Remote Compliance Analyst, Healthcare FWA & Audits

Integra Partners; Troy (MI); Remote; USD 77,000 - 94,000; Full time

Benefits offered by this job

Competitive compensation

Annual bonus program

401(k) retirement program with company

Company-paid life insurance

Medical, Vision, and Dental benefits

Paid Time Off (PTO)

Paid Parental Leave

Sick Time

Holidays and floating holidays

Career development opportunities

Job summary

Integra Partners is seeking a Compliance Analyst to join the Legal team. The role focuses on monitoring for FWA issues, auditing provider billing, and supporting corporate compliance.

You will research providers, review CMS alerts, and communicate complex information across stakeholders. You will partner with the Compliance Manager and payer division, driving audits, risk assessments, and process improvements while maintaining high integrity and confidentiality in a fast-paced healthcare

Qualifications

• Bachelor’s degree required; healthcare compliance experience preferred.
• Minimum three years in Special Investigation Unit or similar roles; healthcare experience required.
• Strong understanding of FWA, credentialing, medical billing, HIPAA and related legislation.
• Experience with data analysis and Excel; Tableau a plus.
• Excellent written and verbal communication; attention to detail; ability to manage multiple projects.

Responsibilities

• Audit vendors and healthcare providers to support FWA monitoring.
• Run Fraud, Waste, and Abuse investigations and respond to plan questions.
• Assist in administering the Corporate Compliance program.
• Assign and monitor compliance training and maintain auditable records.
• Collaborate with credentialing, QA, and network teams to address concerns.
• Monitor licensing filings with state agencies and address security issues with data staff.
• Present risk assessments to the compliance committee.

Skills

Audit

FWA Investigations

Compliance Monitoring

Data Analysis

Excel

Tableau

Communication Skills

Time Management

Education

Bachelor’s degree

Tools

Excel

Tableau

Job description

Integra Partners is seeking a Compliance Analyst to join the Legal team. The role focuses on monitoring for FWA issues, auditing provider billing, and supporting corporate compliance.

You will research providers, review CMS alerts, and communicate complex information across stakeholders. You will partner with the Compliance Manager and payer division, driving audits, risk assessments, and process improvements while maintaining high integrity and confidentiality in a fast-paced healthcare