Note: The job is a remote job and is open to candidates in USA. Integra Partners is hiring a Compliance Analyst to support its Legal team and ensure the company meets its compliance obligations. The role focuses on fraud, waste, and abuse monitoring, auditing provider and vendor practices, investigating compliance concerns, and managing regulatory and security risks in healthcare.
Responsibilities
- The primary focus of this role will be to conduct audits of vendors and healthcare providers in support of our FWA monitoring processes
- Run the Fraud, Waste, and Abuse investigation processes
- Support the administration of the company’s Corporate Compliance program
- Assign and monitor compliance training and keep detailed, auditable records
- Collaborate with our credentialing, quality assurance, and network management teams to address any concerns and implement change as needed
- Partner with health plan customers on audits of our business, draft and track audit processes and responses
- Investigate compliance concerns and issues internally and externally
- Ensure we are up to date with licensing and other filings with state agencies
- Conduct Security Risk Assessments and present results to the compliance committee
- Work closely with our data security staff to address security issues that arise
Skills
- Bachelor's degree
- At least three years' experience in Special Investigation Unit processes or similar roles
- Previous healthcare experience is required
- Strong understanding of fraud waste and abuse issues, healthcare credentialing, medical billing, HIPAA, and related legislation
- Experience with data analysis and excellent user of Excel
- Strong attention to detail and able to interpret and communicate complex information
- Effective written and verbal communication skills
- Working knowledge of medical billing processes
- Excellent organizational skills, ability to manage multiple projects at once, follow through, and meet tight deadlines
- A commitment to provide high quality client service and a strong desire to build trusted advisor relationships with key clients and executives
- Ability to manage and handle sensitive and confidential information with the highest levels of integrity, ethical standards, discretion, and sound judgment
- Team player able to collaborate across various teams and levels and form strong working relationships
- DMEPOS experience preferred
- Experience with Tableau a plus
Benefits
- Annual bonus program
- 401(k) retirement program with company match
- Company-paid life insurance
- Company-paid short term disability coverage (location restrictions may apply)
- Medical, Vision, and Dental benefits
- Paid Time Off (PTO)
- Paid Parental Leave
- Sick Time
- Paid company holidays and floating holidays
- Quarterly company-sponsored events
- Health and wellness programs
- Career development opportunities
- Remote opportunities in Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, Nevada, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Washington
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