Chief Compliance Officer

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.

Join us in improving health care outcomes for all! We promise to do what's right, always.

Position Summary:

As the Chief Compliance Officer, you will be responsible for establishing and providing leadership and direction for the Company's compliance programs, policies, reporting, and practices. Ensures all activities follow regulatory requirements related to the governance of the Company, including any PBM specific laws, regulations, and industry standards. Will have a deep understanding of healthcare compliance, risk management, and regulatory frameworks, coupled with the ability to develop and implement effective compliance strategies.

What you will do:

• Compliance Strategy and Leadership:
• Develop and implement a comprehensive compliance strategy aligned with business objectives and industry best practices
• Provide strategic guidance to the executive team and consult with other stakeholders on compliance matters
• Serve as a liaison to the Board and its committees regarding all compliance matters
• Regulatory Oversight:
• Monitor and interpret proposed and relevant state and federal laws, regulations, and guidelines affecting PBMs to ensure organizational compliance
• Serve as subject matter expert to ensure client implementations meet all applicable state and federal PBM requirements
• Stay abreast of industry trends and changes, proactively adjusting compliance strategies as needed
• Risk Assessment and Mitigation:
• Conduct regular risk assessments to identify potential compliance vulnerabilities and develop mitigation strategies
• Collaborate with cross-functional teams to address identified risks and implement corrective actions

• Policy Development and Implementation:
• Create and update company policies and procedures to reflect current regulatory requirements
• Oversee the implementation of compliance programs, ensuring all employees are educated and trained on relevant policies
• Audits and Monitoring:
• Establish and maintain an effective compliance monitoring program, including regular audits and internal reviews
• Collaborate with internal and external auditors to facilitate audits and respond to findings
• Oversee and manage investigations of compliance issues
• Reporting and Communication:
• Prepare and present regular compliance reports to the executive team and Board
• Foster a culture of open communication regarding compliance issues throughout the organization
  

What you need:

• Bachelor's degree in law, business, finance, or related field; advanced degree preferred
• Proven experience in a senior leadership compliance role within the healthcare industry, preferably within the pharmacy and/or PBM industry
• In-depth knowledge of federal and state regulations within healthcare, preferably related to PBMs
• Proficiency in identifying and mitigating compliance risks
• Strong leadership and communication skills, with the ability to influence at all levels of the organization
• Experience leading others
• Ability to develop and implement long-term compliance strategies
• Certification in healthcare compliance (e.g., CHC, CHPC) is highly desirable
• Ability to work collaboratively with cross-functional teams, internal, and external
  
  

What you get:

• To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes.
• To work in a culture where people thrive because when OUR team thrives, OUR business thrives.
• Competitive compensation, including equity, with health, dental, vision and other benefits.
  
  

Note:

AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.