Back to jobs
New

Compliance Analyst

Remote

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

  • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
  • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

We are looking for a Compliance Analyst to assist in all operational aspects of implementing a highly-effective compliance program in a dynamic PBM regulatory landscape.

In this role, you will assist and lead initiatives which prevent, detect, or correct noncompliance using the key seven elements of a compliance program. You will work closely with Compliance leadership, Legal, and Regulatory Counsel to support our mission.

We are looking for someone who is enthusiastic about building and supporting programs that impact pharmacy and healthcare at a high-growth healthcare technology company, bringing strong ethics, integrity, and solid interpersonal skills. 

Arrangement:

  • Remote, full time employee. General office environment; may be required to sit or stand for extended periods of time. On rare occasions, this position may visit any of the SmithRx offices, including the home office in San Francisco, California.
  • In order to be eligible for this position applicants must be based in one of the following states: Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, North Carolina, South Carolina, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin.

What you will do:

    • Report to Compliance leadership, playing a significant role in the development of the Compliance Program
    • Use analytical skills and compliance knowledge to be a thought leader and effectively reduce risks to our organization
    • Build and maintain positive and strategic relationships with internal and external stakeholders 
    • Support the open-door posture for reporting and detecting issues of compliance 
    • Assist in the development of materials and reporting metrics for leadership and applicable oversight committees 
    • Support the Compliance Program workplan and risk assessments 
    • Ensure document retention standards and evidence of compliance activities are maintained across our organization
    • Assist in the review, development, and completion of regulatory reporting or filings as needed
    • Provide or assist in informal or formal training and education related to regulatory and legal requirements such as policies and procedures, regulatory implementations, and more
    • Work with Legal and Compliance leadership to interpret regulations and distribute related guidance to impacted stakeholders through SmithRx’s regulatory change and distribution management program
    • Design and perform readiness testing 
    • Investigate potential or reported issues of non-compliance, state-based complaints, and concerns outlined in regulator inquiries
    • Assist in internal and external audit and monitoring activities, analyzing outcomes and ensuring detected issues are referred for remediation 
    • Analyze data and performance outcomes with relevant business leads and/or delegates to ensure compliance with requirements, escalating issues to Compliance leadership
    • Identify, document, and escalate new or increasing risks for the purposes of maintaining accurate risk assessments and subsequent mitigation plans
    • Perform root-cause analysis with issues of non-compliance
    • Ensure proper engagement and documentation with impacted parties so that mitigation activities are executed accurately and timely so that repeat non-compliance is avoided
    • Other duties as assigned

What you will bring to SmithRx:

Education and Experience:

  • Bachelor’s degree or higher education in business or related field, or equivalent years of relevant work experience is required
  • Minimum of four (4) years of compliance experience at a PBM or health plan, health plan and pharmacy operations oversight or similar experience would be considered
  • Direct experience with pharmacy benefits, network, and claims is a bonus

Licensing or Training:

  • Certified in Healthcare Compliance (CHC), Certification in Healthcare Privacy Compliance (CHPC), or Certified Compliance and Ethics Professional (CCEP) preferred
  • Current, unrestricted clinical or functional business licensure is a bonus (examples: certified pharmacy technician, paralegal, LPN in state of service, analytics, etc.)

Hard and Soft Skills:

  • Strong familiarity with the seven elements of a highly effective compliance program
  • Strong familiarity with pharmacy operations and healthcare benefits
  • Strong familiarity with ERISA governed healthcare benefits and government-funded healthcare programs, such as Healthcare Exchange Marketplace (Affordable Care Act) and Medicare preferred (compliance standards imposed upon Delegated and Downstream Entities (DDEs)/ First Tier, Downstream and Related (FDR) entities)
  • Familiarity with PBM-related healthcare operations and/or clinical concepts, practices and procedures is preferred, or similar health plan knowledge will be considered
  • Working knowledge of data analytics and ability to produce meaningful insight and solutions with sound business judgement 
  • Proven knowledge of internal and external audit functions and procedures
  • Ability to conduct research and analysis of Federal, State, and relevant industry regulatory and enforcement 
  • Demonstrated professional communication skills, to include proper grammar usage, document structure, and business writing to audiences including but not limited to internal Leadership at all levels, internal and external Legal Counsel, Corporate Compliance, State and Federal Regulators 
  • 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

What SmithRx Offers You: 

  • 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)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Create a Job Alert

Interested in building your career at SmithRx? Get future opportunities sent straight to your email.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in SmithRx’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.