Compliance Support Coordinator

Key Responsibilities

• Monitor, review, and interpret state and federal healthcare regulations impacting PBM, pharmacy, and vision operations
• Analyze regulatory updates and communicate compliance impacts and guidance to internal stakeholders
• Develop and maintain compliance documentation, including policies, procedures, manuals, and regulatory summaries
• Support implementation and ongoing updates of compliance programs aligned with laws, client requirements, and contracts
• Risk Management & Issue Resolution
• Identify, assess, and track compliance risks and collaborate with stakeholders to develop mitigation strategies
• Review compliance inquiries and escalations, determine risk exposure, and recommend next steps
• Coordinate intake, investigation, and resolution of compliance issues, ensuring proper documentation and follow-up
• Monitor corrective action plans (CAPs) and remediation efforts
• Audit, Monitoring & Oversight
• Assist with annual audit and monitoring work plans and coordinate assigned activities
• Support delegated entity and vendor oversight, including compliance reviews and issue tracking
• Maintain compliance tracking tools to ensure timely completion of obligations
• Analyze trends, performance indicators, and compliance metrics
• Fraud, Waste & Abuse (FWA) Support
• FWA program initiatives, including detection, prevention, and reporting
• Assist in monitoring and documentation of potential FWA risks
• Training, Communication & Reporting
• Provide guidance on regulatory requirements impacting operations and client commitments
• Aid in development and delivery of compliance training and education materials
• Prepare reports, dashboards, and summaries for Compliance Committees and leadership
• Cook up compliance meetings and facilitate cross-functional collaboration
• Operational & Cross-Functional Support
• Support client onboarding, product development, and regulatory change initiatives
• Collaborate with Legal, Operations, IT, HR, Sales, and Client Services
• Aid in regulatory filings, audits, and market conduct examinations
• Maintain organized compliance records for audit readiness

Qualifications

• Education & Experience
• Bachelor’s degree (BA/BS) preferred
• Experience in healthcare, PBM, pharmacy, vision, or managed care environments preferred
• Background in regulatory compliance, quality improvement, or healthcare operations
• Experience with contracts, delegated entities, or vendor oversight is a plus
• Skills & Competencies
• Strong knowledge of healthcare regulations and compliance frameworks (PBM, CMS, state regulations preferred)
• Excellent analytical, critical thinking, and problem-solving skills
• Strong written and verbal communication skills
• Ability to manage multiple priorities, deadlines, and cross-functional projects
• High attention to detail and strong organizational skills
• Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook, Project); SharePoint a plus
• Ability to work independently and collaboratively in a fast-paced environment

About Benecard and our affiliated companies

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care.

National Vision Administrators For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the grease simony to the high-quality benefits and service satisfaction we provide to both our clients and their members.

We are an equal opportunity employer

In Office Only - M-F 8:30am-5:00pm