Top 23 Compliance remote Jobs in Michigan

Auditor, Healthcare Services (Remote in MI)
Molina Healthcare —Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Microsoft Excel
- RN License
- LPC
- Health insurance
Senior Compliance Investigator
Centene —Michigan
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
10d
Nurse Auditor, Revenue Integrity - (Remote)
Trinity Health —Livonia, MI
- $325,171 - $487,757 a year
- Full-time
- Remote
- Nursing
- Medication administration
- RN License
Government Compliance Counsel
Accenture —Detroit, MI
- $122,700 - $338,300 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Analysis skills
- Paid holidays
- Disability insurance
12d
Associate General Counsel, Collections, Servicing and Customer Operations
Mission Lane —Detroit, MI
- $178,000 - $225,000 a year
- Full-time
- Remote
- Mid-level
- Contracts
- Communication skills
- Paid parental leave
- Disability insurance
Customer Compliance & Business Execution Manager-Remote (MI)
Chemico LLC —Southfield, MI
- Weekends as needed
- Remote
- Background check
- Marketing
- 5 years
Quick Apply
10d
Compliance Team Lead
Cyber 74, LLC —Michigan
- From $110,000 a year
- Full-time
- Remote
- HIPAA
- 3 years
- Mentoring
Quick Apply
Senior Payroll Compliance Program Manager
Masco —Livonia, MI
- $76,400 - $120,010 a year
- Full-time
- Remote
- 8 years
- Analysis skills
- Presentation skills
- Paid sick time
ASC/Professional Surgical Coding Auditor & Educator (REMOTE)
Trinity Health —Livonia, MI
- Full-time
- Remote
- 5 years
- Analysis skills
- Travel
14d
Contracts Manager
Contact Government Services, LLC —Detroit, MI
- $56,000 - $72,000 a year
- Full-time
- Remote
- Microsoft Outlook
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Senior NERC Compliance Analyst
Consumers Energy —Ann Arbor, MI
- $38 - $45 an hour
- Contract
- Remote
- 5 years
- Engineering
- Experience equivalent to degree accepted
- Dental insurance
- 401(k)
9d
Senior Paralegal / Contracts Manager
SCH SERVICES INC —Michigan
- $80,000 - $126,000 a year
- Full-time
- Remote
- Continuous improvement
- Senior level
- Associate's degree
- Profit sharing
- AD&D insurance
Quick Apply
5d
Inpatient Coding Auditor
Huron Managed Services LLC —Detroit, MI
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
8d
National Nurse Compliance Surveyors - Home Health or Hospice
Community Health Accreditation Partner —Detroit, MI
- $0.73 per mile
- Part-time
- Remote
- Nursing
- RN License
- Bachelor's degree
- Paid training
- 401(k)
Quick Apply
Senior Compliance Consultant – Money Transmitter & Payments (Remote)
Orion Placement —United States
- $80,000 - $100,000 a year
- Full-time
- Remote
- 5 years
- Finance
- Analysis skills
- Dental insurance
- Paid time off
Quick Apply

Discover related jobs

Based on your search for compliance remote jobs.

Integrity & Compliance Program Manager
Trinity Health —Livonia, MI
Exposure to fumes, odors, dusts, mists& gases, biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.).
$47.23 - $70.85 an hour
Compliance Site Manager
Henry Ford Health —Detroit, MI
Knowledge of healthcare compliance programs, investigations, and applicable federal and state regulatory requirements.

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Trade Compliance Analyst - REMOTE
DBI Trade CO LLC —Columbus, OH
Identify compliance gaps and partner with stakeholders to develop and implement corrective action plans. Knowledge of the Harmonized Tariff Schedule of the…
Compliance Manager
Mission Lane —Columbus, OH
You'll proactively identify gaps, develop and deliver guidance on high-risk compliance topics, partnering with the business to strengthen programs, elevating…
$129,000 - $140,000 a year

Show more jobs in cities nearby

I want to receive the latest job alert for compliance remote in michigan

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

compliance remote jobs near michigan

Auditor, Healthcare Services (Remote in MI)

Molina Healthcare -
Detroit, MI

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION

This position will offer remote work flexibility, but the selected candidate must reside in Michigan.

Opportunity for an RN who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an instrumental part of the team work to align the Medicaid Team compliance guidelines with those followed by our corporate teams. Knowledge and experience working with Waiver Program is vital to success in this role.

The preferred candidate will have 3 – 5 years of experience in a MCO and at least 2 years of clinical auditing and/or review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking. Licensure should be an LPC, RN, LLMSW, LMSW, LBSW.

Hours are Monday – Friday, 8:30AM – 5PM EST.

Job Summary

Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
Assesses clinical staff regarding appropriate clinical decision-making.
Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
Ensures auditing approaches follow a Molina standard in approach and tool use.
Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
Adheres to departmental standards, policies and protocols.
Maintains detailed records of auditing results.
Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
Meets minimum production standards related to clinical auditing.
May conduct staff trainings as needed. • Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.

Required Qualifications

At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.

Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

Strong attention to detail and organizational skills.

Strong analytical and problem-solving skills.

Ability to work in a cross-functional, professional environment.

Ability to work on a team and independently.• Excellent verbal and written communication skills.

Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

compliance remote jobs in michigan

Auditor, Healthcare Services (Remote in MI)

Senior Compliance Investigator

Nurse Auditor, Revenue Integrity - (Remote)

Government Compliance Counsel

Associate General Counsel, Collections, Servicing and Customer Operations

Customer Compliance & Business Execution Manager-Remote (MI)

Compliance Team Lead

Senior Payroll Compliance Program Manager

ASC/Professional Surgical Coding Auditor & Educator (REMOTE)

Contracts Manager

Senior NERC Compliance Analyst

Senior Paralegal / Contracts Manager

Inpatient Coding Auditor

National Nurse Compliance Surveyors - Home Health or Hospice

Senior Compliance Consultant – Money Transmitter & Payments (Remote)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for compliance remote in michigan

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected