Compliance Sr. Manager

Plano, TX, United States

Overview

The Compliance Sr. Manager will collaborate directly with Maxor PBM and Rebate/Formulary Management businesses to ensure compliance with applicable regulations and client contracts by providing direction, guidance, and support. The role is responsible for working cross functionally with stakeholders to partner and achieve business goals while accounting for compliance risks. The Compliance Sr. Manager will have the opportunity to build and conduct appropriate compliance oversight, including monitoring and compliance auditing. The Compliance Sr. Manager will work closely with the Chief Compliance and Ethics Officer, other Compliance leaders, as well as Legal to further Maxor’s Culture of Compliance and Ethics.

Position Location

This is a remote-based position within the Continental US.

Preferred Experience Profile

Bachelor’s Degree required. Advanced education preferred, but additional experience in Compliance may be accepted in lieu of an additional degree

7+ years of Pharmaceutical Benefit Management (PBM) compliance experience, with specific experience with formulary and rebates preferred

Possess a broad understanding of PBM compliance considerations, including the regulations and best practices applicable to all payor lines, including government payors and commercial payors

Knowledge of federal and state laws, along with expertise in implementing regulations and guidance, including assessing applicability and scope

Experience conducting compliance auditing and monitoring, assisting with compliance investigations and reporting, documenting findings, and implementing corrective action plans

Excellent organizational, analytical, and problem-solving skills

Ability to work in a fast-paced environment and prioritize multiple tasks

Willingness to “roll up sleeves” and assist with the day-to-day functions of the Compliance Department when needed

Strong and effective written and verbal communication skills that serve diverse internal and external audiences and constituencies

Our Company

Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. Maxor has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for Maxor, but our talent base is national. We operate pharmacies and other business operation sites across the United States with more than 1100 employees working from 42 states.

Why Maxor?

Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies.  At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities.  With a workforce of 1,000+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services.  We enable pharmacy care.

Responsibilities

Promptly react, and work with other areas to investigate and respond to compliance concerns related to Maxor PBM and Rebate/Formulary Management businesses.

Partner closely with the business stakeholders and the Legal Department on regulatory matters.

Support the business on compliant and ethical implementation of new products and new laws, regulations, and guidance.

Design and maintain monitoring functions based on risk assessments and prioritization.

Manage, track, and triage reported compliance matters, including assisting with handling of ethics hotline, compliance mailboxes, or other items.

Support the enhancement and maintenance of the Compliance and Ethics Program.

Conduct compliance audits and/or design and maintain compliance monitoring functions based on risk assessments and prioritization.

Comply with, and ensure that all employees and programs comply with, Maxor’s Code of Conduct and Business Ethics.

Remain free from exclusion under the OIG/GSA and state Medicaid exclusion lists.

Must have access to an appropriate home office to work remotely.

Qualifications

Education:

Bachelor’s Degree required. Advanced education preferred, but additional experience in Compliance may be accepted in lieu of an additional degree.

Experience:

7+ years of Pharmaceutical Benefit Management (PBM) compliance experience, with specific experience with formulary and rebates preferred.

Knowledge, Skills, and Abilities:

Possess a broad understanding of PBM compliance considerations, including the regulations and best practices applicable to all payor lines, including government payors and commercial payors.

Knowledge of federal and state laws, along with expertise in implementing regulations and guidance, including assessing applicability and scope.

Experience conducting compliance auditing and monitoring, assisting with compliance investigations and reporting, documenting findings, and implementing corrective action plans.

Excellent organizational, analytical, and problem-solving skills.

Ability to work in a fast-paced environment and prioritize multiple tasks.

Willingness to “roll up sleeves” and assist with the day-to-day functions of the Compliance Department when needed.

Strong and effective written and verbal communication skills that serve diverse internal and external audiences and constituencies.

WE OFFER

At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.

We offer highly competitive compensation and comprehensive health benefits including:

Comprehensive mental health and wellbeing resources

Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums

Company-paid basic life/AD&D, short-term and long-term disability insurance

Rx, dental, vision, other voluntary benefits, and FSA

Employer-matched 401k Plan

Industry-leading PTO plan

And more!

Apply today at:  https://www.maxor.com/careers/

Maxor is an EOE, including disability/vets