Compliance Analyst

📋 Description

• Conduct audits of healthcare providers and vendors to support fraud, waste, and abuse monitoring
• Lead or support FWA investigations, research providers and relevant regulatory alerts, and
• Support the administration and continuous improvement of the corporate compliance program
• Collaborate with credentialing, quality assurance, network management, security, and other
• Partner with health plan customers on business audits, including developing, documenting, tracking
• Monitor licensing requirements and state regulatory filings to help ensure ongoing compliance.

🎯 Requirements

• Bachelor's degree required.
• At least 3 years of experience in Special Investigation Unit processes, healthcare compliance
• Previous healthcare industry experience is required; experience with DMEPOS is strongly preferred.
• Strong knowledge of fraud, waste, and abuse, healthcare credentialing, medical billing, HIPAA, and
• Working knowledge of medical billing processes and healthcare compliance practices.
• Strong analytical capabilities, including experience working with data and advanced proficiency in

🎁 Benefits

• Annual salary of $85,000.
• Competitive compensation and annual bonus program.
• Remote work opportunities across eligible U.S. locations.
• 401(k) retirement plan with company match.
• Company-paid life insurance.
• Company-paid short-term disability coverage, subject to location restrictions.