Spearhead Staffing

Job Description Job Description We are currently seeking a Medical Compliance Auditor to for a 6-month contract to hire position with our Long-Term Managed Care Client in Brooklyn, NY. 3+ experience of previous experience in Healthcare Auditing preferably in a Health Insurance Plan. The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all relevant federal, state, and local laws, rules and regulations applicable Part D, LHCSA and Article 28 requirements, etc., through audits. This role will integrate traditional audit functions with AI-specific compliance oversight, ensuring that AI systems, and automation tools align with legal, regulatory and internal policies. The Compliance Auditor is responsible for performing internal and external auditing functions for the Compliance Department. JOB RESPONSIBILITIES: The Compliance Auditor applies advanced regulatory knowledge and analytical judgment to proactively conduct...