COMPLIANCE AUDITOR

What You'll Do

• C Conduct operational, regulatory, and compliance audits across healthcare functions.
• A Assist in risk assessments and development of the annual audit plan.
• D Design and execute audit programs that identify risks and control gaps.
• A Analyze findings and recommend process improvements.
• F Monitor corrective action plans and audit follow-up activities.
• P Partner with leaders to provide guidance on regulatory requirements.
• M Maintain knowledge of Medicare, Medicaid, PACE, Part D, LHCSA, and Article 28 requirements.
• P Prepare audit reports and communicate findings to leadership.
• A Perform additional duties as assigned.

Required Qualifications

• Bachelor's degree in Political Science, Social Science, Healthcare Administration, Healthcare Operations, or related field.
• M Minimum 3 years of healthcare auditing experience.
• R Understanding of Medicare and Medicaid programs.
• A Strong analytical, investigative, and problem-solving skills.
• C Excellent written and verbal communication skills.
• T Strong attention to detail and ability to manage multiple priorities.

Preferred Qualifications

• E Experience within a Health Plan, Managed Care Organization, PACE Program, or healthcare delivery system.
• S Knowledge of CMS, Part D, LHCSA, and Article 28 requirements.
• G Billing and coding experience.
• K Professional compliance or audit certification.

Why Join C2Q Health Solutions?

• M Medical, Dental, and Vision coverage.
• M Multiple medical plan options include PPO, EPO, and HSA plans.
• M Company-funded HRA options and employerEmployer HSA contributions of up to $3,000 annually for families.
• M Company-paid Basic Life Insurance.
• M Short-Term and Long-Term Disability coverage.
• M Employee Assistance Program (EAP).
• M 401(k) Retirement Savings Plan.
• M 28 Paid Time Off (PTO) days annually.
• M 9 Paid Holidays.
• M Gym reimbursement up to $400 annually.
• M Tuition reimbursement up to $5,250 annually.
• M Employee Recognition Events.
• M Hybrid work schedule with 2 remote workdays per week after successful completion of training.
• M Professional development and career growth opportunities.
• M Relias learning platform with continuing education resources.

About C2Q Health Solutions

C2Q Health Solutions supports innovative healthcare delivery models through operational, administrative, compliance, and clinical support services. We are committed to integrity, accountability, collaboration, and continuous improvement while helping healthcare organizations deliver exceptional care.

Disclaimer

Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

Disclaimers

• We are an affirmative action and equal opportunity employer.
• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information.
• We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

Salary Range (Min-Max)

$90,000.00 - $100,000.00 annually