💼 About This Role

You'll ensure regulatory compliance across pharmacy operations by monitoring federal and state regulations. You'll interpret their impact and support implementation across business processes and vendor partners. This role offers high visibility in a mission-driven environment.

🎯 What You'll Do

• Monitor regulatory updates from CMS and state health departments
• Communicate regulatory guidance to pharmacy teams
• Manage Restricted Recipient Program operations
• Analyze pharmacy claims data for fraud and waste trends

📋 Requirements

• High school diploma or GED required
• Strong understanding of CMS and state regulatory frameworks
• Experience in managed care or pharmacy operations
• Knowledge of New York State Medicaid regulations preferred

✨ Nice to Have

• Bachelor's degree preferred
• Experience in healthcare compliance
• Strong analytical skills with claims data

🎁 Benefits & Perks

• 💰 Competitive salary $73,400 – $120,360
• 🏥 Comprehensive medical, dental, vision
• 📈 401(k) retirement contributions
• 🏖️ Paid time off and holidays
• 📚 Career development and training opportunities

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Recruiter Call· 30 min
2. 2Hiring Manager Interview· 45 min
3. 3Panel Interview· 60 min

🚩 Heads Up

• High school diploma minimum despite senior title
• Long list of responsibilities may indicate role creep