Remote Compliance Analyst: FWA & Audit Expert

Integra Partners; Nevada; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

401(k) retirement plan with company 0

Company-paid life insurance

Company-paid short term disability

Medical, Vision, and Dental benefits

Paid holidays and floating holidays

Remote opportunities

Job summary

Integra Partners’ Legal team is seeking a Compliance Analyst to monitor for FWA issues, audit provider billing and UM auth practices, and manage compliance programs. You will work cross-functionally to partner with healthcare providers, payers, and internal teams to reduce risk and improve processes.

Responsibilities include conducting audits, investigating FWA events, administering training, and collaborating with credentialing and network teams to implement changes as needed.

Qualifications

• Experience in Special Investigation Unit processes or similar roles.
• Strong understanding of fraud, waste and abuse in healthcare.

Responsibilities

• Conduct audits of vendors and healthcare providers for FWA monitoring.
• Run Fraud, Waste, and Abuse investigation processes.
• Support the administration of the Corporate Compliance program.
• Assign and monitor compliance training and maintain auditable records.
• Collaborate with credentialing, quality assurance, and network management teams.

Skills

FWA monitoring

Data analysis

Excel

HIPAA

Education

Bachelor’s degree

Tools

Excel

Tableau

Job description

Integra Partners’ Legal team is seeking a Compliance Analyst to monitor for FWA issues, audit provider billing and UM auth practices, and manage compliance programs. You will work cross-functionally to partner with healthcare providers, payers, and internal teams to reduce risk and improve processes.

Responsibilities include conducting audits, investigating FWA events, administering training, and collaborating with credentialing and network teams to implement changes as needed.