Job Description
Who We Are: is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results.
What We Do: We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.
Leveraging our newly launched, AI-powered pharmacy care platform,
™ , EmpiRx Health’s pharmacists and client management teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years.
Who We're Looking For: EmpiRx Health is in unprecedented growth, and we're seeking a highly skilled and experienced PBM Regulatory Compliance Analyst. The PBM Regulatory Compliance Analyst will play a key role in supporting state and federal reporting, researching regulatory changes, and managing compliance-related projects. The role requires attention to detail, strong organizational skills, and the ability to develop and maintain effective relationships with both internal teams and external regulators.
If you are a highly motivated PBM Regulatory Compliance Analyst with a strong background in PBM licensing reporting, and you are passionate about making a meaningful impact in the healthcare industry, we encourage you to apply.
What You'll Do: As a PBM Regulatory Compliance Analyst, your role will encompass a wide range of responsibilities; here are a few:
REPORTING:
- Serve as the primary support for state and federal reporting requirements.
- Build and maintain strong relationships with internal stakeholders and regulatory agencies.
- Ensure timely submission of regulatory reports.
- Lead PBM reporting efforts to regulatory agencies.
- Collaborate with IT, Finance, and other departments to automate data collection and reporting processes.
- Establish policies and procedures for state and federal reporting.
RESEARCH:
- Conduct research on new laws and regulations impacting PBM reporting.
PROJECTS & ADMINISTRATION:
- Assist with and execute assigned projects.
- Maintain and update databases and tracking systems.
- Draft, proofread, and finalize professional correspondences, reports, and other documentation.
- Screen and evaluate incoming and outgoing correspondence, preparing responses as needed.
- Prepare internal requests (e.g., check requests, IT requests).
- Foster positive interdepartmental relationships and contribute to a collaborative team atmosphere.
- Identify opportunities for process and quality improvement to mitigate organizational risks.
- Perform other job-related duties as assigned.
What You Need: Education
- Bachelor’s degree or equivalent industry experience preferred.
Experience
- 1–5 years of experience in PBM licensing, particularly in PBM licensing reports.
- Proficiency in Microsoft Office and Adobe Acrobat.
Knowledge, Skills & Abilities
- Strong attention to detail and ability to meet deadlines consistently.
- Excellent organizational, analytical, and problem-solving skills.
- Effective written and verbal communication skills for diverse audiences.
- Ability to research and adapt to state and federal regulatory changes.
- Skilled in building relationships across all organizational levels, both internally and externally.
- Ability to develop and edit technical and administrative documentation with clarity and precision.
Why Join Us: - EmpiRx Health is on an extraordinary journey where excellence meets innovation.
- We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
- You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
- We offer a generous and competitive benefits package.
EmpiRx Health is an Equal Opportunity Employer EmpiRx Health is an equal opportunity employer. We are committed to creating a diverse and inclusive environment for all employees. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
All employment decisions are based on business needs, job requirements, and individual qualifications.
We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. EmpiRx Health celebrates diversity and is committed to creating an inclusive environment for all employees.
Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
Job Tags
Full time, Local area,