Associate, Compliance Audit and Monitoring

Job Description

• Help create a risk-based audit and monitoring plan for the healthcare organization • Analyze healthcare regulations, including HIPAA, Medicare, and Medicaid regulations to ensure compliance • Conduct assigned audits based on departmental audit plans • Collaborate with business units to understand their business operations and test their compliance with regulations • Evaluate compliance effectiveness and identify areas for improvement • Draft and complete accurate audit reports, ensuring that the audit findings and conclusions are communicated to the business unit • Help identify compliance gaps and risks, and contribute to the development of proactive strategies to address them • Help maintain compliance policies, procedures, and controls with regulatory requirements • Provide regular updates to leadership on compliance audit and monitoring activities and recommendations • Compliance with all applicable laws and regulations • Other duties as assigned

Qualifications

• Bachelor’s Degree or equivalent work experience • 2+ years experience working in health care or related field • 2+ years experience in health plan compliance • 2+ years driving compliance with regulatory and accreditation audit/policy requirements • 2+ years experience working with regulation and translating into operational procedures

Benefits

• medical, dental, and vision benefits • 11 paid holidays • paid sick time • paid parental leave • 401(k) plan participation • life and disability insurance • paid wellness time and reimbursements