Specialist, Commercial Compliance & Ethics

Overview

The Commercial Compliance & Ethics Specialist will be responsible for inspecting and monitoring field-based expense reports specific to transfers of value with Healthcare Professionals (HCPs) across multiple contracted field teams (i.e., sales, nurse, MSLs).  The candidate must be able to understand and apply comprehensive knowledge of operational parameters as it relates to the PhRMA code, CMS/federal/state regulations, company, and client specific compliance policies to identify violations related to HCP related spend.  The candidate will be accountable for supporting the commercial compliance auditing and monitoring plan to ensure adherence to company & client specific policies as well as compliance with U.S. state and Federal laws. 

Responsibilities

• Perform second-level auditing & monitoring activities across multiple contracted commercial field employees expense reports, specific to transfers of value with HCPs
• Identify and log HCP expense violations, send coaching memos to field employees for breaches of PhRMA code, company, and client specific policies; escalate potential concerns in a timely manner for appropriate action
• Assist commercial compliance management team and Investigator via gathering evidence-based documentation and reports related to HCP expense violations
• Monitor monthly reports to evaluate and identify trends; present analysis/findings to compliance
• Provide monthly metrics and dashboards to compliance managers and analyst on respective client team performance
• Coordinate with field-based employees and Commercial Compliance to assist in resolving HCP related expense issues; provide 1:1 direction and training to field employees to meet one-off training requirements and mitigate reoccurring violations
• Assist compliance team in delivering new hire and refresher compliance training specific to HCP Spend in Concur
• Assist compliance team via gathering data for CMS disputes, transparency data corrections, client requests pertaining to CMS for Open Payments reporting
• Work independently to document monitoring and auditing process improvements
• Develop and maintain project documentation including scope documents
• Provide assistance on special department projects and other assigned duties

Job Requirements

• BA/BS Degree and/or equivalent 2+ years related experience
• Travel and Expense Management Experience Preferred
• Excellent analytical, planning, and organizational skills
• Detail oriented and the ability to maintain a high level of accuracy
• Excellent verbal and written communication skills
• Ability to problem-solve, provide clear guidance and documentation on resolving issues
• Ability to be proactive, exercise judgment and meet time-sensitive deadlines
• Strong interpersonal skills, ability collaborate and work cross functionally with all levels of leadership
• Demonstrate high standards of conduct and ethics as well as appropriate judgment, independence, and discretion
• Strong initiative and a self-starter