Remote Compliance Analyst – FWA & Audit Lead

Integra Partners; Illinois; Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Bonus program

401(k) retirement program with company

Company-paid life insurance

Short term disability coverage

Medical, Vision, and Dental benefits

PTO

Parental Leave

Sick Time

Holidays and floating holidays

Wellness programs

Career development opportunities

Job summary

Integra Partners is seeking a Compliance Analyst to join its Legal team to monitor FWA issues, audit provider billing and UM auth practices, and maintain an effective corporate compliance program.

You will collaborate with credentialing, quality assurance, and network management, handle sensitive data with integrity, and drive timely audits and responses while staying current with regulatory changes impacting the DMEPOS space.

Qualifications

• Bachelor’s degree required.
• Minimum three years’ experience in Special Investigation Unit processes or similar.
• Healthcare experience required; DMEPOS experience preferred.
• Strong understanding of fraud, waste and abuse issues, healthcare credentialing, medical billing, HIPAA, and related legislation.
• Experience with data analysis; Excel; Tableau a plus.
• Excellent organizational skills; ability to manage multiple projects; meet deadlines.
• Ability to handle sensitive and confidential information with integrity.

Responsibilities

• Conduct audits of vendors and healthcare providers in support of FWA monitoring.
• Run the Fraud, Waste, and Abuse investigation processes.
• Support administration of the Corporate Compliance program.
• Assign and monitor compliance training and maintain auditable records.
• Collaborate with credentialing, QA, and network management teams to address concerns and implement change.
• Partner with health plan customers on audits and draft responses.

Skills

Attention to detail

Communication skills

Collaboration

Discretion and integrity

Analytical thinking

Education

Bachelor’s degree

Tools

Excel

Tableau

Job description

Integra Partners is seeking a Compliance Analyst to join its Legal team to monitor FWA issues, audit provider billing and UM auth practices, and maintain an effective corporate compliance program.

You will collaborate with credentialing, quality assurance, and network management, handle sensitive data with integrity, and drive timely audits and responses while staying current with regulatory changes impacting the DMEPOS space.