Related skills
compliance healthcare audits regulatory compliance fraud_waste_abuse📋 Description
- 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.
- Remote role with travel to Lake Success, NY as needed.
🎯 Requirements
- Bachelor's degree and 3+ years healthcare compliance.
- Associate degree and 5+ years healthcare experience.
- Extensive Medicaid regulations knowledge.
- Exclusion screening and background checks experience.
- Internal and external audits across jurisdictions.
- Billing and Coding knowledge preferred.
🎁 Benefits
- Competitive compensation
- Medical benefits and retirement plans
- Wellness programs and ongoing learning opportunities
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