Pbm Consulting Jobs in Wisconsin (NOW HIRING)

Under general supervision, performs one or more entry-level compliance duties on a professional level working with the VP of Compliance, Contracts, and Regulatory Affairs to meet company goals and objectives related to corporate compliance. This includes, but is not limited to, interpreting and communicating changes in laws and regulations; recommending and implementing process changes to comply with laws and regulations; leading efforts to maintain licensure; tracking contracts; performing reporting; drafting policies; auditing; and developing and delivering compliance education and training.

This position is open to remote.

What You’ll Do:

As the Compliance Analyst, you will:

• Research, review, and interpret routine legal and regulatory changes relevant to Serve You Rx.
• Communicate new and revised regulatory requirements to company departments.
• Support moderately complex efforts to achieve or maintain compliance as set forth by the VP of Compliance, Contracts, and Regulatory Affairs.
• Obtain new and renewal licenses, certifications, registrations, and exemptions.
• Communicate with state departments of insurance.
• Advise and assist in developing and updating company and departmental policies and procedures.
• Develop and perform basic internal audits to ensure corporate compliance.
• Prepare required documentation and records for regulatory audits and inspections.
• Advise and assist in developing and conducting employee HIPAA training and other trainings, updating HIPAA documents, and addressing and resolving HIPAA-related questions.
• Assist in tracking and preparing company contracts with clients and vendors, and perform required reporting to clients and vendors to comply with laws and regulations.
• Use existing procedures to solve routine and non-routine problems. Has limited discretion to vary from established procedures by performing structured work assignments. Receives instruction, guidance and direction from others.
• Complete other duties as assigned.

Qualifications:

• Bachelor’s or JD degree or equivalent combination of education and experience.
• Previous compliance or related experience preferred.
• Prior pharmacy benefit management (PBM) or health insurance experience preferred.

Competencies:

• Proficient in Microsoft Office Professional.
• Basic knowledge of regulatory and compliance environment.
• Clear and concise communication with strong written and verbal communication skills.
• Ability to interact with all levels of internal and external business partners and provide consultation.
• Read, analyze, and interpret common PBM and healthcare-specific terminology.
• Read and know common legal terms.
• Solid detail orientation to produce a high degree of accurate results.
• Manage and prioritize work effectively with a moderate degree of supervision.
• Respect and discipline for confidentiality.

Why Serve You Rx?

Serve You Rx is a full-service pharmacy benefit manager (PBM) with unquestionable flexibility and an unwavering commitment to doing what's best for its clients. With a fervent focus on those it serves, including insurance brokers, consultants, third-party administrators, and their clients, Serve You Rx delivers exceptional service and tailored, cost-effective benefit solutions. Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 days or less and say "yes" to a wide variety of viable solutions. Known for its adaptability, quality, and client-centricity, Serve You Rx aims to be a benchmark for better client service.

The company offers generous benefits to include: medical (HMO and PPO), dental, vision, 401k, HSA, identity theft and legal coverage, pet insurance, paid parental leave, and 18 days of paid time off in your first year.