Top 1421 Health compliance Jobs

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Manager of Compliance Audit
PROVIDER RESOURCES INC —Remote
- $105,000 - $155,000 a year
- Full-time
- Remote
- 5 years
- Senior level
- Analytics
Quick Apply
Director of Compliance
PROVIDER RESOURCES INC —Remote
- $165,000 - $190,000 a year
- Full-time
- Remote
- Senior level
- Leadership
- 10 years
Quick Apply
Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Compliance Support Specialist
TRES HEALTH INC —Remote
- Remote
- Research
- Mid-level
- Office
Compliance Analyst
UCLA Health —Los Angeles, CA
- $86,400 - $184,800 a year
- Research
- Mid-level
- 3 years
Compliance Auditor -Remote
Providence —Renton, WA
- $30.47 - $58.75 an hour
- Full-time
- Remote
- 5 years
- Mid-level
- Finance
- Paid parental leave
- Paid holidays
Senior Compliance Investigator
Centene —New York, NY
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Senior Compliance Professional
Humana —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- Microsoft Word
- Research
- Bachelor's degree
- Paid parental leave
- Paid holidays
Claims Auditor
RiteChoice Rx —Remote
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
Quick Apply
Quality Auditor
Firstsource Healthcare —Remote
- Remote
- 5 years
- Bachelor's degree
- Continuous improvement
Senior Associate - Healthcare Compliance Analyst - HTS
Berkeley Research Group, LLC —Remote
- $70,000 - $115,000 a year
- Full-time
- Remote
- Bachelor of Science
- Mid-level
- Office
Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Associate Executive Director - Corporate Compliance Officer
North Charles Mental Health Research and Training Foundation, Inc —Cambridge, MA
- $73,000 - $80,000 a year
- Full-time
- HIPAA
- Office
- Master's degree
- Health savings account
- Health insurance
Quick Apply
Compliance Specialist II
MedBen —Newark, OH
- Full-time
- Background check
- Microsoft Excel
- Writing skills
- Health insurance
- 401(k)
Quick Apply
Paralegal, Regulatory Compliance
KabaFusion —Cerritos, CA
- $33.65 - $41.14 an hour
- Full-time
- Microsoft Word
- Writing skills
- Research
- Paid holidays
- Disability insurance
Quick Apply
Paralegal, Regulatory Compliance
KabaFusion —Carrollton, TX
- $33.65 - $41.14 an hour
- Full-time
- Microsoft Word
- Writing skills
- Research
- Paid holidays
- Disability insurance
Quick Apply
Medical Coding Auditor
IN Compass Health —Alpharetta, GA
- Full-time
- 5 years
- Acute care experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
Compliance Investigator II
Partnership HealthPlan of California —Fairfield, CA
- $96,970.04 - $121,212.56 a year
- Full-time
- Microsoft Excel
- HIPAA
- Office
Policy & Contracts Manager
SouthEast Alaska Regional Health Consortium —Juneau, AK
- $44.57 - $62.80 an hour
- Full-time
- Nursing
- OSHA
- Writing skills
- Paid parental leave
- Disability insurance
Quick Apply
Professional Medical Coding Educator Auditor HCS
Catholic Health System —Buffalo, NY
- $32 - $48 an hour
- Evening shift
- Anatomy knowledge
- Mid-level
- Office
Quick Apply
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Manager of Compliance Audit

PROVIDER RESOURCES INC -
Remote

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Job Details

Full-time
$105,000 - $155,000 a year

Qualifications

Quality control corrective actions
Quality records maintenance
Process audits
Case assessment
Audit report preparation
5 years
Preventive action implementation
CMS
Healthcare documentation compliance audits
Corrective and preventive actions (CAPA)
Inspection reporting and documentation
Quality control audit
Audit Reporting
CMS regulatory compliance
Quality assurance audits
Medicare regulations
Regulatory readiness in healthcare
Investigating compliance violations
Senior level
Audit support
Analytics

Full Job Description

About the role:

Provider Resources Inc. (PRI) is looking for a Manager of Compliance Audit to own our IDR determination audit function. This is an individual contributor role for a compliance professional with deep IDR and No Surprises Act knowledge who can audit case-level determinations, identify systemic patterns, and drive corrective action in a fast-scaling, CMS-regulated environment.

What you will do:

Audit IDR operational determinations for accuracy, consistency, and CMS regulatory compliance
Identify patterns across reviewers, case types, and program lines and escalate systemic findings
Maintain audit documentation and findings reports to URAC and CMS standards
Track findings through CAPA to resolution
Support external URAC and CMS audit preparation

What we are looking for:

5 to 8 years compliance or auditing experience in a healthcare or regulated environment
Direct knowledge of the IDR process, No Surprises Act, and CMS IDR regulations — IDRE or IRO experience preferred
Experience conducting structured compliance audits and producing findings reports
Analytical — comfortable identifying patterns across large case volumes
URAC or NCQA audit familiarity preferred

Why PRI:

Meaningful work — PRI processes payment disputes that directly protect patients from unexpected medical bills under the No Surprises Act
Growth stage — we are building the systems, processes, and team that will define PRI for the next decade
Skills framework — every role at PRI has a defined skills ontology with clear growth paths and Udemy development pathways
Lean and direct — decisions get made, work is visible, and contributions matter

PRI is an equal opportunity employer. We evaluate candidates on demonstrated skills and capability.

About PROVIDER RESOURCES INC

Join Provider Resources (PRI) and Make an Impact in Healthcare! At PRI, we’re passionate about driving integrity and advancing quality across the healthcare system. As a trusted leader in the industry, we’re tackling some of healthcare’s biggest challenges—improving compliance, advancing health equity, and enhancing quality and clinical outcomes while helping organizations improve care delivery and create meaningful change. We believe that people are at the heart of healthcare, and focus on scalable, person-centered strategies that prioritize clinical excellence and evidence-based practices. Our work supports a broad network of stakeholders, including providers, patients, caregivers, payers, and regulators. We strive to enhance experiences, improve outcomes, and foster a healthier future for all. If you’re looking to be part of a forward-thinking team that makes a difference, PRI is the place for you!

Quick Apply

Refine Your Search

health compliance jobs

Manager of Compliance Audit

Director of Compliance

Corporate Ethics & Compliance Investigator

Compliance Support Specialist

Compliance Analyst

Compliance Auditor -Remote

Senior Compliance Investigator

Senior Compliance Professional

Claims Auditor

Quality Auditor

Senior Associate - Healthcare Compliance Analyst - HTS

Coding and Compliance Auditor

Associate Executive Director - Corporate Compliance Officer

Compliance Specialist II

Paralegal, Regulatory Compliance

Paralegal, Regulatory Compliance

Medical Coding Auditor

Compliance Investigator II

Policy & Contracts Manager

Professional Medical Coding Educator Auditor HCS

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