Medicare/Medicaid Compliance & Audit Specialist
Jobtailor
PacificSource seeks a Compliance professional to manage Medicare and Medicaid compliance programs, conduct audits, and develop policies ensuring regulatory adherence across all business areas. You will partner with Compliance, audit teams, and leadership to monitor operations, respond to inquiries, and provide training on new rules and guidance. The role requires strong written and verbal communication, attention to detail, and the ability to prioritize issues without direct supervision; #J-18808-Ljbffr Jobtailor
$63.98k - $95.97k
Job Description Summary Compliance Auditor II (P2 · Professional · Developing · Individual... ...PROFILE SUMMARY Executes compliance audit activities under general supervision,... ...across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic...SuggestedWork at office- Jobtailor is seeking a Credentialing Specialist to oversee credentialing and re-credentialing across Medicaid and Medicare programs. This role ensures compliance with regulatory standards and maintains accurate license tracking for pharmacy sites. The ideal candidate possesses...Suggested
- Jobtailor is seeking a Regulatory Compliance professional in New York to oversee supplier qualification, audits, and quality governance within a regulated industry. You will collaborate with Supply Chain, Procurement, Quality, and Regulatory Affairs to translate regulatory...Suggested
- Mosaic Health, LLC. is seeking a Compliance Auditor II to execute audit procedures, review documents, test controls, and draft findings. This professional will support audit planning, maintain thorough work papers, and monitor corrective actions under supervision. Qualification...SuggestedWork at office
- Prestige Trucking Insurance in New York is seeking a detail-oriented Auditing Specialist responsible for conducting internal audits and ensuring compliance with regulations. The ideal candidate will support financial accuracy across various operations while working closely...Suggested
- ...Care Management (CM), and Utilization Management (UM) compliance program for Medicare, and Medicaid lines of business Assume the primary role of interfacing... ...impacting these departments Conduct internal audits, support external audits, develop policies and procedures...
- ...populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care... ...for all. The Manager of Medical Auditing is responsible for overseeing all coding... ...documentation integrity, and regulatory compliance in diagnosis and procedural coding...Work at officeLocal area
- ...distribution. As part of this growth, we are strengthening our Finance team and currently have an opening for an Accounting & Internal Audit Specialist based in Miami, Florida. Objective: Strengthen the Finance function by owning the integrity of what is recorded in the...
- ...makes a difference, we'd love to speak with you. We're partnering with a respected aerospace organization seeking a Global Trade Compliance Analyst to support international trade and regulatory compliance initiatives across a global operation. This role sits at the intersection...Contract workWork at office
- ...education and professional development. Summary Of The Role We are looking for an experienced and dynamic Permitting & Regulatory Compliance Specialist II to join our growing team. In this role you will independently manage a defined caseload of permitting and compliance...Work at officeImmediate startRemote workFlexible hours
$115k - $135k
...conveniently at their fingertips, anytime and anywhere. The Compliance Specialist will help create and champion a culture of compliance for a... ...Robinhood’s affiliated companies Conduct testing, surveillance, audits and exams, risk assessments, and annual reviews to validate...Work at officeFlexible hoursShift work3 days per week$65 - $90 per hour
...focused on reviewing and labeling construction documents to ensure compliance with building codes. Ideal candidates should have strong... ...to $90 per hour, depending on experience. This role involves auditing datasets, evaluating AI outputs, and defining guidelines for code...Hourly payRemote work$31.53 - $52.24 per hour
...be revolutionizing healthcare with visionary leadership and world-class resources. Primary Job Responsibilities: Conducts audits to ensure compliance with hospital governing agencies. Reviews patient charts to verify accuracy and adherence to regulatory standards....Full timeLocal areaShift work- ...The Compliance Specialist is a six-month contract role. This position supports compliance with tax abatement agreements, regulatory reporting... ...tax authority inquiries regarding filed documents. Support audit processes by retrieving and organizing historical records. Perform...Contract workLocal area
- ...UST Compliance Specialist Full-Time and Part-Time | Non-Exempt, Hourly | Reports to the Fuel Facilities UST Compliance Manager | Remote - FL, NC, MA, IL, TX, or AZ | Compensation commensurate with experience You would run storage tank compliance programs for the companies...Hourly payFull timePart timeFor contractorsRemote work
- ...A leading property management firm in New York is seeking a Compliance Specialist to ensure adherence to Low-Income Housing regulations. Responsibilities... ...include managing compliance documentation, conducting audits, and maintaining effective communication with housing...
- ...co-workers. This position is responsible to assist the Internal Audit Department in its review and examination of the Company's... ...responsibilities including: Assists Management with the Company’s ongoing compliance with the Sarbanes‑Oxley Act by performing testing and...Remote work
- ...Responsibilities Contribute to the execution of operational audits across Navy Federal's business units Identify and test key risks and controls in the business and participate in Internal Audit initiatives Promote partnership, trust, and accountability within the organization...
- ...Execute risk-based internal audit projects covering financial reporting, risk management, governance, internal controls, and compliance Assist with audit planning and coordinate with audit teams, management, and external auditors to define scope, objectives, and methodology...
- ...Brown & Brown in Maitland, FL is seeking a Senior Financial Operations Audit Analyst to lead audits across financial, operational, and compliance areas, while mentoring teammates and advancing data analytics capabilities. The role blends internal audit fundamentals with...
- ...highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams... ...payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery for...Local areaRemote work
- ...maintenance records auditor to support our global maintenance and compliance efforts. You will research and maintain maintenance reports,... .... Ideal candidates have at least two years in aviation or auditing roles, strong attention to detail, and excellent written and verbal...
- Waste Pro USA is seeking a Regional Fleet Maintenance Specialist in New York to support the Regional Fleet Team by facilitating... ...leading warranty recovery procedures, conducting audits, and ensuring compliance with safety protocols while working in diverse environments...
- Benecardpbf is seeking a Licensing Specialist to ensure compliance with state and federal licensing requirements. You will research, prepare, file, and track regulatory filings across TPA, PBM, Pharmacy, and related areas. Responsibilities include preparing licensing applications...
$23 - $25 per hour
...benefits, and incentive programs. We are currently seeking a Compliance Specialist! Responsibilities Responsible for ensuring compliance in Low... ...Required to travel based on business need Perform various audits and implement necessary solutions Provide administrative support...Hourly payFull timeTemporary workPart timeLocal area$24.74 - $26.2 per hour
...member‑focused organization, SCCU offers a supportive environment for team members and prioritizes career growth. Position: Compliance Specialist I - Miramar Operation Center In this role, you will implement the Compliance Risk Management Program and serve as a liaison...Hourly payWork at officeMonday to Friday2 days per week$16 - $17 per hour
...savviness. Ability to work autonomously on a fully remote schedule. A Florida-based non-profit organization is looking to add a Compliance Specialist resource to their Compliance Team. This role is an entry-level position and will include lots of training and development....Contract workRemote work- Join to apply for the Compliance Specialist role at HWL Corporate Recruiting Partner at Jackson Healthcare What You Will Do As a Compliance Specialist, you will serve as the day-to-day liaison between agencies and the client, ensuring all credentialing and onboarding...Full timeLocumWork at officeRemote work
- Pinnacle Environmental Management Support, Inc. is seeking an UST Compliance Specialist to manage storage tank programs across client sites. This role requires coordinating inspections, release detection, and vendor activities while maintaining accurate compliance data...Remote job
- Ozinga Bros, Inc. is seeking a Safety Specialist to enforce safety policies and promote a strong safety culture across a regional area. You will oversee the overall safety program and ensure compliance with state and federal regulations, including OSHA, DOT, and related...
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