Responsibilities

The Compliance Lead will establish and oversee the comprehensive compliance program infrastructure for RxSense’s pharmacy benefit management operations, with a specialized focus on government healthcare programs. They will develop and implement compliance policies, procedures, and internal controls, create written compliance plans incorporating the seven elements of an effective compliance program, design and oversee compliance training programs, and establish a compliance committee structure. Furthermore, the Compliance Lead will monitor evolving federal and state regulations, interpret CMS guidance, develop compliance monitoring protocols, create regulatory change management processes, and prepare the organization for CMS program audits across all audit domains.