho Santa Fe, CA

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Be a part of a global team that is inspired to make a difference in the lives of people living with rare disease.

At Travere Therapeutics, we recognize that our exceptional employees are vital to our success. We are a dedicated team focused on meeting the unique needs of rare patients.Our work is rewarding - both professionally and personally - because we are making a difference. We are passionate about what we do.

We are seeking talented individuals who will thrive in our collaborative, diverse, fast-paced environment and share in our mission - to identify, develop and deliver life-changing therapies to people living with rare disease. We stick by our values centered on patients, courage, community, and collaboration to pursue our vision of becoming a leading biopharmaceutical company dedicated to the delivery of innovation and hope to patients in the global rare disease community.

At Travere Therapeutics, we are in rare for life. We continue to courageously forge new paths as we move toward a common goal of elevating science and service for rare patients.

The Associate Director, Legal-Compliance, will support the ongoing execution and enhancements of Travere's healthcare Compliance Program to guide and support Commercial, Medical Affairs, Patient Advocacy, and other external-facing teams' initiatives.

The role will have primary responsibilities for monitoring and auditing - including planning, execution, data and trend analysis, and reporting of efforts and findings. The role will also support projects and tasks across the Compliance Program's Seven Elements, including drafting policies, guidance communications, training, and developing AI tools that improve Compliance Operations.

The role requires a detail-oriented, analytical individual. The role also requires the ability to partner cross-functionally to collaborate, identify synergies and trends, improve controls, and promote a culture of compliance.

The ideal candidate will have a strong working knowledge of applicable healthcare laws, regulations, and industry codes, including but not limited to the Anti-Kickback Statute, False Claims Act, OIG Compliance Program Guidance for Pharmaceutical Manufacturers, PhRMA Code on Interactions with Healthcare Professionals, and other applicable federal and state requirements.

Responsibilities:

Support operational planning and project management to continuously align Travere's healthcare Compliance Program with the company's strategic plans and tactics.

Planning and Project Management:

• Co-lead annual and periodic assessments of the Seven Elements Compliance Program, identifying emerging risks and recommending strategic priorities for the Compliance Program roadmap.

• Develop and maintain project plans to support Compliance Program, and related projects.

• Enhance, develop, and maintain monitoring and auditing plans, playbooks, templates, trackers, reporting cadence, and reporting documents.

• Lead day-to-day operations and execution of compliance monitoring and auditing activities for Travere's healthcare Compliance Program to support the Company's strategic plans and tactics.

Live Monitoring:

• Oversee and coordinate with live monitoring vendors and other Travere colleagues to meet annual live monitoring plan goals.

• Conduct live monitoring of external-facing activities - including HCP interactions, speaker and other educational programs, advisory boards, field activities, and patient-facing activities.

Data Analytics Audits:

• Use data analytics dashboards and operational reports to identify trends, outliers, potential policy deviations, repeat issues, and emerging risk areas across field teams and business functions.

• Oversee and coordinate with data analytics vendor to ensure timely data exchanges and refreshes and the accuracy of data and mapping files.

• Coordinate with other Travere teams to collect and manage data and to identify new data sources.

Collaboration and Enhancements:

• Collaborate with other Travere operations teams - including Commercial Operations and Medical Operations - Travere's Digital Innovation team, and those teams' vendors, to identify additional data, analytics, and process synergies.

• Identify opportunities to enhance data analytics dashboards, processes, and reporting based on industry enforcement/guidance and/or Travere identified needs.

Other Audits:

• Based on routine compliance assessments, identify and conduct data-driven audits across relevant systems and data sources, including customer relationship management systems, expense data, transparency/transfer-of-value data, and other documentation repositories.

• Reporting:

• Prepare clear, accurate, and high-quality Compliance monitoring and auditing reports for presentation to the Compliance Committee, and other senior leaders.

Follow Up, Corrective Action:

• Follow up with field leaders and field colleagues on potential findings, feedback, and to track assigned corrective action, when applicable.

• Translate monitoring and audit insights into recommended updates to policies, SOPs, field guides, training, communications, controls, and business processes.

Vendor Oversight:

• Manage or coordinate vendors supporting monitoring, auditing, analytics, and field monitoring activities, including oversight of quality, timelines, budget tracking, and deliverables.

Drive Compliance Program, processes, and systems enhancements:

Policy, SOP, Communications, and Training:

• Draft, or enhance existing, policies, training, and other resources that translate policies and procedures into practical and easy to understand guidance for employees.

• Manage the related policy plans, stakeholder reviews, and approval documentation.

Compliance Program Operations and AI

• Advise and support the continuous improvement of Compliance Operations processes and systems, including enhancing documentation, tracking tools, reporting templates, and opportunities to automate or streamline manual processes.

• Use AI-enabled and analytics tools appropriately to support drafting, summarization, trend identification, and reporting, while validating outputs and following company policies.

• Develop AI tools that improve Compliance Operations as well as policy resources and tools for the activities and teams Legal-Compliance supports.

Knowledge:

• Keep current on applicable laws, regulations, codes, guidance, and industry better practices, relevant to pharmaceutical and biotechnology compliance - including OIG guidance, PhRMA Code, Anti-Kickback Statute, False Claims Act, FDA regulations and guidance documents, and HCP spend transparency (e.g., Sunshine Act) - in order to identify opportunities to enhance company policies, procedures, and monitoring/auditing efforts.

Education/Experience Requirements:

• Bachelor's degree required; advanced degree such as JD, MBA, MPH, or other relevant graduate degree preferred.

• Compliance or auditing certification preferred.

• 8+ years of relevant experience in compliance operations, internal audit, monitoring, or a related function, including 5+ years in life sciences healthcare compliance within or supporting a pharmaceutical or biotechnology manufacturer.

• Experience developing and executing monitoring and auditing plans, including risk assessments, sampling, testing, workpapers, findings, remediation, and management reporting.

• Strong working knowledge of the Seven Elements of an Effective Compliance Program and how monitoring, auditing, investigations, corrective action, policies, training, reporting, and culture operate together.

• Experience with data analytics, dashboard review, metrics, trend analysis, and translating data into concise business-facing recommendations.

Additional Skills/Experience/Requirements:

• The ideal candidate will embody Travere's core values: Courage, Community Spirit, Patient Focus, and Teamwork.

• Strong data analytics orientation, including the ability to work with large data sets, identify patterns, pressure-test assumptions, and convert findings into practical compliance recommendations.

• Advanced Excel skills preferred and experience with data analytics tools a plus.

• Strong understanding of responsible AI use for drafting, summarizing, analysis, and reporting; ability to verify AI outputs, protect confidential information, and use AI tools consistent with company policy.

• Excellent written communication skills, with the ability to draft clear audit reports, monitoring summaries, executive-ready updates, corrective action summaries, and practical business guidance.

• Strong verbal communication and interpersonal skills, including the ability to discuss potential findings, ask effective follow-up questions, and maintain trust with business partners.

• High attention to detail, analytical and issue spotting skills, strong judgment, and an ability to distinguish technical documentation issues from higher-risk compliance concerns.

• Strong project management skills, including the ability to develop and manage project plans, coordinate cross-functional workstreams, follow up on action items, and track deliverables.

• Strong time management skills, including the ability to manage multiple projects, prioritize, meet deadlines, and follow up through closure.

• Practical, solutions-oriented approach with the ability to work independently while escalating appropriately.

• Excellent collaboration skills in a cross-functional environment, including Legal-Compliance, Commercial, Medical Affairs, Patient Advocacy, Finance, IT, and external vendors.

• Strong drafting and editing skills in Word, PowerPoint, Excel, and similar programs.

• Experience using analytics tools such as Tableau, Power BI, or similar tools.

• Experience using AI assistants (e.g., ChatGPT), collaboration platforms (e.g., SharePoint), and other tools to seamlessly integrate technology into daily operations.

• Experience using project management tools, such as Smartsheet, Microsoft Project/Planner, Excel-based trackers, or similar tools.

• Ability to travel domestically approximately 30%.

Total Rewards Offerings:
Travere provides comprehensive total rewards offerings that demonstrate our commitment as a diverse, equitable, people-centric, and pay-for-performance organization.

Benefits: Our benefits include premium health, financial, work-life and well-being offerings for eligible employees and dependents, wellness and employee support programs, life insurance, disability, retirement plans with employer match and generous paid time off.

Compensation: Our competitive compensation package includes a combination of both cash compensation (base pay and short-term incentive) and long-term incentive compensation (company stock), designed to recognize, retain, and reward employees.

Target Base Pay Range:

*This information is current as of the date of this posting and may be modified in the future. Actual pay offered to a candidate will depend on a variety of factors including the candidate's experience, education, skills, and location.

Travere will accept applications on an ongoing basis until a candidate is selected for the position.

Travere Therapeutics, Inc. is an EEO/AA/Veteran/Disability Employer.

If you require a reasonable accommodation to complete the application or interview process, please contact us by sending an email to accommodations@travere.com. Please note that this email address is to be used exclusively to request an accommodation with the online application, interview or hiring process only. Travere HR will not reply to emails sent to this address for any other reason.