Remote Senior Utilization Audit & Compliance Analyst
Integra Partners
Integra Partners is seeking a Senior Utilization Management Audit & Compliance Analyst to serve as the subject matter expert for external audits, regulatory inquiries, and UM oversight. You will review audit requests, analyze UM data in Essette, and prepare professional, evidence-based responses for health plans, clients, regulators, accreditation bodies, and other external stakeholders. The ideal candidate brings extensive UM experience across Medicare, Medicaid, Commercial, and Dual Eligible #J-18808-Ljbffr
- ...Integra Partners is seeking a Senior Utilization Management Audit & Compliance Analyst to lead external audits and respond to inquiries from health plans, clients, regulators, and accreditation bodies. This role involves reviewing UM data in Essette and related systems...Remote workSenior
$90k
...The Senior Utilization Management Audit & Compliance Analyst serves as the subject matter expert for external customer audits, regulatory inquiries, and utilization... ...programs ~ Career development opportunities Remote Opportunities We are actively seeking new...Remote workSeniorTemporary workLocal area- ...Aldrich is seeking a Senior Regulatory Consultant to support rate-regulated utilities across a variety of services, including... ...service studies and regulatory compliance guidance. This full-time position... ...within various states or be fully remote. The ideal candidate will...Remote workSeniorFull time
- ...maintenance of the ISO/IEC 27001:2022 program, the full-time remote Senior Compliance Analyst will serve as the primary subject matter expert,... ...to manage compliance activities, coordinate certification audits, and enhance the Information Security Management System (...Remote workSeniorFull time
$90k - $110k
...Signature Performance, Inc. is seeking a Compliance Program Analyst for a remote-based role to support compliance governance, policy management, and auditing efforts. The ideal candidate will have over five years of experience in compliance and familiarity with regulatory...Remote workSenior- ...Senior Compliance Analyst For Conflicts Of InterestTo audit and/or review complex systems or operations in order to evaluate and report on compliance matters and... ...experience.Working Environment:This position is remote within Texas only. Candidates outside of the State...Remote workSeniorFor contractorsWork at officeLocal areaRelocation
- ...infrastructure provider is seeking a Senior Compliance Analyst to oversee a robust legal framework and... ...with healthcare regulations. This fully remote position covers all 50 states and... ...monitoring regulatory changes, conducting audits, and supporting Brand Partners. Ideal...Remote jobSenior
- ...Entrust is seeking a highly skilled Senior Security Compliance Analyst to lead and sustain compliance for multiple... ..., planning and leading third-party audits, and measuring control effectiveness... ...-based candidates and will be fully remote. About Entrust: Our growing...Remote workSeniorRelocation
- The University of Texas Medical Branch (UTMB) seeks a qualified auditor to audit and review complex systems to evaluate compliance, internal controls, and regulatory adherence. The role supports the Office of Institutional Compliance and reports on the adequacy of controls...Remote jobSeniorWork at office
$150.2k - $225.4k
...information. About the role: Rubrik is seeking a Senior Commercial Compliance Analyst to lead Commercial Audit and Certification Management. In this role, you... ...or training. US2 (all other US offices/remote) Pay Range $135,200—$202,800 USD Join Us in Securing...Remote workSenior- ...We are seeking an experienced Senior Security & Compliance Analyst for a 1-year staff augmentation contract... ...SP 800-53 and/or NIST CSF controls. Audits & Risk Management: Demonstrated experience... ...in Tallahassee, Florida. (Remote work may only be considered on an occasional...Remote workSeniorPermanent employmentContract workWork experience placement
- ...Working remotely, the full-time Senior Compliance Officer will manage compliance monitoring, audits, and reporting while collaborating with various departments to ensure adherence to investment regulations and internal policies. Key responsibilities Oversee daily compliance...Remote workSeniorFull time
$113k - $194k
Senior Compliance Officer (Investment Compliance Specialist) (Primarily Home... ...Control, and Internal Audit, to assess and monitor the compliance... .... Position can be fully remote (in the United States).... ...compliance functionality is being utilized by American Family...Remote workSeniorFull timeWork at officeLocal areaWork from homeRelocation packageNight shift- ...Own and continuously improve ISO 27001, SOC 2, and GDPR compliance programs, including audit readiness and evidence collection. Lead CMMC certification... ...and CPRA. About the Role: This is a fully remote, full-time position focused on taking the compliance...Remote workSeniorFull time
- ...Job Description Responsible for proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives... .... Responsibilities Lead auditor responsibilities for assigned audits.Responsible for coordinating all aspects of the audit process,...Remote workSenior
- ...Providing independent quality and regulatory oversight, the full-time Senior Quality Compliance Specialist will evaluate SDLC practices, conduct routine software audits, and identify compliance gaps in computerized systems and digital solutions within a regulated environment...Remote workSeniorFull time
- ...approach unites operations, compliance, and technology experts, enabling... ..., compliance, and audit program activities for clients... ...As an IT Risk & Compliance Senior Associate, you will be supporting... ...and lead various in-person and remote working sessions across a range...Remote workSeniorFull timeWork at office
- ...Compliance AuditorMinimum Qualifications:Bachelor's degree and four... ...4) years of experience in an audit or investigation function preferred... ...and coding compliance.Utilizes compliance tools (e.g., MDaudit... ...Work Schedule:This position is remote within Texas only. Any...Remote workSeniorFor contractorsWork at officeLocal areaRelocationMonday to Friday
- ...Description Description: Title: Senior Credentialing Specialist... ...in Brighton, MA office; 1 day remote FLSA Status: Exempt... ...timely, accurate, compliant, audit-ready credentialing that safeguards... ...file preparation. Ensure compliance with NCQA/URAC credentialing...Remote workSeniorFull timeWork at officeLocal area
- Sungrow in Houston, TX is seeking a Vendor Compliance & Escalation Specialist to perform remote and on-site audits across the USA. This role focuses on ensuring vendor compliance to contractual requirements while identifying and resolving gaps proactively. The ideal candidate...Remote workSenior
- ...Services Overview The Regulatory Compliance Analyst assists the Pharmacy... ...random pharmacy compliance audits at pharmacy locations to help... ...and/or risk assessment tools utilized for various pharmacy audits... ...to work independently in a remote site Ability to travel over...Remote workWork at officeWork from homeHome officeNight shift
- ...approach unites operations, compliance, and technology experts, enabling... ..., compliance, and audit program activities for clients... ...Responsibilities \n As a Senior Risk & Compliance Associate,... ...and lead various in-person and remote working sessions across a range...Remote workSeniorFull timeWork at office
- ...CoVolt Power is seeking an experienced Senior Estimator to lead preconstruction estimating for utility-scale solar and battery energy storage projects across the United States. This role is remote and requires coordinating with Business Development, Procurement, Preconstruction...Remote workSenior
- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote Per Diem role. The 8-hour day shifts provide support within the Care Management team to coordinate patient care. You will work under the supervision of the Regional...Remote workSeniorDaily paidDay shift
- ...Olsson is seeking a Senior Civil Designer with a grading and utility focus to work on large, complex engineering projects across the US. You will collaborate with licensed engineers, producing detailed drawings and models using Civil 3D and CAD, and independently design...Remote workSenior
- ...Providence California Regional Services seeks a Senior Utilization Management Assistant to support the Care Management team. This full-time, remote role follows an 8-hour day shift and reports to the Regional Director of Care Management. In this position you will assist...Remote workSeniorFull timeDay shift
- ...Sun Energy Solar LLC in Wisconsin is seeking a Senior Utility-Scale Solar Estimator to join our team. This remote role focuses on developing accurate cost estimates for utility-scale solar projects and coordinating with design, procurement, and operations to deliver competitive...Remote workSenior
- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a REMOTE, per diem role with 8-hour variable shifts. Reporting to the Regional Director of Care Management, you will support the care management team in coordinating patient...Remote workSeniorDaily paidShift work
$117k - $155k
...everything possible.The Sr. IT Compliance Analyst is responsible for... ...results and risks—to senior (L1) stakeholders.... ...effectively, and supported by audit-ready evidence.... ...the organization.Utilizing continuous improvement... ...benefits of flexible, remote working arrangements for...Remote workSeniorHourly payFull timeWork from homeFlexible hours$103k - $107k
Pacific Staffing is recruiting a Senior Compliance Analyst for a leading Sacramento based financial institution... .... Hybrid after training ( 2 days remote): Sacramento, CASalary: $103,000 - $10... ...senior leadership and assist during audits, exams, and regulatory interactions....Remote workSeniorWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Utilization Audit & Compliance Analyst. Be the first to apply!
- trade compliance specialist New York, NY
- legal compliance analyst New York, NY
- compliance officer New York, NY
- coding compliance specialist New York, NY
- research compliance officer New York, NY
- regulatory operations specialist New York, NY
- compliance analyst New York, NY
- legal compliance officer New York, NY
- regulatory specialist New York, NY
- healthcare compliance officer New York, NY




