• Identifies and explores regulatory developments affecting pharmacy benefit managers acting as a PBM or TPA.
• Research and interpret current, pending, and future rules and regulations and how may impact ProAct and/or clients and business partners.
• Tracks pertinent legislative and regulatory changes and communicates to others.
• Review regulatory publications from agencies and industry trade organizations.
• Partner with Director of Regulatory and Compliance to identify impactful legislation/regulations and communicate with others within the organization.
• Conduct audits of policies and/or procedures by examining records, reports, SOP, and other documentation to ensure compliance with state and federal laws.
• Support preparation of regulatory filings and responding to regulatory inquiries and examinations.
• Supports HIPAA compliance efforts to ensure policies and procedures are appropriate to meet requirements.
• Assist in development with employee compliance training and development programs within ProAct.
• Communicates with external agencies or partners as needed.
• Assist in reporting or other requirements as a condition of licensure, as needed.
• Assisting with preparation and reviewing of contracts and management of contract life cycle as needed.
• Provides support, when needed, to ProAct Pharmacy Services for regulatory and/or compliance matters.
• Partner with internal and external legal resources as needed relating to regulatory and/or compliance issues.
• Prioritizes workflow to meet internal and external deadlines.
• Maintain appropriate records and documentation relating to job duties.
• Assist in licensing and registration requirements when needed.
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned

Education:

• BS in regulatory specialization, degree from an approved US paralegal training institution, or an equivalent combination of education and corporate or law firm experience.

• 3+ years as paralegal or regulatory specialist
• Previous role in a position requiring a team or collaborative working environment

• Strong Communication Skills: Must be able to effectively communicate both on the phone and in group setting
• Strong Organizational Skills
• Self-motivated with ability to prioritize multiple tasks along with a strong sense of urgency and responsiveness
• Strong research capabilities with ability to use web-based resources and navigate state/federal/other statutes and regulations
• Extensive familiarity with interpreting regulatory regulations and laws
• Understanding of PBM and/or TPA industry, preferred