Top 21 Compliance remote Jobs in Michigan

Auditor/Investigator II
Qlarant —Michigan
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Transaction Risk Analyst
Pollard Banknote Limited —Ypsilanti, MI
- Remote
- Mid-level
- 3 years
- Analysis skills
- Profit sharing
- Tuition reimbursement
Quick Apply
9d
Compliance Auditor/Educator - RSO - Remote
Trinity Health - IHA —Ann Arbor, MI
- Overtime
- Remote
- Microsoft Excel
- Computer literacy
- HIPAA
Contracts Manager
Headlands Research —Detroit, MI
- $95,000 - $115,000 a year
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Organizational skills
- Health savings account
- Disability insurance
Quick Apply
Compliance Team Lead
Cyber 74, LLC —Michigan
- From $110,000 a year
- Full-time
- Remote
- HIPAA
- 3 years
- Mentoring
Quick Apply
Compliance Manager
GRT Financial —Michigan
- $80,000 a year
- Remote
- Mid-level
- Office
- 3 years
Quick Apply
10d
Premium Auditor
ARMStrong Insurance Services —Lansing, MI
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Premium Field Auditor
ARMStrong Insurance Services —Grand Rapids, MI
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
Senior Fraud Analyst
AAA Life Insurance Company —Livonia, MI
- Full-time
- Remote
- Research
- Windows
- 3 years
- Life insurance
13d
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
Freelance Regulatory Affairs Specialist (Respiratory & Sleep)
Eisen Electric Corporation —Lansing, MI
- Online Application
- Remote
- Mid-level
- Bachelor's degree
- Organizational skills
Infrastructure & Capital Projects – Senior Director - Energy Compliance Consulting, ANS
Accenture Infrastructure and Capital Projects, LLC —Detroit, MI
- Full-time
- Remote
- Finance
- Bachelor's degree
- Military encouraged
Quick Apply
Commercial Counsel
Deque Systems Inc —Ann Arbor, MI
- Full-time
- Remote
- 5 years
- US work authorization
- Senior level
Quick Apply
Senior DOT Compliance Instructor (Remote)
SOLV Energy, LLC —Lansing, MI
- $122,971 - $147,565 a year
- Full-time
- Remote
- Military
- Bachelor's degree
- Travel
- Paid holidays
- Disability insurance
Quick Apply
11d
Construction Compliance & Investigations Attorney/PM
Consilio Services —United States
- From $110 an hour
- Part-time
- Remote
- 5 years
- Analysis skills
- Senior level
Quick Apply
Vice President of Compliance
Scott & Associates, PC —United States
- Full-time
- Remote
- Data analysis skills
- HIPAA
- Finance

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Director, Inpatient Coding and Compliance
The Ohio State University —Columbus, OH
The information collected and used by medical information management staff is interconnected with the clinical and business systems of the health system and is…
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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…
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Auditor/Investigator II

Qlarant -
Michigan

Quick Apply

Job Details

Full-time
$57,512 - $85,839 a year

Qualifications

Stakeholder management

Full Job Description

Job Summary:

Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Essential Functions:

Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed.
Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements.
Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process.
Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims.
Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards.
Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates.
Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes.

Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred

Certification(s):
Certified Fraud Examiner preferred

Quick Apply

Refine Your Search

compliance remote jobs in michigan

Auditor/Investigator II

Transaction Risk Analyst

Compliance Auditor/Educator - RSO - Remote

Contracts Manager

Compliance Team Lead

Compliance Manager

Premium Auditor

Premium Field Auditor

Senior Fraud Analyst

Contracts Manager

Freelance Regulatory Affairs Specialist (Respiratory & Sleep)

Infrastructure & Capital Projects – Senior Director - Energy Compliance Consulting, ANS

Commercial Counsel

Senior DOT Compliance Instructor (Remote)

Construction Compliance & Investigations Attorney/PM

Vice President of Compliance

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