Position: Compliance Auditor
Location: Hybrid (Must Reside in NY/NJ/CT)
Work Schedule: Monday - Friday, 9:00am - 5:00pm
Compensation: $77,506.87 - $87,195.23 Annual Salary
Role Summary
As 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 networks
- Define audit objectives, scope, risks, and testing procedures; perform sample testing
- Maintain clear, complete workpapers and draft audit reports with practical recommendations
- Partner with stakeholders on root-cause analysis and track corrective action plans to completion
- Identify potential fraud, waste, and abuse risks and support mock audits for regulators
Required qualifications:
- Bachelor's degree
- Minimum 2 years of related experience
- Knowledge of CMS and NY DOH Medicare/Medicaid regulations; familiarity with claims and care management processes
- Strong analytical, communication, and project management skills; proficiency in MS Office
- Willingness to pursue CIA and CHC certifications
If you're ready to build a career in healthcare compliance and audit, apply today.
A Typical Workday
Your 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.
