
Market Regulation PBM Compliance Consultant
Are you a detail-oriented compliance professional with a passion for the healthcare industry? Do you have a strong understanding of pharmacy benefit management (PBM) regulations and experience in market regulation? If so, RSM US is seeking a motivated and knowledgeable Market Regulation PBM Compliance Consultant to join our team.As a Market Regulation PBM Compliance Consultant at RSM US, you will have the opportunity to work with a variety of clients in the healthcare sector, ensuring their compliance with PBM regulations and guidelines. Your expertise in market regulation and PBM compliance will be essential in helping clients navigate complex regulatory landscapes and stay in compliance.We are looking for a candidate with a deep understanding of PBM regulations and experience in conducting compliance reviews and audits. The ideal candidate will also possess excellent communication and analytical skills, as well as a strong attention to detail. If you are a self-starter who thrives in a fast-paced environment and is dedicated to delivering exceptional client service, we want to hear from you. Join our team and take the next step in your compliance career.
- Conduct compliance reviews and audits for clients in the healthcare industry, specifically related to PBM regulations and guidelines.
- Stay up-to-date on current and upcoming market regulation changes and ensure clients are aware and in compliance.
- Use your deep understanding of PBM regulations to advise and guide clients on compliance matters.
- Collaborate with clients to develop and implement compliance improvement plans, including identifying and resolving any compliance risks or issues.
- Conduct training sessions for clients on PBM regulations and guidelines to ensure understanding and compliance within their organization.
- Perform thorough research and analysis to identify potential compliance risks and provide recommendations for improvement.
- Communicate effectively with clients, providing updates on regulatory changes and any compliance issues that may arise.
- Utilize your strong attention to detail to review contracts, policies, and procedures for compliance with PBM regulations.
- Collaborate with internal teams to develop and implement best practices for PBM compliance.
- Serve as a subject matter expert on PBM regulations and compliance, providing guidance and support to colleagues and clients.
- Maintain accurate and organized documentation of all compliance activities and findings.
- Continuously evaluate and improve compliance processes and procedures to ensure effectiveness and efficiency.
- Adhere to ethical and professional standards in all interactions with clients and colleagues.
- Stay informed on industry trends and developments related to PBM regulations and compliance.
Bachelor's Or Master's Degree In Business Administration, Finance, Or A Related Field.
Minimum Of 5 Years Of Experience In Healthcare Compliance, Specifically With Pharmacy Benefit Management (Pbm) Regulations.
In-Depth Knowledge Of Federal And State Laws And Regulations Related To Pbm Compliance, Including Hipaa, Medicare, And Medicaid.
Strong Understanding Of Pbm Business Operations And Processes, Including Claims Processing, Formulary Management, And Prior Authorization.
Excellent Communication And Interpersonal Skills, With The Ability To Effectively Collaborate With Clients And Internal Teams To Develop And Implement Compliance Strategies.
Communication Skills
Data Analysis
Analytical skills
Attention to detail
Compliance Knowledge
Risk assessment
Problem-Solving
Policy Development
Audit Preparation
Regulatory Expertise
Pbm Industry Experience
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Active Listening
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Market Regulation PBM Compliance Consultant is between $80,000 and $120,000 per year. However, the exact salary may vary depending on factors such as location, experience, and employer. Some employers may also offer bonuses and other benefits in addition to the base salary.
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RSM US LLP is an audit, tax, and consulting firm focused on the middle market in the United States and Canada and is a member of the global accounting network RSM International.

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