Compliance Analyst

United StatesRemoteFull-timemid

Finance & AccountingCompliance Analyst

1 views0 saves0 applied

Apply Now

Quick Summary

Overview

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Compliance Analyst based in United States.

Technical Tools

Finance & AccountingCompliance Analyst

This remote role offers the opportunity to strengthen compliance across a healthcare-focused organization and its provider network. You will play a key role in monitoring fraud, waste, and abuse (FWA), conducting audits, and investigating potential compliance concerns. Working closely with legal, compliance, credentialing, quality, security, and network teams, you will help identify risks and drive effective remediation. You will also support regulatory filings, compliance training, security risk assessments, and customer audits. The role combines analytical work, healthcare regulatory knowledge, and cross-functional collaboration. It is well suited to a proactive professional who enjoys interpreting complex information and turning findings into practical improvements.

Conduct audits of healthcare providers and vendors to support fraud, waste, and abuse monitoring and compliance programs.
Lead or support FWA investigations, research providers and relevant regulatory alerts, and investigate internal and external compliance concerns.
Support the administration and continuous improvement of the corporate compliance program, including assigning compliance training and maintaining complete, auditable records.
Collaborate with credentialing, quality assurance, network management, security, and other cross-functional teams to address compliance concerns and implement corrective actions.
Partner with health plan customers on business audits, including developing, documenting, tracking, and responding to audit requests.
Monitor licensing requirements and state regulatory filings to help ensure ongoing compliance.
Conduct security risk assessments, present findings to the compliance committee, and collaborate with security teams to resolve identified issues.
Monitor regulatory and industry developments affecting healthcare and DMEPOS operations and recommend updates to processes, policies, and controls.
Build strong working relationships with internal stakeholders and external partners while providing responsive, high-quality compliance support.
Take ownership of assigned audits and projects, manage multiple priorities, and deliver accurate work within established deadlines.

Requirements

~1 min read

Bachelor’s degree required.
At least 3 years of experience in Special Investigation Unit processes, healthcare compliance, fraud investigations, or a comparable role.
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 related healthcare legislation and regulations.
Working knowledge of medical billing processes and healthcare compliance practices.
Strong analytical capabilities, including experience working with data and advanced proficiency in Microsoft Excel; Tableau experience is a plus.
Excellent attention to detail and the ability to interpret complex information and communicate it clearly to technical and non-technical audiences.
Strong written and verbal communication skills, with the ability to work effectively with clients, executives, and cross-functional stakeholders.
Excellent organizational and project management skills, with the ability to manage multiple priorities, meet tight deadlines, and follow assignments through to completion.
High standards of integrity, ethics, discretion, and professional judgment when handling sensitive and confidential information.
A service-oriented mindset and the ability to build trusted-advisor relationships with key stakeholders.
Collaborative approach and demonstrated ability to work effectively across teams and organizational levels.
Self-starter who is comfortable working independently while remaining proactive in communication and escalation.