# Compliance Analyst

**Company:** [SmithRx](https://hotfix.jobs/companies/smithrx)
**Location:** Remote
**Role:** Other
**Salary:** $89k – $126k/yr
**Experience:** 4+ years
**Skills:** Compliance, Corrective Action Plans, Root Cause Analysis, Healthcare Compliance, Pharmacy Benefits Management, Erisa, Medicare, Chc, Chpc, Ccep, Audit Procedures, Risk Mitigation, Pharmacy Operations, Healthcare Regulations
**Posted:** 2026-07-16

> Compliance Analyst responsible for designing and managing corrective action processes, conducting root cause analysis, mitigating compliance risks, and ensuring timely resolution of issues in a pharmacy benefits management (PBM) environment. Requires 4+ years of healthcare compliance experience and strong knowledge of regulatory frameworks.

## Job Description

## Primary Responsibilities
- Design and/or enhance corrective action process
- Assess and prioritize corrective action referrals
- Initiate corrective actions (e.g., corrective action plans, warning letters)
- Collaborate with business stakeholders to perform root cause analysis
- Collaborate with business stakeholders to identify prevention, detection, and correction opportunities
- Ensure business partners complete corrective actions in a timely and effective manner
- Identify ways to mitigate risks to our organization
- Develop job aids, playbook, and other program documentation

## Additional Responsibilities
- Build and maintain positive and strategic relationships with internal and external stakeholders
- Support our compliant and ethical culture
- Assist in developing or updating oversight materials and reporting metrics
- Create and distribute written compliance standards where applicable
- Abide by organization retention standards and version controls
- Collaborate in Compliance training and education needs
- Investigate potential or reported issues of non-compliance
- Monitor organizational disciplinary actions and incentives for consistency, accuracy, and timeliness
- Collaborate with Legal and other stakeholders to interpret regulations
- Other responsibilities as assigned

## Requirements
- Bachelor’s degree or higher education in healthcare, compliance, or a related field, or equivalent years of relevant work experience
- Minimum of four (4) years of compliance experience at a PBM or health plan, and pharmacy operations oversight or similar experience
- Strong understanding with the seven elements of a highly effective compliance program
- Strong working knowledge of healthcare compliance program corrective actions
- Working knowledge of external audit functions and procedures
- Professional verbal and written communication skills including proper grammar, construct, and appropriate to the audience
- Advanced organizational, project, and time management skills to prioritize, prepare, and leverage resources and stay on focus
- Ability to work independently and within a team environment
- Ability to establish effective collaborative techniques, such as conflict resolution

## Nice-to-Haves
- Certified in Healthcare Compliance (CHC), Certification in Healthcare Privacy Compliance (CHPC), or Certified Compliance and Ethics Professional (CCEP)
- Current, unrestricted clinical or functional business licensure (examples: certified pharmacy technician)
- Direct experience with pharmacy benefits, network, and claims
- Strong familiarity with PBM-related healthcare operations and/or clinical concepts, practices and procedures, or similar health plan knowledge
- Strong familiarity with ERISA, Healthcare Exchange Marketplace (Affordable Care Act), Worker’s Compensation, and Medicare
- Familiarity with pharmacy operations and healthcare benefits
- Data-driven, big-picture thinker, and solutions-oriented

## Compensation & Benefits
- Base Salary: $89,300 - $126,000 (varies by zone: Zone A $107,100–$126,000; Zone B $98,200–$115,500; Zone C $89,300–$105,000)
- Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Short-term and long-term disability
- Discretionary Paid Time Off
- 12 Paid Holidays
- Wellness Benefits
- Commuter Benefits
- Paid Parental Leave benefits
- Employee Assistance Program (EAP)
- Professional development and training opportunities
- Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity.

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