Hybrid Audit and Compliance Analyst

Posted 2 hours ago

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About the role

  • Audit and Compliance Analyst responsible for program compliance and policy development within healthcare services teams. Collaborating on auditing, monitoring, and report development regarding Care Management and Utilization Management.

Responsibilities

  • Handles various elements of program compliance, policy development auditing, monitoring, and report development within the Health Care Services teams including Care Management and Utilization Management

Requirements

  • Bachelor's Degree in Business Administration, Healthcare Administration, or other related field, or consideration may be given for candidates who have comparable experience in lieu of a bachelor's degree
  • 3 years of demonstrated successful experience working with administrative, policy and/or operational aspects of managed care
  • Proven track record of assessing program compliance and establishing auditing and monitoring protocols
  • 3 years experience in project management, data analysis and policy and procedure development
  • Experience with managed care regulatory compliance matters in one or more of the following lines of business (Medicare, Medicaid, Commercial)
  • 1 year experience in technical or operational policy & procedure writing as it relates to regulatory requirements and accreditation standards

Benefits

  • Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching
  • Health care benefits (medical, dental, vision)
  • Life insurance
  • Disability insurance
  • Time off benefits (paid parental leave, vacations, holidays, health issues)
  • Voluntary benefits
  • Well-being resources

Job title

Audit and Compliance Analyst

Job type

Experience level

Mid levelSenior

Salary

$36 - $55 per hour

Degree requirement

Bachelor's Degree

Location requirements

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