Legislative Services Compliance Manager (I, II, III)

Exemption Status: United States of America (Exempt) $71,614 - $95,784 - $119,953 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary Responsible for maintaining an effective compliance program by managing and overseeing MedImpact’s regulatory compliance activities and compliance with comprehensive federal and state laws, and regulations. This position manages requests and inquiries received from clients, regulatory authorities, and internal customers relating to MedImpact’s federal and state reviews/assessments, regulatory compliance initiatives, licensing, and related processes. This position advises internal business partners on changing laws and regulations, licensing activities, and maintains an effective communication program and record keeping mechanism for government regulations as required by various government regulatory agencies. Essential Duties and Responsibilities Monitor state and federal regulations, sub-regulatory guidance, and any other applicable communications distributed by regulatory bodies. Manage licensing requirements for assigned states, including renewals, new applications, and ongoing compliance obligations; collaborate with internal SMEs, licensing teams, and external counsel. Analyze information for dissemination to appropriate internal operational areas and, where appropriate, prepare overviews and other documentation to serve as compliance guidance in relation to implementation of specified requirements. Interfaces with internal operational areas on compliance matters impacting MedImpact’s initiatives. Oversee internal implementation efforts relating to new legislation in concert with the Counsel, Legislative Services. Communicates to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements Manage state regulatory reporting for initial and updated reporting and submission requirements. Work with internal subject matter experts, and outside counsel as appropriate. Develop documentation on best practice and establish ongoing processes and parameters to fully support the initial regulatory reporting and overall client support of regulatory reporting requests. Develop and maintain state regulatory and license repository (PBMSource) and C360 and serve as subject matter expert for applicability, scope, and reporting parameters according to state regulatory requirements. Independently interface with clients and legal counsel on matters relating to compliance with applicable laws or regulations with standard summaries and potential challenges. Assist with the development and review of organization’s policies and procedures in relation to state or federal regulations. Identifies needed policies and procedures in order to demonstrate compliance with applicable requirements and works with appropriate internal operational units to ensure creation and maintenance of needed documentation. Ensure policies and procedures are revised to address regulatory changes. Work directly with the Compliance Officer to support the Corporate Compliance Program in relation to new or amended requirements. Communicate to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements. Keep up to date on the industry’s best practices and regulatory changes through PCMA and PBMSource. Develop and present training to departments across the organization in relation to enacted state or federal laws that impact multiple lines of business and presents updates on initiatives to the Corporate Compliance Committee. Development and implementation of strategic initiatives relating to emerging state and federal regulations. Education and/or Experience      Level I                               BS/BA and 3+ years’ experience or equivalent combination of education and experience Level II BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas Level II                          BS/BA and 7+ years’ experience or equivalent combination of education and experience, and 4 years' of SME in respective areas Computer Skills Strong PC skills in Microsoft Office Suite, MS Outlook, and intermediate knowledge of Excel. Familiar with relational databases and industry specific software. Certificates, Licenses, Registrations None required Other Skills and Abilities Solid working knowledge of current assigned state and federal regulatory requirements and related company training initiatives required. Strong listening skills and ability to convey regulatory comp