Top 42 Compliance remote Jobs in New Jersey

Senior Compliance Investigator
Centene —New Jersey
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
8d
Healthcare Recruitment & Compliance Consultant – Home Care Startup
Truthfully Yours LLC —New Jersey
- $35 - $50 an hour
- Part-time
- Remote
- Background check
- Surgery
- RN License
Quick Apply
14d
Compliance Officer - New Jersey
Centene —New Jersey
- $134,600 - $249,000 a year
- Full-time
- Remote
- 5 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Trade Compliance Analyst (REMOTE)
Construction Specialties, Inc. —Lebanon, NJ
- $60,000 - $78,000 a year
- Full-time
- Remote
- Mid-level
- Travel
- Typing
- Paid holidays
- Disability insurance
Compliance, Examinations & Regulatory Governance Manager
Sporttrade —Camden, NJ
- $140,000 - $170,000 a year
- Full-time
- Remote
- Analysis skills
- Senior level
- Communication skills
- AD&D insurance
- Disability insurance
Quick Apply
Senior Associate, Compliance as a Service
Aprio —Fairfield, NJ
- $80,000 - $132,000 a year
- Full-time
- Remote
- Azure
- Mid-level
- 3 years
- Profit sharing
- Wellness program
Government Compliance Counsel
Accenture —Morristown, NJ
- $122,700 - $338,300 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Analysis skills
- Paid holidays
- Disability insurance
10d
Claims Counsel (Fully Remote)
NIP Group, Inc. —Woodbridge, NJ
- $145,000 - $165,000 a year
- Remote
- Microsoft Excel
- Analysis skills
- Product management
- Health insurance
- Dental insurance
Senior Regulatory and Scientific Affairs Specialist (Remote)
Nestlé Health Science —Bridgewater, NJ
- $85,000 - $110,000 a year
- Remote
- 3 years
- Databases
- Bachelor's degree
- Health insurance
- 401(k) matching
7d
Regulatory Compliance & Accreditation Manager
PERSANTE HEALTH CARE INC —Mount Laurel, NJ
- $70,000 - $120,000 a year
- Full-time
- Remote
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
5d
Sr. Business Protection Specialist
BetMGM LLC —New Jersey
- $63,600 - $83,475 a year
- Full-time
- Remote
- Analysis skills
- Continuous improvement
- US work authorization
- Disability insurance
- Health insurance
SERFF Filing Analyst II
Verisk —Jersey City, NJ
- Full-time
- Remote
- 18 years or older
- Mid-level
- 3 years
- Health insurance
- Paid time off
7d
Risk & Compliance Senior Director Consulting Practice
NTT Ltd —Newark, NJ
- $216,405 - $480,900 a year
- Remote
- 6 years
- Bachelor's degree
- Senior level
- Health savings account
- AD&D insurance
Corporate Counsel - Remote
Longbridge Financial —Paramus, NJ
- $150,000 - $160,000 a year
- Full-time
- Remote
- 3 years
- Senior level
- Communication skills
- Health savings account
- Paid holidays
Quick Apply
6d
Senior Compliance Analyst - Eatontown, NJ or Remote
Crum & Forster —Eatontown, NJ
- $82,900 - $121,600 a year
- Remote
- Microsoft Excel
- 6 years
- Microsoft Outlook
- Employee stock purchase plan
- Health insurance
7d
Analyst, Rsrch Bus Con II
Freedom Mortgage —Marlton, NJ
- Full-time
- Remote
- Research
- Mid-level
- Office
6d
Senior Manager, Trade Contract Advisory (REMOTE)
CVS Health —New Jersey
- $67,900 - $182,549 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Compliance & Product Services Lead (Commercial Auto Line)
Verisk —Jersey City, NJ
- Full-time
- Remote
- 18 years or older
- Mid-level
- Bachelor's degree
- Health insurance
- Paid time off
ISO Regulatory Reporting Analyst
EXL Service —New Jersey
- $60,000 - $94,000 a year
- Full-time
- Remote
- 5 years
- Finance
- SQL
Premium Field Auditor
ARMStrong Insurance Services —Somers Point, NJ
- $44 - $50 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
11d

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

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 new jersey

Senior Compliance Investigator

Centene -
New Jersey

Apply Now

Job Details

Full-time
$70,100 - $126,200 a year
8 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Investigations regulatory compliance
Medical law
State healthcare regulations
Investigating compliance violations
Risk & issue management

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Under the general direction of the VP of Compliance Investigations this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company's Compliance Investigations for all Business Units, Health Plans, and Corporate functions. Leads and oversees compliance and ethics investigations, facilitates and leads meetings with business management and cross-functional stakeholders, and prepares, reviews, and analyzes internal and external reporting. Supports the Director, Ethics & Investigations in the day-to-day operations of the Compliance Investigations Unit (CIU).

Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions.
Independently evaluates and assesses allegations to determine applicable criteria, including federal and state regulations, the Centene Code of Conduct, and internal policies, procedures, and standards that are alleged to have been violated.
Adheres to Compliance Investigation workplans and protocols and conducts investigations in compliance with established protocols and timelines.
Provides weekly case summaries and adheres to established minimum case review quotas to ensure timely progression and resolution of the investigative caseload.
Ensures all investigative findings are clearly tied to applicable company policies (e.g., Code of Conduct), federal and state regulations, and to maintain regulatory defensibility and support appropriate remediation.
Provides timely reports, both orally and in writing, to the Director of Ethics & Investigations and/or senior management regarding the status and outcomes of investigations.
Thoroughly documents, organizes, and reviews case files within centralized case management systems (e.g., Archer) in accordance with Company policy and CIU protocols.
Collaborates cross-functionally with other departments, including Legal, People Relations, SIU, Privacy, Finance, and Business Operations on investigations and the investigative process.
Prepares and analyzes departmental metrics, including investigation KPIs, case aging, and trending data, and makes recommendations accordingly.
Prepares presentations and presents findings to departmental and business management, executive leadership, and other stakeholders as needed.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow-up to ensure remedial/disciplinary measures are implemented appropriately and timely, including tracking remediation activities through case management systems.
Assists with various projects as assigned by the Director of Ethics & Investigations or the VP of Compliance Investigations.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
4+ years of experience in investigations, auditing and risk analysis required.
1+ year of experience in reading, analyzing and interpreting State and Federal laws, rules and regulations required.

Preferred Qualifications:

Managed care or health insurance company experience preferred.
Experience with compliance case management systems (e.g., Archer, Navex) preferred.
Demonstrated experience conducting ethics and compliance investigations in a regulated healthcare environment preferred.
Experience collaborating with cross-functional teams including Legal, People Relations, SIU, and Privacy preferred.

Licenses and Certifications:

Certified Fraud Examiner (CFE) preferred.
Certified Compliance & Ethics Professional (CCEP) or Certified Healthcare Compliance (CHC) preferred.

Pay Range: $70,100.00 - $126,200.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

compliance remote jobs in new jersey

Senior Compliance Investigator

Healthcare Recruitment & Compliance Consultant – Home Care Startup

Compliance Officer - New Jersey

Trade Compliance Analyst (REMOTE)

Compliance, Examinations & Regulatory Governance Manager

Senior Associate, Compliance as a Service

Government Compliance Counsel

Claims Counsel (Fully Remote)

Senior Regulatory and Scientific Affairs Specialist (Remote)

Regulatory Compliance & Accreditation Manager

Sr. Business Protection Specialist

SERFF Filing Analyst II

Risk & Compliance Senior Director Consulting Practice

Corporate Counsel - Remote

Senior Compliance Analyst - Eatontown, NJ or Remote

Analyst, Rsrch Bus Con II

Senior Manager, Trade Contract Advisory (REMOTE)

Compliance & Product Services Lead (Commercial Auto Line)

ISO Regulatory Reporting Analyst

Premium Field Auditor

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected