Healthcare Compliance Analyst - FWA & Audit

Integra Partners; Georgia; Remote; USD 77.000 - 94.000; Vollzeit

Benefits dieser Stelle

Annual bonus

401(k) match

Life insurance

Short-term disability

Medical benefits

PTO

Parental leave

Sick time

Holidays

Wellness programs

Career development

Zusammenfassung

Integra Partners is seeking a Compliance Analyst to join the Legal team, overseeing FWA monitoring, audits of providers, and the company’s compliance program. You will analyze data, review CMS alerts, and help manage regulatory risks in the DMEPOS space.

You will collaborate with credentialing, quality assurance, and network teams, while coordinating with health plan customers on audits and responses. A strong communicator with integrity is essential.

Qualifikationen

• Bachelor’s degree required.
• At least three years’ experience in Special Investigation Unit processes or similar healthcare roles.
• Experience with fraud, waste and abuse issues, healthcare credentialing, and HIPAA.
• Experience with data analysis and Excel; Tableau a plus.
• Strong attention to detail and ability to interpret complex information.
• Excellent written and verbal communication.

Aufgaben

• Conduct audits of vendors and healthcare providers to support FWA monitoring.
• 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 credentialing, quality assurance, and network management teams to address concerns.
• Partner with health plan customers on audits of our business and draft responses.
• Investigate compliance concerns and issues internally and externally.
• Ensure licensing and other filings with state agencies are up to date.
• Conduct Security Risk Assessments and present results to the compliance committee.
• Work closely with data security staff to address security issues.

Kenntnisse

FWA monitoring

Audit provider practices

Data analysis

Excel

Tableau

Communication skills

Team collaboration

Attention to detail

Regulatory compliance

Ausbildung

Bachelor’s degree

Jobbeschreibung

Integra Partners is seeking a Compliance Analyst to join the Legal team, overseeing FWA monitoring, audits of providers, and the company’s compliance program. You will analyze data, review CMS alerts, and help manage regulatory risks in the DMEPOS space.

You will collaborate with credentialing, quality assurance, and network teams, while coordinating with health plan customers on audits and responses. A strong communicator with integrity is essential.