Create a risk-based audit and monitoring plan for the healthcare organization.
Review HIPAA, Medicare, and Medicaid regulations to ensure compliance.
Conduct assigned audits based on departmental audit plans.
Test business operations for regulatory compliance.
Draft and complete accurate audit reports, ensuring findings are communicated to the business unit.
Maintain compliance policies, procedures, and controls with regulatory requirements.

🎯 Requirements

Bachelor's Degree or equivalent work experience
3+ years experience working in health care or related field
3+ years experience in health plan compliance
3+ years driving regulatory audit/policy requirements
3+ years translating regulations into procedures
Bonus points: CHC/CCEP or similar

🎁 Benefits

Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance

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