156 senior operational compliance auditor jobs found

Actsretirementlife is seeking a Senior Operational Compliance Auditor to evaluate compliance across non-clinical and regulatory functions in Delaware. The ideal candidate will have 5-10 years of experience, strong knowledge of regulatory requirements, and relevant certifications. The role offers a generous benefits package including health benefits, 401(k) with matching, and paid time off. This position is eligible for next day pay with our PayActiv benefit! #J-18808-Ljbffr

Overview Join our team and grow with us both professionally and personally! Next day pay: Work today, get paid tomorrow with our PayActiv benefit! We strongly believe in providing our team members with great benefits, such as tuition reimbursement, commuter benefits, scholarship awards, professional development programs, university partnerships, referral and discount programs, appreciation events, wellness initiatives, and much more! Acts is currently seeking qualified candidates for the role of Senior Operational Compliance Auditor . In this role, you will be responsible for assessing operational compliance across a broad range of non-clinical and regulatory functions, including occupational health and safety, state Department of Insurance and Office of Insurance Regulation requirements, corporate procurement card usage, monthly Office of Inspector General (OIG) sanction screenings for team members and vendors, professional license verifications, and adherence to internal...

Job Description Job Description Operations & Compliance Auditor Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing, restrictive, and lower value with each passing year. Here at WeShare our mission is to bring better healthcare to America at a better price. We offer consumers a member-to-member health sharing program that is much more cost effective than standard health insurance while providing access to over 1.2 million physicians across the country. Come join us on this important journey to create the next generation of healthcare! WeShare is a rapidly growing faith-based nonprofit that strives to do good while delivering great and affordable healthcare. The company is led by senior executives with an extensive background in both for-profit and not-for-profit enterprises. If you have a bias for action, enjoy challenges, and love creating impact in a massive...

Join to apply for the Compliance Auditor Analyst role at Upstate Medical University 5 months ago Be among the first 25 applicants Join to apply for the Compliance Auditor Analyst role at Upstate Medical University Get AI-powered advice on this job and more exclusive features. Job Summary Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong...

Dormont Manufacturing Co is seeking a Senior Lead Compliance Auditor to manage and lead the internal audit program within their Quality Assurance team. Based in Indianapolis, IN, you'll oversee compliance auditing operations to ensure adherence to global regulatory standards. This position involves mentoring junior auditors, leading audit meetings, and supporting quality improvement initiatives while maintaining high levels of compliance and operational excellence. #J-18808-Ljbffr

If you have a passion for compliance auditing and a drive for operational excellence, join our growing Quality team as a Senior Lead Compliance Auditor and take your career to the next level at Labcorp. This is an Onsite position at 8211 Scicor Drive, Indianapolis, IN. Imagine being involved in innovation and projects that change the course of our industry daily! At Labcorp, one of the world’s largest and most comprehensive pharmaceutical solutions service companies, you will have an opportunity to build an exciting career while you make a direct impact on the lives of millions. Job Summary We are seeking an experienced member to join our Quality Assurance team. The Senior Lead Compliance Auditor plays a pivotal role in ensuring that clinical research laboratory testing operations comply with global regulatory standards and industry-recognized best practices, including GCP/GLP, ISO 15189, and ISO 13485. This position leads the internal audit program execution, drives process...

Compliance Auditor The Compliance Auditor provides independent and objective assurance services to determine the design and operating effectiveness of key controls and validation of compliance with SETF policies and procedures, federal and state regulations, and other client, regulatory, or legal guidelines relevant to our core business. The Compliance Auditor will work closely with operational teams and senior management in the review and testing of compliance controls. Responsibilities Analyzing potential risks within specific areas of the company to avoid compliance issues Inspecting and validating control enhancements and process changes implemented to mitigate risk. Conducting ongoing testing of internal processes as assigned by the Compliance Manager or Chief Compliance Officer to ensure compliance with policies and procedures Maintaining a high level of independence to be able to assure the effectiveness of internal controls, business processes, policies,...

BlueCross BlueShield of South Carolina is seeking an Auditor II to provide a full range of financial, compliance, and operational audits, advisory services, investigations, and internal controls reviews. This fully remote role follows a standard 8:00 to 17:00 schedule and focuses on Medicare financial compliance investigations. You will conduct internal and external audits, document risks, draft recommendations, and prepare detailed audit reports for senior management while maintaining #J-18808-Ljbffr

The Healthcare Compliance Auditor Senior I plays a key role in supporting UPMC's compliance and regulatory oversight activities through the identification, assessment, and mitigation of healthcare compliance risks. Leveraging expertise in healthcare operations, reimbursement methodologies, and regulatory requirements, this position conducts auditing and monitoring activities and collaborates with clinical, operational, revenue cycle, and compliance stakeholders to promote adherence to regulatory requirements. This is a full-time position that works Monday through Friday during normal business hours. The role follows a hybrid work model, with a combination of remote work and on-site attendance at UPMC's USX office. If this sounds like the role for you, apply today! Responsibilities: Must have knowledge of medical terminology, HIM coding, and reimbursement methodologies. Has working knowledge of internal policies and external regulatory requirements (e.g., Medicare,...

## Sr. Compliance AuditorApplyremote type: Hybridlocations: Chicago, ILtime type: Full timeposted on: Posted Todayjob requisition id: JR0000042923The Marmon Group LLCAs a part of the global industrial organization Marmon Holdings—which is backed by Berkshire Hathaway—you’ll be doing things that matter, leading at every level, and winning a better way. We’re committed to making a positive impact on the world, providing you with diverse learning and working opportunities, and fostering a culture where everyone’s empowered to be their best.Marmon is now seeking a diligent and detail-oriented Senior Compliance Auditor to join our Corporate Compliance team. The Senior Compliance Auditor will be responsible for planning and executing comprehensive compliance and ethics audits of Marmon subsidiary companies, assessing compliance risks, and ensuring adherence to all relevant Marmon Compliance policies and legal requirements including anti-bribery and anti-corruption laws, as well as import...

Job Description Job Description Quality Management Systems Supervisor Job Summary The Quality Management Systems Supervisor will oversee the development, implementation, and maintenance of the organization’s Quality Management System (QMS) to ensure compliance with industry regulations and standards (ISO 9001, ISO 13485, AS9100). Reporting to the Director of Quality Affairs, this individual will drive continuous improvement, support in leading in internal/external audits, manage CAPA processes, and provide cross-functional training to enhance quality awareness.  Key Responsibilities Manage the QMS structure, ensuring all policies, procedures, and Work Instructions (SOPs) are compliant with regulatory requirements and align with company strategic goals. With guidance from the Quality Affairs Director, lead both internal and external audits (customer, registrar, regulatory), coordinate audit finding responses, and verify the effectiveness of corrective actions. Lead...

Job Description Job Description Position Summary Under the direction of the Director of Compliance Audit, the Compliance Auditor is responsible for designing, planning, and executing internal compliance audits to satisfy the requirements of the Compliance Program at Centria. Additionally, the Compliance Auditor will facilitate Centria's response to payor audits and other audits required by external parties. The Compliance Auditor will provide ongoing monitoring of audit results and, if required, coordinate the development and implementation of a plan of correction. Duties and Responsibilities The below reflects the essential functions considered necessary for this role and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties. Develop and execute an annual Audit Plan that complies with Compliance...

Capital One National Association is looking for a Senior Staff Auditor to join their Corporate Compliance Audit team in Plano, TX. The role involves conducting risk-based operational and compliance audits while supporting the annual audit plan. The ideal candidate should hold a Bachelor's degree and possess at least 2 years of experience in auditing areas such as banking or risk management. This position also offers a hybrid working model, allowing for three days a week in-office presence. #J-18808-Ljbffr

We are seeking an experienced IT Compliance Auditor to analyze internal processes and third-party vendor documentation, identify gaps against IT standards, and support compliance initiatives. The ideal candidate will have strong analytical, communication, and project management skills, with a solid understanding of IT risk frameworks and governance practices. Key Responsibilities Analyze internal processes and third-party vendor documentation to identify gaps against IT standards and requirements. Collaborate with internal and external stakeholders to assess IT risks, recommend mitigating controls, and evaluate security and operational impacts. Document IT risks and prepare reports for senior leadership. Support PCI-DSS compliance activities to maintain organizational compliance. Perform additional Governance, Risk, and Compliance (GRC) duties as assigned by the IT Risk Management team. Required Qualifications 5 to 7 years of experience in IT compliance, risk management, GRC, or...

Automation Personnel Services is seeking an Internal Compliance Auditor who will be based in our Birmingham, Alabama, corporate office, but will travel to each of our branch locations. We are looking for an experienced professional with a relevant internal audit background to enhance the function within the company. The candidate must have a pragmatic and detailed approach as well as extensive audit experience, ideally gained in a branch operation. The role has a broad scope with exposure to an extensive range of business operations. It is essential that the candidate has an excellent appreciation of key business functions in a commercial environment. The role will require up to 80% travel. Salary $65-$70K annually Internal Compliance Auditor Requirements & Qualifications Staffing industry experience preferred. Minimum of a bachelor’s degree required. Master’s Degree or Juris Doctor preferred. A minimum of 3 years of relevant experience in auditing and/or compliance...

About UsAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionThe auditor reviews professional fee billing, coding and documentation.Reviews to be performed are identified based on the then-current OIG Workplan and compliance risk analyses.Customers include employed providers, senior leadership,...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Free food & snacks Health insurance Paid time off Tuition assistance Vision insurance POSITION SUMMARY: The Revenue Cycle Manager is responsible for the end-to-end revenue cycle for the multi-specialty internal medicine practice, including patient access, charge capture, coding oversight, billing, denials management, and collections across internal medicine, behavioral health, diabetic center, pulmonary, and sports medicine service lines. This role provides strategic and hands‑on leadership to optimize reimbursement, reduce denials, ensure compliance with payer and regulatory requirements, and support the financial health of the provider‑owned practice. ESSENTIAL FUNCTIONS: Oversee the full revenue cycle from scheduling/registration and insurance verification through coding, billing, payment posting, denials, and patient collections for all specialties and locations. Develop, implement, and...

A Day in the Life of the Coding Compliance & Education Coordinator You'll be diving into clinical documentation and coding records, performing detailed audits to ensure every code is accurate, complete, and compliant with regulatory standards. You'll analyze patterns, identify discrepancies, and provide actionable feedback that supports optimal reimbursement and quality reporting. You'll assist with developing and delivering training sessions for coding staff, clinical providers, and other stakeholders. You'll serve as the go-to expert for ICD-10-CM, ICD-10-PCS, CPT, and sequencing guidelines, helping teams stay current with evolving standards. You'll work closely with the Coding Manager and other leaders, ensuring coding practices align with organizational goals. Whether you're refining audit processes, answering complex coding questions, or creating educational materials, your work directly impacts compliance, revenue integrity, and patient care quality. Why Work at...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle's global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle's global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...