Supporting regulatory readiness, the full-time Compliance Auditor will conduct compliance audits, maintain workpapers, and draft reports while working in a hybrid environment from New York, New Jersey, or Connecticut.
Key responsibilities
Plan and conduct compliance audits across operational areas and provider/FDR networks
Define audit objectives, scope, risks, and testing procedures; perform sample testing
Partner with stakeholders on root-cause analysis and track corrective action plans to completion
Required qualifications
Bachelor's degree
Minimum 2 years of related experience
Knowledge of CMS and NY DOH Medicare/Medicaid regulations; familiarity with claims and care management processes
Strong analytical, communication, and project management skills; proficiency in MS Office
Willingness to pursue CIA and CHC certifications