Position Details

Salary $55K – $109K USD / year

Type Full-Time

Experience mid

Exp. Years 3+ years

Education Bachelor’s degree in business, healthcare, or related area of study, or equivalent education and work experience

Category Legal & Compliance

About this role

Senior Compliance Analyst with a focus on health plan and regulatory audits, CAP activities, on-site coordination, and mock audits. Manages corrective action processes and ensures compliance with federal and state regulations.

Key Responsibilities

Coordinate all aspects of regulatory and client audits
Synthesize audit-related information
Manage CAPs and corrective actions
On-site audit coordination and mock audits
Communicate audit findings to leadership

Technical Overview

Strong MS Office suite proficiency; audit reporting and data tracking; regulatory documentation; remote work with travel up to 25%.

Ideal Candidate

The ideal candidate is a compliance professional with 3+ years in regulated environments, strong MS Office skills, and a proven track record coordinating audits and CAPs. They should be comfortable working remotely, traveling up to 25% as needed, and communicating regulatory requirements clearly.

Must-Have Skills

Bachelor’s degree in businesshealthcareor related field3+ years of experience in complianceprivacy and/or regulatory affairs or with supporting audits in a highly regulated industryIntermediate level of proficiency with MS WordExceland PowerPointStrong attention to detailAble to work independentlyRemote work capability with reliable internet bandwidthAbility to travel up to 25%

Nice-to-Have Skills

Experience working with MedicareMedicaid or Commercial benefits and regulationsKnowledge of managed care and dental/vision benefit plans

Tools & Platforms

MS WordExcelPowerPointVisio

Required Skills

Complianceaudit coordinationregulatory auditsCAPsCMSJoint CommissionNC state policiesMS WordExcelPowerPointVisio

Hard Skills

MS WordExcelPowerPointVisioRegulatory auditsAudit coordinationCAPRegulatory complianceData reporting

Soft Skills

CommunicationCollaborationDetail-orientedProblem solvingTime management

Industry & Role

Industry Insurance

Job Function Manage health plan and regulatory audits and CAP activities to ensure regulatory compliance and audit success

Role Subtype Compliance Analyst

Keywords for Your Resume

senior compliance analystcompliance analystaudit coordinationregulatory auditsCAPcorrective action planhealth planregulatory affairsCMSJoint CommissionNC state policiesprivacyregulatory complianceremotetelecommuteauditsMS WordExcelPowerPointVisiocompliancecapcmsjoint commissionnc state policiesms wordexcelpowerpoint

Deal Breakers

Less than 3 years of compliance/audit experience, Inability to travel up to 25%, Inadequate MS Word/Excel/PowerPoint proficiency

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