FQHC Compliance Analyst: HRSA & Billing Oversight

UNC Health; Hendersonville (NC); On-site; USD 75,000 - 105,000; Full time

Job summary

UNC Health Pardee/PBMD seeks a Compliance Analyst to ensure adherence to federal, state, and local regulations specific to FQHCs. You will work with Pardee BlueMD leadership to maintain HRSA funding and Medicare/Medicaid billing compliance, coordinating responses to monitoring and audits.

The role requires 3–5 years of healthcare compliance experience, familiarity with FQHC programs, and EMR/Billing knowledge.

Qualifications

• Bachelor’s degree in healthcare administration, public health, business, or related field.
• Master’s degree in healthcare administration, public health, or related field preferred.
• 3–5 years of healthcare compliance or regulatory experience; FQHC experience strongly preferred.
• Certification in Healthcare Compliance (CHC) or similar credential preferred.
• Knowledge of FQHC billing preferred.
• Experience with an EMR, preferably Epic.

Responsibilities

• Leads response to all compliance monitoring of Pardee BlueMD, including desk reviews and site visits.
• Tracks Pardee BlueMD compliance with Health Center Program Requirements, reporting obligations, and grant deliverables.
• Coordinates review and audit of Medicare/Medicaid FQHC coding and billing rules and regulations in conjunction with compliance auditors.
• Coordinates corrective action plans for identified FQHC compliance issues and ensures accurate documentation of monitoring activities and corrective actions.
• Tracks FQHC compliance key performance indicators.
• Research and provide interpretation and guidance on FQHC regulations.
• Demonstrates integrity, sound judgment, and attention to detail while communicating the program to internal teams and external partners.
• Functions as compliance liaison with Blue Ridge Health and represents UNC Health Pardee/PBMD.

Skills

Analytical abilities

Communication skills

Attention to detail

Organization skills

Problem solving

Education

Bachelor's degree in healthcare administration or related field

Master's degree preferred

Tools

Epic EMR

Job description

UNC Health Pardee/PBMD seeks a Compliance Analyst to ensure adherence to federal, state, and local regulations specific to FQHCs. You will work with Pardee BlueMD leadership to maintain HRSA funding and Medicare/Medicaid billing compliance, coordinating responses to monitoring and audits.

The role requires 3–5 years of healthcare compliance experience, familiarity with FQHC programs, and EMR/Billing knowledge.