Remote Health Insurance Compliance Analyst

Naukri Mitra; United States; Remote; USD 66,000 - 80,000; Full time

Benefits offered by this job

100% remote position with customizable

working hours

Tech and ergonomic office setup

Mentorship and growth opportunities

Achievement bonuses and compliance-rec

excellence recognition

Full benefits package: medical, dental

vision

Flexible leave options

Policy review involvement

Job summary

Naukri Mitra in the United States is seeking a Remote Health Insurance Compliance Analyst to uphold ethical healthcare practices while working from home. The role focuses on enforcing regulations, auditing processes, and shaping compliance standards across digital insurance workflows, claims analysis, and regulatory documentation.

You'll translate evolving HIPAA, CMS, and Medicare guidelines into actionable protocols, drive risk mitigation, and collaborate with legal, claims, and regulatory

Qualifications

• A degree in Public Policy, Health Law, or Insurance Compliance is preferred.
• At least 2 years in compliance auditing or insurance regulatory oversight
• Advanced understanding of HIPAA, CMS protocols, and Medicare guidelines
• Skilled in reviewing procedural documentation and identifying policy gaps
• Strong reasoning, synthesis, and investigative thinking
• Able to deliver concise, clear communication tailored for legal, technical, and executive audiences
• Highly organized, deadline-driven, and efficient in remote settings

Responsibilities

• Regulatory Compliance and Auditing Analyze healthcare policy changes and determine business impacts.
• Execute regular audits to assess compliance in claims processing and policy administration.
• Cross-Departmental Collaboration Partner with legal counsel, claims processors, and regulatory advisors to streamline compliance.
• Prepare compliance reports and brief leadership on emerging risks.
• Risk Mitigation and Training Identify trends in potential violations and collaborate on corrective actions.
• Create engaging training programs to promote regulatory awareness.
• Documentation and Reporting Maintain updated documentation aligned with ACA, HIPAA, and CMS requirements.
• Oversee compliance documentation for remote auditing procedures.

Skills

Compliance auditing

Regulatory knowledge

Analytical thinking

Remote work

Education

Public Policy degree

Health Law degree

Tools

CMS platforms

Excel

Power BI

SharePoint

Job description

Remote Health Insurance Compliance Analyst Introduction: Take Charge of Your Future

Are you motivated to uphold ethical healthcare practices while enjoying the flexibility of working from home? This is your moment to join as a Remote Health Insurance Compliance Analyst—a dynamic role focused on enforcing healthcare regulations and advancing accountability in the insurance space. With an annual salary of $72,853, this position empowers you to drive transparency, champion fairness, and influence compliance standards in a fully remote capacity.

About the Role: Make an Impact Where It Matters Most

The healthcare insurance landscape constantly evolves, and compliance professionals are crucial to keeping systems aligned and ethical. As a Compliance Analyst, you'll interpret evolving policy changes, verify procedural adherence, and collaborate with stakeholders to shape effective regulatory frameworks. Your efforts will reinforce consumer protections and elevate standards across digital insurance workflows, claims analysis, and regulatory documentation. You will play a hands‑on role in regulatory risk management and help optimize internal controls across all insurance functions. This position is ideal for a proactive thinker who excels at translating complex regulations into actionable protocols. You'll be able to participate in strategic initiatives and gain exposure to enterprise‑level projects that drive industry‑wide transformation. If you’re eager to contribute to meaningful reform and advocate for patient‑first practices, this is your platform to thrive.

Key Responsibilities

• Regulatory Compliance and Auditing Analyze healthcare policy changes and determine business impacts.
• Execute regular audits to assess compliance in claims processing and policy administration.
• Cross-Departmental Collaboration Partner with legal counsel, claims processors, and regulatory advisors to streamline compliance.
• Prepare compliance reports and brief leadership on emerging risks.
• Risk Mitigation and Training Identify trends in potential violations and collaborate on corrective actions.
• Create engaging training programs to promote regulatory awareness.
• Documentation and Reporting Maintain updated documentation aligned with ACA, HIPAA, and CMS requirements.
• Oversee compliance documentation for remote auditing procedures.

Work Environment: Where Flexibility Meets Focus

You’ll thrive in a structured yet autonomous remote setup, contributing to a collaborative ecosystem where communication is clear, tools are cutting‑edge, and accountability is valued. You’ll collaborate with a network of policy analysts, claims auditors, and actuarial professionals working toward better healthcare compliance. The role fosters proactive decision‑making and rewards critical thinking with a measurable impact on internal operations.

Tools and Technology

• Regulatory workflow platforms and Compliance Management Systems (CMS)
• Microsoft Excel and Power BI for claims insights
• Health insurance platforms such as Facets and QNXT
• Secure digital storage (e.g., SharePoint, OneDrive)
• Trello, Asana, or Jira for task and compliance project tracking

Qualifications and Expertise

• A degree in Public Policy, Health Law, or Insurance Compliance is preferred.
• At least 2 years in compliance auditing or insurance regulatory oversight
• Advanced understanding of HIPAA, CMS protocols, and Medicare guidelines
• Skilled in reviewing procedural documentation and identifying policy gaps
• Strong reasoning, synthesis, and investigative thinking
• Able to deliver concise, clear communication tailored for legal, technical, and executive audiences
• Highly organized, deadline-driven, and efficient in remote settings

Exciting Perks and Benefits

• 100% remote position with customizable working hours
• Tech and ergonomic office setup reimbursement
• Structured mentorship and long‑term professional growth support
• Achievement bonuses and compliance excellence recognition
• Full benefits package: medical, dental, vision
• Flexible leave options including wellness days and recharge time
• Direct involvement in shaping policy review initiatives

Career Growth and Future Vision

This position is designed for those who want more than a job—it’s a platform for influence, impact, and professional fulfillment. As a Remote Health Insurance Compliance Analyst, your work will influence data‑backed decisions, ensure legal integrity in healthcare, and directly support organizational trust. Grow into roles like Compliance Lead, Healthcare Policy Advisor, or Regulatory Risk Strategist. Your career path here reflects your drive. You’ll also benefit from immersive learning opportunities that keep you on the leading edge of compliance trends. You'll sharpen your policy interpretation skills and expand your strategic thinking in real-world contexts through active participation in internal forums, webinars, and peer‑based discussions.

Building a Global Workforce: Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions.