Healthcare Compliance Specialist

Overview

The Healthcare Compliance Specialist supports the organization’s compliance program by coordinating activities, managing price and spend reporting, monitoring adherence to policies, and assisting with risk management initiatives. This role ensures compliance with U.S. healthcare laws and internal standards while fostering a culture of integrity and transparency.

Reports To:

Compliance Director, North America
Direct Reports:
None
Areas Managed:
Compliance coordination and reporting activities

• Compliance Coordination
• Organize and facilitate compliance meetings and maintain accurate records.
• Prepare compliance presentations and reports, including incident tracking and training metrics.
• Monitoring & Analysis
• Collect and analyze data to evaluate projects and programs for compliance impact and efficiency.
• Conduct reviews of submissions related to healthcare professionals, institutions, and government officials to ensure adherence to policies.
• Transparency Reporting
• State Price Transparency Reporting
• Aggregate Spend Transparency Reporting
• Policy & Program Support
• Stay current on U.S. healthcare compliance laws, regulations, and enforcement trends.
• Conduct regular reviews of policies, training, and communications for continuous improvement.
• Guidance & Education
• Provide guidance to employees on compliance policies and educate staff on applicable rules and best practices.
• Promote a zero-tolerance environment for fraud and non-compliance.
• Cross-Functional Collaboration
• Work closely with Sales, Marketing, Finance, Legal, Regulatory, Medical Education, and Clinical teams to manage compliance risks.
• Special Projects
• Assist with research and special projects to identify trends and recommend process improvements.
• Other
• Act in full compliance with all laws, regulations, and policies including adverse events / pharmacovigilance responsibilities.
• Additional duties as assigned.

• Bachelor’s degree in Business, Healthcare Administration, Legal Studies, or related field.
• 1 - 3 years of experience in compliance, legal, or healthcare (internship or entry-level experience acceptable).

• Skills
• Strong analytical and organizational skills; ability to manage multiple priorities.
• Excellent communication and interpersonal skills.
• Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word).
• Knowledge
• Basic understanding of U.S. healthcare compliance regulations (OIG, PhRMA Code, Anti-Kickback Statute).
• Attributes
• Detail-oriented, proactive, and committed to ethical standards.
• Demonstrated ability to manage multiple priorities in a fast-paced work environment
• Manages confidential information appropriately
• Organized
• Flexible and adaptable
• Positive thinking and enthusiasm
• Able to work in a small – middle size company
• Excellent time management and ability to work independently
• Excellent computer skills. Strong proficiency in Microsoft programs:
  Excel, Word, PowerPoint, Outlook, Teams, Power
  
  BI, etc.
• Ability to establish rapport and effectively influence at all levels within an organization
• Strong problem-solving skills and ability to critically evaluate findings.
• Ability to travel for key external meetings & internal meetings
• Project management experience a plus

This job operates in a professional office environment. The role routinely uses standard office equipment. Depending on job requirements, occasional travel outside the state or weekends may be required. Employee must be able to travel by car, train, or plane and have a valid driver’s license and means of transportation.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee must be able to fly via commercial air carrier. This is largely a sedentary role; however, the employee frequently is required to stand, walk, use hands to finger, handle or feel, and reach with hands and arms;

talk and hear. Occasionally is required to lift and/or move light to moderate weight up to 25 lbs.

Hybrid – The location for this position is a combination of working from RRD…