Prime TherapeuticsHiring

Senior Compliance Analyst (Medicare/Medicaid)

  • Remote, United States
  • Senior
  • Posted 5 days ago
In one line

Compliance role at a pharmacy benefits manager, focused on Medicare, Medicaid and ACA rules, with the option to work remotely.

About the role

Suits someone who has spent years in legal or compliance work inside a regulated healthcare setting and can turn dense regulation into clear guidance for senior leaders.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Senior
Skills
Medicare, Medicaid, Affordable Care Act, CCEP, CHC, PMP
Visa
No sponsorship
Posted
24 Oct 2026
Last checked
28 Oct 2026

What you will do

  • Run compliance procedures and enforce policy governance so regulatory reporting and operational duties are met
  • Act as the compliance expert on hard problems and strengthen the supporting documentation
  • Sit on complex contracts and cross-functional projects, building working ties with stakeholders
  • Lead project management for sensitive or complex compliance efforts
  • Write clear compliance records and executive or governance reports for leaders and committees
  • Research and interpret laws, guidance and filing rules, then document and escalate what you find

What they look for

  • Bachelor's degree in business, healthcare or a related field, or equal education and experience, plus a high school diploma or GED
  • Five years of progressive legal or compliance work in healthcare, a PBM or another heavily regulated industry
  • Eligible to work in the United States without a visa or residency sponsorship
  • Strong written and verbal communication, with critical thinking for complex situations
  • A grasp of compliance program principles and practices, and the ability to present complex material and sway stakeholders at any level

Nice to have

  • PBM or healthcare background, CCEP or CHC certification, PMP, Part D or ACA experience, a law degree, or licensing renewal work

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Questions about this job

Is this a remote job, and where can I work from?

The posting lists it as remote for people in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a senior role. The posting asks for: bachelor's degree in business, healthcare or a related field, or equal education and experience, plus a high school diploma or GED; five years of progressive legal or compliance work in healthcare, a PBM or another heavily regulated industry; eligible to work in the United States without a visa or residency sponsorship. Skills it names include Medicare, Medicaid, Affordable Care Act, CCEP.

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