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Pharmaceutical Regulatory Compliance Researcher, Medicaid, Medicare, CMS Enrollment Specialist
Company: Pharmaregs Inc.
Location: Guaynabo, Puerto Rico
Department: Legal / Regulatory Compliance
PharmaRegs, located in Guaynabo, Puerto Rico, is seeking a detail-oriented Legal Researcher, Data Analyst, and Regulatory Enrollment Specialist to join its legal department. This position supports federal and state regulatory compliance research, regulatory change management, and healthcare/pharmaceutical enrollment maintenance.
The role involves reviewing and interpreting federal and state legal and regulatory changes affecting the pharmaceutical, pharmacy, healthcare, and payer industries. The position also includes preparing, filing, tracking, and maintaining regulatory and healthcare-related enrollments with federal agencies, state agencies, PBMs, Medicare, Medicaid, and other applicable programs.
The ideal candidate will be highly organized, comfortable working with legal and regulatory materials, and able to convert complex regulatory information into clear summaries, structured data, compliance trackers, and practical filing requirements.
Key Responsibilities
- Monitor, review, and analyze federal and state regulatory changes affecting pharmaceutical, pharmacy, healthcare, payer, and related regulated industries.
- Research laws, regulations, guidance documents, proposed rules, final rules, agency notices, enforcement actions, licensing requirements, and compliance obligations.
- Track regulatory developments involving FDA, DEA, CMS, Medicare, Medicaid, PBMs, HIPAA, HITECH, state boards of pharmacy, state Medicaid programs, and other healthcare regulatory authorities.
- Parse legal and regulatory text to identify what changed, when it becomes effective, who is affected, and what actions may be required.
- Summarize regulatory changes in a clear, concise, and actionable format for internal teams and clients.
- Map regulatory changes to affected business functions, policies, SOPs, licensing requirements, reporting obligations, and operational requirements.
- Compare regulatory requirements across jurisdictions and identify state-specific differences, conflicts, inconsistencies, and implementation issues.
- Maintain structured regulatory databases, trackers, research files, summaries, and compliance change logs.
- Assist with preparing regulatory memoranda, compliance updates, client alerts, internal guidance documents, and research reports.
- Prepare, file, track, and maintain federal and state healthcare, pharmacy, pharmaceutical, payer, and regulatory enrollments.
- Assist with Medicare, Medicaid, PBM, NCPDP, state agency, licensing, and other regulatory enrollment applications, renewals, updates, revalidations, and change-of-information filings.
- Gather, organize, and review required supporting documentation, including ownership information, corporate records, licenses, permits, tax records, provider identifiers, pharmacy information, authorized signer documentation, and related materials.
- Monitor enrollment deadlines, renewal periods, revalidation notices, deficiencies, agency correspondence, and required follow-up items.
- Respond to enrollment-related requests for additional information and assist with curing deficiencies, rejected filings, or incomplete submissions.
- Maintain accurate enrollment records, submission logs, confirmation records, agency portal information, filing histories, usernames/passwords where authorized, and supporting documentation.
- Coordinate with internal teams, clients, government agencies, PBMs, payers, and third-party platforms to ensure enrollments remain active, accurate, and compliant.
- Assist with data quality review, classification, tagging, and organization of legal, regulatory, licensing, and enrollment information.
- Work with legal, compliance, technology, and client service teams to ensure regulatory and enrollment data is accurate, current, and usable.
Preferred Qualifications
- Bachelor’s degree required; legal studies, paralegal studies, political science, healthcare administration, public policy, pharmacy, life sciences, data analytics, or a related field preferred.
- Paralegal certificate, JD, MPH, MHA, PharmD, or regulatory compliance experience is a plus but not required.
- Experience with legal research, regulatory research, healthcare compliance, pharmacy law, pharmaceutical distribution, licensing, payer enrollment, provider enrollment, or PBM enrollment preferred.
- Familiarity with FDA, DEA, CMS, Medicare, Medicaid, PBM regulation, HIPAA, HITECH, state boards of pharmacy, NCPDP, pharmacy enrollment, or healthcare regulatory filings is strongly preferred.
- Ability to read and interpret complex legal, regulatory, and agency materials.
- Strong writing, summarization, analytical, and organizational skills.
- High attention to detail and accuracy.
- Strong spreadsheet, database, tracker, and document management skills.
- Ability to manage large volumes of information across multiple jurisdictions, agencies, and filing platforms.
- Ability to work independently, meet deadlines, prioritize competing assignments, and follow matters through completion.
- Comfortable communicating with agencies, payers, PBMs, clients, and internal teams.
Ideal Candidate
The ideal candidate is precise, organized, analytical, and capable of handling both legal research and detailed regulatory filing work. This person should be able to read complex laws and regulations, determine what has changed, identify why it matters, and translate that information into practical compliance guidance, structured data, and filing requirements.
This role is well suited for someone with a legal research or compliance background who also enjoys data organization, regulatory tracking, enrollment maintenance, and detailed administrative follow-through.
Compensation
Compensation will be based on experience and qualifications.
How to Apply
Interested candidates should submit a resume and writing sample demonstrating legal, regulatory, healthcare, compliance, enrollment, or analytical research experience.
Pay: $42,472.21 - $62,826.74 per year
Benefits:
- 401(k) matching
- Health insurance
- Paid time off
Application Question(s):
- How many years experience do you have working with CMS, Medicare, and Medicaid contracts and enrollments?
Work Location: Remote
