Compliance Specialist Project

New

Skills

Background Checks Regulatory Compliance

Job Overview

As a Sr. Compliance Specialist, you will be responsible for reviewing legal documents, responding to audits, investigating Fraud, Waste & Abuse (FWA) claims, and maintaining regulatory compliance across various jurisdictions. This remote role may require travel to Lake Success, NY as needed.

Responsibilities
  • Review legal documents and respond to audits
  • Investigate Fraud, Waste & Abuse (FWA) claims
  • Maintain regulatory compliance across jurisdictions
  • Support regulatory requirements for operations
  • Assist with conflict reporting and finance resolution
Requirements & Qualifications
  • Bachelor's degree and 3+ years healthcare compliance experience OR
  • Associate degree and 5+ years healthcare experience
  • Extensive knowledge of Medicaid regulations
  • Experience with exclusion screening and background checks
  • Experience with internal and external audits across jurisdictions
  • Preferred knowledge of billing and coding

No forms. Your profile is generated instantly.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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