Senior Licensing Specialist

Capital Rx
US - New York - New York
January 26, 2025

Location:
Remote (For Non-Local) or Hybrid (Local to NYC area)

Position Overview:

Under the leadership of the Licensing Manager, the Senior Licensing Specialist is responsible for helping prepare and file Capital Rx's state and local licensing and registration, renewals, change notifications, and related reporting. This individual will work cross-functionally to submit accurate and timely deliverables to various regulatory bodies throughout the United States.

Position Responsibilities:

Help manage the myriad responsibilities associated with maintaining pharmacy benefit management (PBM) and third-party medical claim administration (TPA) licenses in good standing as required by state and federal regulations.
Interpret legal and regulatory requirements relating to licensure reporting and business registration and work cross-functionally to obtain all required data for timely submission to regulatory bodies.
Perform operational functions relating to licensure, reporting, business registrations, research, administrative support, and additional projects as required.
Assist in the development of policy and procedures relating to licensure, registration, and reporting submissions.
Maintaining an updated licensing database and organizing other electronic files.
Supervise the collection of information required by audits and market conduct examinations.
Develop strong, collaborative relationships to aid the continued growth and effectiveness of the Licensing Department.
Responsible for the adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Required Qualifications:

Bachelor's degree or equivalent experience
Certified Healthcare Compliance (CHC) license preferred
5+ years of experience in PBM, TPA, and URA Licensing Programs or equivalent licensing experience in a healthcare industry
Familiarity with State Departments of Insurance and Secretaries of State offices
Successful management of licensing timelines and deliverables
Familiarity with legal research and regulatory interpretation
Ability to handle multiple complex projects simultaneously
Track record of building strong, collaborative relationships
Track record of timely executing on deliverables
Proficient in Microsoft Office and Adobe
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Ability to competently and discretely handle confidential and other sensitive information

Base Salary:
$70,000 - $100,000

Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time.About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company's cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Read the full job description and apply online on the recuiter's web-site

Senior Licensing Specialist

Senior Licensing Specialist

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