Sr Internal Audit & Compliance Analyst

• Maintain the organization’s Internal Audit Program, including supporting policies, procedures, forms, and outcome reports.
• Conduct audits with a focus on healthcare laws, payer contracts, and CMS guidelines.
• Analyze and document audit findings, identifying key risks and proposing corrective actions.
• Lead efforts in identifying trends and outliers for potential FWA cases and coordinate reviews through the SIU.
• Ensure proper documentation and communication of potential FWA cases to relevant individuals or committees.
• Support external regulatory inspections and internal audits, including document reviews, protocol validation, and training coordination.
• Assist in the development and delivery of compliance training programs based on audit findings.
• Maintain and update a knowledge base of healthcare regulations, industry standards, and internal processes.
• Collaborate with operational departments and subject matter experts to identify new areas of concern and design additional audits.
• Ensure timely and accurate communication with Client/Health Plan designees in accordance with contractual requirements.
• Support the Compliance Officer with policy and procedure updates and serve as a member of the Compliance Committee.
• Gather, analyze, and consolidate data for executive leadership and regulatory reporting, ensuring content and scheduling requirements are met.

Qualifications:

• Bachelor’s degree required; preferred certification in Healthcare Compliance (e.g., CHC, CHPC),
• 3–5 years in healthcare compliance, internal audit, or regulatory affairs with significant experience in supporting FWA programs. Strong analytical and problem-solving skills.
• Proficiency in SQL for data analysis and reporting.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively across departments.
• High attention to detail and organizational skills.

Location:

Position is remote and the location of candidate is flexible within the U.S.