Okay, I've searched for remote Compliance Manager positions in Raleigh, NC within the healthcare industry, requiring 6 years or more of experience and offering medical insurance benefits. I have found 42 positions for you.

Sure. Here's the analysis:

Job Analysis:

The Manager, Compliance role at Prime Therapeutics is fundamentally designed to safeguard the organization's adherence to an ever-evolving landscape of healthcare laws, regulatory standards, and client contractual obligations, particularly focused on Medicaid, Medicare, and the Affordable Care Act. This position requires a sophisticated level of expertise to interpret complex regulations, design and execute compliance programs, and foster a culture of compliance through training, monitoring, and advisement. The key responsibilities revolve around proactive risk assessment, policy enforcement, and cross-functional collaboration with Legal, HR, and operational teams, highlighting the need for both technical regulatory knowledge and interpersonal influence skills. Success in this role means not only ensuring regulatory adherence but also driving improvements in compliance culture and processes across multiple business units, often requiring nuanced problem-solving amidst ambiguity and rapid regulatory change. The role demands someone who is comfortable balancing detailed regulatory work with strategic leadership, including mentoring others and effectively communicating complex compliance challenges to diverse audiences. Given the opportunity for up to 20% travel and collaboration on enterprise projects, adaptability and strong project management are also implicit expectations.

Company Analysis:

Prime Therapeutics operates in the healthcare and Pharmacy Benefit Management (PBM) sector—a complex, highly regulated, and rapidly changing industry. Known for its commitment to improving patient access to medications, the company values collaboration, innovation, and a mission-driven approach. This environment suits compliance professionals who thrive in fast-paced, mission-oriented organizations where compliance is integral to patient outcomes and corporate reputation. The company emphasizes empowerment and employee involvement, suggesting a culture that supports initiative and continuous improvement. The role’s reporting line to a senior director indicates a strategic alignment, with the Manager acting as both a subject matter expert and a change agent within the compliance function. As a leader in its space, Prime is likely balancing growth and regulatory challenges, so this role is both a stabilizing force and a key contributor to scaling compliance programs effectively. Candidates must be attuned not only to technical requirements but also to the company’s collaborative and values-driven culture, ensuring they can integrate compliance priorities seamlessly throughout the business.

Absolutely. Here are some mock interview questions that could come up:

• Behavioral: Tell me about a time when you identified a significant compliance risk that others had overlooked. How did you handle it and what was the outcome?
• Behavioral: Describe a situation where you had to influence a cross-functional team to adopt a new compliance policy. What strategies did you use to gain their buy-in?
• Behavioral: Can you give an example of how you managed a compliance-related investigation? How did you collaborate with legal and HR teams during this process?
• Behavioral: Share an experience where you had to juggle multiple complex projects with competing priorities. How did you ensure successful delivery?
• Technical: How would you approach designing a monitoring program to ensure compliance with recent changes in Medicaid or Medicare regulations?
• Technical: What methodologies do you use to assess the effectiveness of compliance training programs, and how do you adapt training based on your assessments?
• Technical: Explain how you have applied risk-ranking methodologies in previous compliance roles to prioritize audits and controls.
• Technical: Describe your experience with developing and maintaining compliance documentation such as Standard Operating Procedures or Desk Top Procedures in a regulated healthcare environment.
• Situational: Imagine you discover a possible violation of regulatory requirements during an audit just before a major client review. How would you handle the discovery and communication of this issue?
• Situational: Suppose a new law is enacted that impacts your compliance programs, but internal teams are resistant to adapting existing processes. How would you manage this change?
• Situational: If you were tasked with enhancing the culture of compliance within a large and diverse organization, what initial steps would you take to evaluate and implement improvements?
• Company Fit: Why are you interested in working for Prime Therapeutics and how does your background align with our mission to help people get the medicine they need?
• Company Fit: Prime Therapeutics emphasizes collaboration and empowerment—how have you demonstrated these qualities in your past compliance roles?
• Company Fit: Considering Prime’s focus on innovation and fast-paced healthcare environments, how do you stay current with regulatory changes and industry best practices to proactively manage compliance?
• Candidate Questions: Can you describe how the compliance team collaborates with other departments like Legal, HR, and Operations on a day-to-day basis?
• Candidate Questions: What are the most pressing compliance challenges Prime Therapeutics is currently facing, and how would this role contribute to addressing them?
• Candidate Questions: How is success measured for the Compliance Manager in the first 6 to 12 months?