What are the responsibilities and job description for the Regulatory Compliance Director position at Script Care LTD?

Job Description

About Us :

Script Care, Ltd is a premier pharmacy benefit manager, committed to providing innovative and cost-effective pharmacy services to improve healthcare outcomes. We offer comprehensive pharmacy benefit programs and solutions to our clients and are dedicated to ensuring compliance with all regulatory standards. Join our team and help us shape the future of healthcare.

Job Summary :

We are seeking a detail-oriented and experienced Regulatory Compliance Director to assist in overseeing and managing our regulatory compliance programs. The ideal candidate will ensure that our operations adhere to all regulatory requirements, relevant laws, industry standards, and internal policies. This role offers flexibility, allowing for either in-office work in our offices in Beaumont or Austin, Texas or remote work arrangements.

Key Responsibilities :

Develop, implement, and manage compliance programs and policies to ensure adherence to state and federal regulations.
Develop and implement policies and procedures to ensure compliance with regulatory requirements.
Review and update existing policies to reflect changes in regulations or business practices.
Conduct periodic reviews and audits to assess compliance with policies and procedures.
Conduct regular audits and assessments to identify potential compliance risks and areas for improvement.
Monitor changes in relevant state and federal laws and regulations and update company policies accordingly.
Provide training and guidance to employees on compliance matters and promote a culture of compliance within the organization.
Conduct training sessions for employees on regulatory compliance requirements and best practices.
Provide guidance and support to departments to ensure understanding and adherence to compliance standards.
Foster a culture of compliance through ongoing education and communication.
Investigate and resolve compliance issues and complaints, ensuring appropriate corrective actions are taken.
Prepare and submit required compliance reports to regulatory bodies.
Collaborate with various departments to integrate compliance requirements into daily operations.
Maintain up-to-date documentation of compliance activities and ensure records are easily accessible for audits.

Qualifications :

Bachelor's degree in business, business law, healthcare administration, or a related field is preferred.

Proven experience (3-5 years) in regulatory compliance, preferably within the healthcare or pharmacy benefit management industry.

Comprehensive knowledge of state and federal healthcare regulations, including state / federal pharmacy benefit regulations, HIPAA, and other related pharmacy benefit regulations.

In-depth knowledge of federal and state regulations governing pharmacy benefit managers.

Strong analytical, problem-solving, and decision-making skills.

Strong analytical skills with the ability to interpret complex regulations and translate them into actionable policies and procedures.

Excellent written and interpersonal communication skills, with the ability to effectively educate and influence stakeholders at all levels.

High level of integrity and professional ethics.

Ability to work independently and manage multiple tasks simultaneously.

Preferred Qualifications :

Certification in Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP).

Experience in reviewing laws, statutes, and regulations and working to implement these throughout an organization.

Previous experience in a pharmacy benefit manager (PBM) or healthcare organization.

Benefits :

Competitive salary.

Comprehensive health, dental, and vision insurance.

401K with company match.

Paid time off and holiday schedule.

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