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Vice President, PBM Compliance & Regulatory Operations - Remote

Eac49f24 652e 43a1 B2e9 5c0a30cfdc4a 19000101 000001 · Chicago, IL, US, Chicago, IL · Remote · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyEac49f24 652e 43a1 B2e9 5c0a30cfdc4a 19000101 000001
TitleVice President, PBM Compliance & Regulatory Operations - Remote
Normalized title-
Department / team-
LocationChicago, IL, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-08 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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Linked records

CompanyEac49f24 652e 43a1 B2e9 5c0a30cfdc4a 19000101 000001
Sourcea01cb435-efe0-4fd7-a8ee-474489a65e87
ATS providerADP Workforce Now Recruiting

Description

Vice President, PBM Compliance and Regulatory Operations Role and Responsibilities The Vice President, PBM Compliance and Regulatory Operations, is responsible for building, leading, and operating Liviniti’s PBM compliance and privacy functions to ensure adherence to all applicable state and federal laws and regulations, including PBM-specific requirements and HIPAA, HITECH, ERISA-related disclosures, and the Consolidated Appropriations Act (CAA). This role translates regulatory and privacy obligations into operational workflows, system logic, controls, and audit-ready processes, embedding compliance into day-to-day business operations. The role owns PBM regulatory compliance, market conduct exam readiness, and privacy operations, including oversight of HIPAA incidents, breach response, corrective action plans, and ongoing risk mitigation. Partnering closely with Legal, Operations, Product, and Technology teams, this position does not act as a plan fiduciary or manage client ERISA compliance, but ensures PBM operations, data, disclosures, and privacy practices meet all regulatory and contractual requirements as an integral member of the Legal and Compliance leadership team. The Vice President, PBM Compliance and Regulatory Operations, is required to perform the following duties and professionally undertake the following responsibilities. Additional responsibilities include, but are not limited to, the following: Build and Implement the Compliance Function Stand up the compliance program from scratch and drive full implementation across the business Develop company and departmental policies and procedures and convert them into actionable workflows, controls, and system requirements Establish governance, reporting, and accountability mechanisms that are actively used and adhered to State PBM Regulatory Compliance Own and maintain a state-by-state regulatory inventory and monitoring process Translate regulatory requirements into specific business rules and system configurations Partner with operations and technology to implement requirements in areas such as claims adjudication, MAC pricing, pharmacy network standards, and appeals processes Validate that requirements are correctly implemented and functioning in practice Market Conduct Exam Readiness Build and maintain a continuous state of market conduct exam readiness Develop documentation, evidence repositories, and audit trails tied to actual operations Conduct internal readiness reviews and mock exams Lead regulatory exams, including data requests, responses, and remediation efforts Systems, Controls, and Monitoring Design and implement system-based compliance controls and automated edits within PBM platforms Work closely with technology teams to embed compliance with claims logic and operational workflows Establish ongoing monitoring, including control testing, exception reporting, and data validation Develop dashboards and reporting to track compliance performance and risk CAA and Gag Clause Compliance (PBM scope) Oversee PBM responsibilities under the Consolidated Appropriations Act (CAA) Support and validate data for RxDC reporting Ensure compliance with gag clause requirements and support related attestations Build controlled, repeatable processes for cross-functional data aggregation and reporting Ensure outputs are accurate, documented, and audit-ready Audit, Risk, and Third-Party Oversight Build a risk-based audit and monitoring program aligned to regulatory exposure Identify control gaps and drive remediation with business owners Oversee compliance of pharmacies, vendors, and downstream partners Privacy Governance & HIPAA Oversight Provide executive leadership for the organization’s HIPAA Privacy, Security, and Breach Notification compliance programs, ensuring alignment with enterprise compliance and regulatory strategy Oversee development and maintenance of HIPAA policies, standards, and procedures, and integration into business and operational processes Interpret and operationalize federal and state health privacy regulations into actionable compliance controls and requirements Partner with Legal, Information Security, IT, HR, and business leaders to embed privacy compliance across the organization and third-party relationships Report on privacy risk posture, key metrics, and emerging issues to executive leadership and governance bodies HIPAA Incident Management & Corrective Action Developing and updating HIPAA policies and procedures within the company Serve as executive lead for HIPAA-related incidents, overseeing intake, investigation, risk assessment, and breach determination Ensure timely, accurate, and compliant breach notifications to affected individuals, regulators, and other required stakeholders Direct development and execution of corrective action and remediation plans, addressing root causes and control gaps Oversee regulatory interactions related to privacy incidents, including OCR inquiries, audits, and enforcement actions, in coordination with Legal Monitor and validate the effectiveness of remediation efforts and drive continuous improvement to prevent recurrence Leadership and Execution Operate as a hands-on leader, directly owning key deliverables in early stages Build and scale the compliance team over time Serve as primary point of contact for regulators, auditors, and external counsel Provide regular reporting and insight to executive leadership General Duties Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company Abide by all obligations under HIPAA related to Protected Health Information (PHI) If a HIPAA violation is discovered, whether individually or by another, the violation must be reported to the Compliance Department Assists with managing the legal calendar, inbox, and other shared inboxes, including maintaining organization and responding timely to inquiries Assists CLO with various tasks, as needed Participates in special compliance projects, as assigned Manages compliance inbox Performs other compliance duties, as assigned Flexibility to understand, appreciate, and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time, with or without notice Required Skills and Competencies Ability to review and interpret state and federal guidelines and translate them into practical, operational solutions Executive-level leadership skills with experience building and leading high-performing compliance or regulatory operations teams Sound judgment and decision-making in ambiguity, escalation, and regulatory risk scenario Strong understanding of controls, audit readiness, and documentation Ability to balance compliance rigor with business enablement Strategic mindset with the ability to anticipate regulatory trends and proactively prepare the organization Strong analytical skills to assess operational risk, data flows, and system impacts of regulatory requirements Exceptional written and verbal communication skills, including the ability to explain regulatory requirements clearly to non-legal audiences Willing to challenge and push teams to implement, not defer Execution-oriented and comfortable working in the details Effective in ambiguous, fast-moving environments Ability to work independently and collaboratively in a team environment Success Metrics (First 12 Months) Compliance program implemented and operating across core PBM functions State PBM regulatory requirements translated into system logic and operational workflows Organization maintains ongoing market conduct exam readiness with complete documentation and evidence System-based controls and monitoring in place with measurable performance indicators CAA-related PBM processes operational, repeatable, and audit-ready All HIPAA incidents are identified, investigated, and resolved within required regulatory timeframes, with accurate breach determinations and compliant notifications Corrective actions address root causes and control gaps, with validation showing measurable reduction in repeat incidents and improved privacy control effectiveness Supervisory Responsibility This position may have supervisory responsibilities. Position Type and Expected Hours of Work Some flexibility in hours is allowed, but the employee must be available during the "core" work hours of 8:00 AM to 5:00 PM CT. The company covers clients form the West to the East Coast; work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends, and holidays in accordance with industry demands. Travel Limited travel is expected for this position. What We Have to Offer Our benefits package is designed to keep our employees happy and healthy - physically, mentally and financially: Medical, Dental, Vision insurance Disability and Life insurance Employee Assistance Program Remote work options Generous Paid-Time Off Annual Reviews and Development Plans Retirement Plan with company match immediately 100% vested Required Education and Experience Bachelor's degree (B.A.) in Law, Healthcare Administration, Business Administration, Public Health, Pharmacy, or a related field, or 2+ years of related experience and/or training; or equivalent combination of education and experience High degree of professional ethics and integrity Sound judgement and ability to analyze situations and information Preferred Education and Experience Juris Doctor (JD) or equivalent legal background strongly preferred 10+ years of experience in healthcare compliance, PBM, health plan, or similar regulated environment Demonstrated experience implementing regulatory requirements into operations, systems, or workflows Strong knowledge of state PBM laws or comparable multi-state regulatory frameworks Experience supporting market conduct exams, audits, or regulatory reviews Proven ability to work cross-functionally with technology, operations, legal, and finance teams Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Full job record

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First Seen At2026-05-31 18:46:02Z
Last Seen At2026-06-06 12:17:55Z
Last Checked At2026-06-06 12:17:55Z
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    "requisitionDescription": "<div><p><span style=\"font-size: 24px; font-family: arial, sans-serif;\"><strong>Vice President, PBM Compliance and Regulatory Operations</strong></span></p><p><span style=\"font-family: arial, sans-serif; font-size: 18px;\">Role and Responsibilities</span></p><p style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;background:white;vertical-align:baseline;'><span style=\"font-family: arial, sans-serif; color: black; font-size: 18px;\">The Vice President, PBM Compliance and Regulatory Operations, is responsible for building, leading, and operating Liviniti&rsquo;s PBM compliance and privacy functions to ensure adherence to all applicable state and federal laws and regulations, including PBM-specific requirements and HIPAA, HITECH, ERISA-related disclosures, and the Consolidated Appropriations Act (CAA). This role translates regulatory and privacy obligations into operational workflows, system logic, controls, and audit-ready processes, embedding compliance into day-to-day business operations. The role owns PBM regulatory compliance, market conduct exam readiness, and privacy operations, including oversight of HIPAA incidents, breach response, corrective action plans, and ongoing risk mitigation. Partnering closely with Legal, Operations, Product, and Technology teams, this position does not act as a plan fiduciary or manage client ERISA compliance, but ensures PBM operations, data, disclosures, and privacy practices meet all regulatory and contractual requirements as an integral member of the Legal and Compliance leadership team.&nbsp;</span><span style=\"color: black; border: 1pt windowtext; padding: 0in; font-size: 18px; font-family: arial, sans-serif;\">The&nbsp;</span><span style=\"font-family: arial, sans-serif; color: black; font-size: 18px;\">Vice President, PBM Compliance and Regulatory Operations,&nbsp;</span><span style=\"color: black; border: 1pt windowtext; padding: 0in; font-size: 18px; font-family: arial, sans-serif;\">is required to perform the following duties and professionally undertake the following responsibilities. Additional responsibilities include, but are not limited to, the following:&nbsp;</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:5.75pt;font-size:15px;font-family:\"Calibri\",sans-serif;text-indent:-5.75pt;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:5.75pt;font-size:15px;font-family:\"Calibri\",sans-serif;text-indent:-5.75pt;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>Build and Implement the Compliance Function</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Stand up the compliance program from scratch and drive full implementation across the business</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Develop company and departmental policies and procedures and convert them into actionable workflows, controls, and system requirements</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Establish governance, reporting, and accountability mechanisms that are actively used and adhered to</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>State PBM Regulatory Compliance</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Own and maintain a state-by-state regulatory inventory and monitoring process</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Translate regulatory requirements into specific business rules and system configurations</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Partner with operations and technology to implement requirements in areas such as claims adjudication, MAC pricing, pharmacy network standards, and appeals processes</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Validate that requirements are correctly implemented and functioning in practice</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>Market Conduct Exam Readiness</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Build and maintain a continuous state of market conduct exam readiness</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Develop documentation, evidence repositories, and audit trails tied to actual operations</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Conduct internal readiness reviews and mock exams</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Lead regulatory exams, including data requests, responses, and remediation efforts</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>Systems, Controls, and Monitoring</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Design and implement system-based compliance controls and automated edits within PBM platforms</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Work closely with technology teams to embed compliance with claims logic and operational workflows</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Establish ongoing monitoring, including control testing, exception reporting, and data validation</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Develop dashboards and reporting to track compliance performance and risk</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>CAA and Gag Clause Compliance (PBM scope)</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Oversee PBM responsibilities under the Consolidated Appropriations Act (CAA)</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Support and validate data for RxDC reporting</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Ensure compliance with gag clause requirements and support related attestations</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Build controlled, repeatable processes for cross-functional data aggregation and reporting</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Ensure outputs are accurate, documented, and audit-ready</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>Audit, Risk, and Third-Party Oversight</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Build a risk-based audit and monitoring program aligned to regulatory exposure</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Identify control gaps and drive remediation with business owners</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Oversee compliance of pharmacies, vendors, and downstream partners</li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;' data-pasted=\"true\"><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>Privacy Governance &amp; HIPAA Oversight</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Provide executive leadership for the organization&rsquo;s HIPAA Privacy, Security, and Breach Notification compliance programs, ensuring alignment with enterprise compliance and regulatory strategy</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Oversee development and maintenance of HIPAA policies, standards, and procedures, and integration into business and operational processes</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Interpret and operationalize federal and state health privacy regulations into actionable compliance controls and requirements</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Partner with Legal, Information Security, IT, HR, and business leaders to embed privacy compliance across the organization and third-party relationships</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Report on privacy risk posture, key metrics, and emerging issues to executive leadership and governance bodies</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;text-align:justify;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;text-align:justify;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>HIPAA Incident Management &amp; Corrective Action</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Developing and updating HIPAA policies and procedures within the company</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Serve as executive lead for HIPAA-related incidents, overseeing intake, investigation, risk assessment, and breach determination</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Ensure timely, accurate, and compliant breach notifications to affected individuals, regulators, and other required stakeholders</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Direct development and execution of corrective action and remediation plans, addressing root causes and control gaps</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Oversee regulatory interactions related to privacy incidents, including OCR inquiries, audits, and enforcement actions, in coordination with Legal</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Monitor and validate the effectiveness of remediation efforts and drive continuous improvement to prevent recurrence</li></ul></div><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:0in;margin-right:0in;margin-bottom:.7pt;margin-left:.25in;text-indent:-.25in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>Leadership and Execution</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Operate as a hands-on leader, directly owning key deliverables in early stages</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Build and scale the compliance team over time</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Serve as primary point of contact for regulators, auditors, and external counsel</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Provide regular reporting and insight to executive leadership</li></ul></div><p style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><u>General Duties</u></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Abide by all obligations under HIPAA related to Protected Health Information (PHI)</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">If a HIPAA violation is discovered, whether individually or by another,&nbsp;the violation&nbsp;must&nbsp;be&nbsp;reported to the Compliance Department</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Assists with managing the legal calendar, inbox, and other shared inboxes, including maintaining organization and responding timely to inquiries</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Assists CLO with various tasks, as needed</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Participates in special compliance projects, as assigned</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Manages compliance inbox</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Performs other compliance duties, as assigned</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Flexibility to understand, appreciate, and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time, with or without notice</li></ul></div><p style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><br></span></p><p style='margin-top:7.5pt;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>Required Skills and Competencies</strong></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Ability to review and interpret state and federal guidelines and translate them into practical, operational solutions</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Executive-level leadership skills with experience building and leading high-performing compliance or regulatory operations teams</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Sound judgment and decision-making in ambiguity, escalation, and regulatory risk scenario</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Strong understanding of controls, audit readiness, and documentation</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Ability to balance compliance rigor with business enablement</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Strategic mindset with the ability to anticipate regulatory trends and proactively prepare the organization</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Strong analytical skills to assess operational risk, data flows, and system impacts of regulatory requirements</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Exceptional written and verbal communication skills, including the ability to explain regulatory requirements clearly to non-legal audiences</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Willing to challenge and push teams to implement, not defer</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Execution-oriented and comfortable working in the details</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Effective in ambiguous, fast-moving environments</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Ability to work independently and collaboratively in a team environment<br><br></li></ul><p style='margin-top:7.5pt;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;' data-pasted=\"true\"><span style='font-family:\"Calibri\",sans-serif;font-weight:bold;'><span style=\"font-size: 18px; font-family: Calibri;\">Success Metrics (First 12 Months)</span></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: 6.5px;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>Compliance program implemented and operating across core PBM functions</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>State PBM regulatory requirements translated into system logic and operational workflows</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>Organization maintains ongoing market conduct exam readiness with complete documentation and evidence</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>System-based controls and monitoring in place with measurable performance indicators</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>CAA-related PBM processes operational, repeatable, and audit-ready</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>All HIPAA incidents are identified, investigated, and resolved within required regulatory timeframes, with accurate breach determinations and compliant notifications</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\"><span style='font-family: \"Times New Roman\"; color: black;'>Corrective actions address root causes and control gaps, with validation showing measurable reduction in repeat incidents and improved privacy control effectiveness</span></li></ul></div><br><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>Supervisory Responsibility</strong></span></div><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">This position may have supervisory responsibilities.</li></ul></div><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br></div><p style='margin-top:7.5pt;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;' data-pasted=\"true\"><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>Position Type and Expected Hours of Work</strong></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Some flexibility in hours is allowed, but the employee must be available during the &quot;core&quot; work hours of 8:00 AM to 5:00 PM CT. &nbsp;The company covers clients form the West to the East Coast; work times must be adjusted to cover meetings in all time zones. &nbsp;Ability to work extended hours, weekends, and holidays in accordance with industry demands.</li></ul></div><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><br><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>Travel</strong></span></div><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Limited travel is expected for this position.</li></ul><p><br></p><p style='margin-top:7.5pt;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;' data-pasted=\"true\"><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>What We Have to Offer</strong></span><br><span style=\"font-size: 18px; font-family: arial, sans-serif;\">Our benefits package is designed to keep our employees happy and healthy - physically, mentally and financially:</span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Medical, Dental, Vision insurance</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Disability and Life insurance</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Employee Assistance Program</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Remote work options</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Generous Paid-Time Off</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Annual Reviews and Development Plans</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: initial;\">Retirement Plan with company match immediately 100% vested</li></ul></div><p><br></p></div><p style='margin-top:7.5pt;margin-right:0in;margin-bottom:0in;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;' data-pasted=\"true\"><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>Required Education and Experience</strong></span></p><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\"><span style=\"color: black;\">Bachelor&#39;s degree (B.A.) in Law, Healthcare Administration, Business Administration, Public Health, Pharmacy, or a related field, or 2+ years of related experience and/or training; or equivalent combination of education and experience</span></li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">High degree of professional ethics and integrity</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Sound judgement and ability to analyze situations and information</li></ul><br><span style=\"font-size: 18px; font-family: arial, sans-serif;\"><strong>Preferred Education and Experience</strong></span></div><div style='margin-top:1.5pt;margin-right:0in;margin-bottom:1.5pt;margin-left:0in;font-size:13px;font-family:\"Calibri\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;margin-left: -0.25in;\"><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Juris Doctor (JD) or equivalent legal background strongly preferred</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">10+ years of experience in healthcare compliance, PBM, health plan, or similar regulated environment</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Demonstrated experience implementing regulatory requirements into operations, systems, or workflows</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Strong knowledge of state PBM laws or comparable multi-state regulatory frameworks</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Experience supporting market conduct exams, audits, or regulatory reviews</li><li style=\"margin: 1.5pt 0in; font-size: 18px; font-family: arial, sans-serif;\">Proven ability to work cross-functionally with technology, operations, legal, and finance teams</li></ul><br>Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.<br>Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V</div></div></div>\n",
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Get this page with API

Rendered from the bluedoor Job Postings API. Reproduce it:

GET https://api.bluedoor.sh/job-postings/v1/jobs/1f3ef60e2bc0db21f8fe656dd38b03cafc0d8eae?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/2c79f6e1-5514-41d7-80a7-6f23a9449d5bJSON
GET https://api.bluedoor.sh/job-postings/v1/sources/a01cb435-efe0-4fd7-a8ee-474489a65e87JSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/1f3ef60e2bc0db21f8fe656dd38b03cafc0d8eae/eventsJSON

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