Gainwell is seeking a Director of Ethics and Compliance to develop and manage the account compliance program and act as client point of contact for compliance issues related to large healthcare and/or pharmacy benefit manager client account(s). The role requires 7+ years of experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics experience.
Requirements
- 7+ years of experience in corporate healthcare, pharmaceutical, and/or pharmacy benefit manager compliance and ethics experience
- Graduate or post-graduate degrees in law and/or experience in the pharmaceutical and compliance industries
- Certification in healthcare compliance or privacy (e.g., CHC, CHPC, CHRC, or CHC-F)
- Experience in pharmaceutical and/or compliance training course design, development, and implementation
- Experience with healthcare compliance program planning and implementation
- Experience with risk management analysis and strategies, and ability to link risk management practices to business needs and activities
- Knowledge of and experience with regulatory compliance requirements related to Medicare and Medicaid reimbursement, fraud, waste, and abuse laws, and HIPAA
- Skilled in planning, problem solving, analysis, and collaboration
- Excellent understanding of project management principles
- Excellent presentation, written and verbal communication skills
- Strong organizational skills, and ability to handle multiple high-pressure situations simultaneously
- Proficient with Office 365 (Word, Excel, PowerPoint, Teams, and SharePoint)
- Experience working with large data and detecting noncompliance and fraud, waste, and abuse
- Experience leading a team, including professional development and performance management for team members
- Experience formally and informally leading and collaborating with all levels of management in compliance-related activities
Benefits
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
