Remote Compliance Analyst - FWA & Audit Specialist

Integra Partners; Ohio; Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k) retirement plan with company 
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Company-paid life insurance

Company-paid short term disability

Medical, Vision, and Dental benefits

Paid holidays & floating holidays

Remote opportunities

Job summary

Integra Partners' Legal team seeks a Compliance Analyst to support FWA monitoring, audits of providers and vendors, and investigations across CMS and HIPAA compliance areas. You will partner with the Compliance Manager and cross-functional teams to address risks and improve processes.

The role emphasizes data analysis, documentation, training oversight, and collaboration with health plans and providers to uphold regulatory standards and ethical practices. Remote-friendly with US-wide scope.

Qualifications

• Bachelor’s degree required.
• Minimum three years’ experience in Special Investigation Unit (or similar) roles.
• Strong understanding of fraud, waste and abuse in healthcare.
• Experience with data analysis and Excel.
• Tableau knowledge is a plus.
• Working knowledge of medical billing processes.

Responsibilities

• Audit vendors and healthcare providers as part of FWA monitoring.
• Conduct Fraud, Waste, and Abuse investigations.
• Assist in administering the Corporate Compliance program.
• Coordinate and document training; maintain auditable records.
• Collaborate with credentialing, QA, and network management teams.
• Support audits and responses with health plan customers.
• Investigate internal and external compliance concerns.
• Perform Security Risk Assessments and present findings.

Skills

FWA monitoring

Data analysis

Excel

Healthcare billing

HIPAA knowledge

Education

Bachelor’s degree

Tools

Tableau

Job description

Integra Partners' Legal team seeks a Compliance Analyst to support FWA monitoring, audits of providers and vendors, and investigations across CMS and HIPAA compliance areas. You will partner with the Compliance Manager and cross-functional teams to address risks and improve processes.

The role emphasizes data analysis, documentation, training oversight, and collaboration with health plans and providers to uphold regulatory standards and ethical practices. Remote-friendly with US-wide scope.