Compliance Auditor

Compliance AuditorPosition: Compliance AuditorLocation: Hybrid (Must Reside in NY/NJ/CT)Work Schedule: Monday - Friday, 9:00am - 5:00pmCompensation: $77,506.87 - $87,195.23 Annual SalaryOur OrganizationVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.Role SummaryAs an entry-level Compliance Auditor, you will help ensure the health plan's operations and delegated entities meet Medicare and Medicaid requirements. This role supports regulatory readiness and strengthens controls through structured audit work. Key responsibilities include:Plan and conduct compliance audits across operational areas and provider/FDR networksDefine audit objectives, scope, risks, and testing procedures; perform sample testingMaintain clear, complete workpapers and draft audit reports with practical recommendationsPartner with stakeholders on root-cause analysis and track corrective action plans to completionIdentify potential fraud, waste, and abuse risks and support mock audits for regulatorsRequired qualifications:Bachelor's degreeMinimum 2 years of related experienceKnowledge of CMS and NY DOH Medicare/Medicaid regulations; familiarity with claims and care management processesStrong analytical, communication, and project management skills; proficiency in MS OfficeWillingness to pursue CIA and CHC certificationsIf you're ready to build a career in healthcare compliance and audit, apply today.A Typical WorkdayYour day is structured around a clear audit plan and steady communication. Working with work-from-home flexibility, you'll start by reviewing the current audit timeline, open questions, and documentation received from the area under review. You'll spend focused time organizing evidence, validating what you're seeing against regulatory expectations, and summarizing observations so they are easy for others to follow. As the day progresses, you'll join check-ins with the Director of Compliance & Internal Audit and audit participants to confirm status, clarify items that need follow-up, and keep the engagement moving on schedule. You'll also refine draft narratives and visuals for reporting so stakeholders can quickly understand risk, impact, and next steps. Before signing off, you'll update tracking for open items and ensure deliverables are ready for timely review.