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Senior Partner, PBM Compliance
IMHSenior Compliance Partner providing compliance guidance to Select Health leaders in pharmacy benefit management. Responsible for developing training, leading projects, and evaluating regulatory risks.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare compliance and risk management, with a strong ability to interpret complex regulations and develop effective compliance programs. Proven skills in stakeholder communication and training to promote a culture of compliance within the organization.
Highest-signal resume keywords
Healthcare Compliance ExpertiseRegulatory KnowledgeRisk Management ExperienceTraining DevelopmentStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Federal and State LawsHealthcare BillingHealthcare CodingReimbursement ProcessesContracting KnowledgeRisk AdjustmentCompliance Program Implementation
Soft Skills
Interpersonal SkillsPresentation SkillsDiscretion
Industry Keywords
Healthcare AdministrationCompliance GuidanceStakeholder EngagementRisk AssessmentCorrective Action Plans
About the role
Key responsibilities & impact- Provide strategic compliance guidance to Select Health leaders.
- Develop training and educate stakeholders on compliance and ethics.
- Lead investigations and projects within assigned portfolio.
- Establish communication channels with internal and external stakeholders.
- Promote a culture of compliance and reporting.
- Evaluate risks and develop corrective action plans.
- Monitor changes in regulatory environment and assess implications.
- Support legal counsel and coordinate with HR and other departments.
Requirements
What you’ll need- Bachelor’s Degree in healthcare administration or similar field preferred.
- Demonstrated professional-level experience in a regulatory, compliance or risk management role in the healthcare sector.
- Expert level knowledge of federal and state laws related to health care billing, coding, reimbursement, contracting, and risk adjustment.
- Ability to interpret and apply complex healthcare regulations and assess gaps.
- Strong communication, presentation and interpersonal skills.
- Demonstrated discretion to maintain confidential information.
- Experience implementing an effective compliance program.
Benefits
Comp & perks- Health insurance
- retirement plans
- paid time off
- signing bonus
- relocation bonus
- performance compensation plan