Senior Advisor, Pharmacy & Care Delivery Compliance
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Job Description
Senior Advisor for compliance within Evernorth Care Delivery and Pharmacy. Responsible for evaluating compliance and managing audits and reports across regulatory requirements.
Responsibilities:
- Carrying out assigned audit and monitoring programs
- Compliance data reporting and analytics
- Risk management programs
- Oversight for key risk remediation
- Compliance program and policies management
- Investigations for all areas of operation
- Serve as subject matter expert to advise business
- Execute training program strategy and support of business stakeholders
Requirements:
- 8+ years of progressive experience in healthcare regulatory compliance
- Licensed Pharmacist or Nurse or JD with substantial experience supporting pharmacy, care delivery, or drug distribution compliance
- Hands-on experience interpreting and applying federal, state, and local healthcare regulations
- Required experience managing HHS OIG General Compliance Program Guidance (GCPG) for a healthcare organization
- Preferred Healthcare Compliance Certification such as CCP or CHC
- Proven ability to lead audits and monitoring activities end-to-end
- Strong analytical, problem-solving, and issue-management skills
- Comfortable operating independently in complex, regulated environments
- Experience partnering with Legal, Compliance, Internal Audit, and operational teams
Benefits:
- medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
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