Compliance Analyst, Corporate Compliance

Compliance Analyst, Corporate Compliance

Remote

Smith Rx is a rapidly growing, venture‑backed Health‑Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next‑generation drug acquisition platform driven by cutting‑edge technology, innovative cost‑saving tools, and best‑in‑class customer service. With hundreds of thousands of members onboarded since 2016, Smith Rx has a solution that is resonating with clients all across the country.

We pride ourselves on a mission‑driven and collaborative culture that inspires our employees to do their best work. Our core values are Integrity, Courage, and Together.

We are looking for a Compliance Analyst to assist in all operational aspects of implementing a highly‑effective compliance program in a dynamic PBM regulatory landscape. This position focuses on operational and compliance policies and procedures, standards of conduct, training and education, communication plans, and development of oversight materials and processes.

• Remote, full‑time employee. General office environment; may be required to sit or stand for extended periods. Occasional travel to Smith Rx offices, including the home office in San Francisco, California.
• Reports to the Compliance Director.

• Research compliance program benchmarks, maturity measures, and other requirements.
• Design and/or enhance organizational code of conduct.
• Write, edit, or maintain compliance policies, procedures, and program descriptions.
• Construct specific and effective compliance training and education.
• Establish and enforce timely reviews of business‑owned policies and procedures.
• Create and manage policy & procedure workgroup initiatives.
• Assist with compliance vendor oversight activities.
• Create compliance communication plans that increase workforce engagement.
• Write and track compliance program responses to client requests for proposal/information (RFP/RFI), questionnaires, and other attestations.
• Develop job aids, playbooks, and other program documentation.

• Build and maintain positive and strategic relationships with internal and external stakeholders.
• Support a compliant and ethical culture.
• Assist in developing or updating oversight materials and reporting metrics.
• Abide by organization retention standards and version controls.
• Investigate potential or reported issues of non‑compliance.
• Perform root‑cause analysis and identify prevention, detection, and correction opportunities.
• Ensure business partners complete corrective actions in a timely and effective manner.
• Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness.
• Collaborate with Legal and other stakeholders to interpret regulations.
• Other responsibilities as assigned.

• Bachelor’s degree or higher education in healthcare, compliance, or a related field, or equivalent years of relevant work experience is required.
• Minimum of four (4) years of compliance experience at a PBM or health plan, and pharmacy operations oversight or similar experience would be considered.
• Direct experience with pharmacy benefits, network, and claims is a bonus.

• Certified in Healthcare Compliance (CHC), Certification in Healthcare Privacy Compliance (CHPC), or Certified Compliance and Ethics Professional (CCEP) preferred.
• Current, unrestricted clinical or functional business licensure is a bonus (examples: certified pharmacy technician).

• Strong understanding of the seven elements of a highly effective compliance program.
• Strong familiarity with PBM‑related healthcare operations and/or clinical concepts, practices and procedures; similar health plan knowledge will be considered.
• Strong working knowledge of writing healthcare compliance standards and frameworks.
• Working knowledge of external audit functions and procedures.
• Strong familiarity with ERISA, Healthcare Exchange Marketplace (Affordable Care Act), Worker’s Compensation, and Medicare preferred.
• Familiarity with pharmacy operations and healthcare…