Remote Compliance Analyst – Healthcare Fraud & Audit

Integra Partners; Florida; Remote; USD 77,000 - 94,000; Full time

Benefits offered by this job

Competitive compensation

Annual bonus program

401(k) retirement program

Company-paid life insurance

Health, Vision, and Dental benefits

Paid Time Off

Parental Leave

Sick Time

Holidays and floating holidays

Quarterly company-sponsored events

Health and wellness programs

Career development opportunities

Job summary

Integra Partners is seeking a Compliance Analyst to join our Legal team. You will monitor for FWA issues, audit provider billing and UM authorization practices, and help ensure we meet regulatory requirements.

You will collaborate with credentialing, quality assurance, and network management, conduct security risk assessments, and maintain auditable training records. A strong background in HIPAA and healthcare compliance is essential.

Qualifications

• Bachelor's degree required.
• 3+ years in Special Investigation Unit or similar roles; healthcare experience required; DMEPOS experience preferred.
• Strong understanding of fraud, waste and abuse issues, healthcare credentialing, medical billing, HIPAA.

Responsibilities

• Audit vendors and healthcare providers for FWA monitoring.
• Run Fraud, Waste, and Abuse investigations.
• Support administration of Corporate Compliance program.
• Assign and monitor compliance training; maintain auditable records.
• Collaborate with credentialing, QA, and network management to address concerns.

Skills

FWA monitoring

Auditing

Compliance program

Training coordination

Credentialing collaboration

Data analysis

HIPAA knowledge

Education

Bachelor's degree

Tools

Excel

Tableau

Job description

Integra Partners is seeking a Compliance Analyst to join our Legal team. You will monitor for FWA issues, audit provider billing and UM authorization practices, and help ensure we meet regulatory requirements.

You will collaborate with credentialing, quality assurance, and network management, conduct security risk assessments, and maintain auditable training records. A strong background in HIPAA and healthcare compliance is essential.