Compliance Coordinator

1 month ago


Troy, United States Global Technology Associates Full time
Job DescriptionJob DescriptionCompliance Coordinator
Job ID: 24-00253
Location: Troy, MI (Remote) - candidates required to be in the Eastern or Central Time Zone
Pay Rate: $20-$23/hour
Work Schedule: 100% Remote - 8:00 a.m. - 4:30 p.m. Monday - Friday
Additional Benefits: Health, Dental, Vision, 401(k), company-paid holidays and more
Type of hire: Contract

Position Summary:

The compliance coordinator is responsible for reviewing calls submitted through the Compliance Hotline and FWA referrals from other sources to provide an initial assessment determining if there is enough information to open a case in the case management system.

Position Responsibilities:

  • Assessing Compliance Hotline calls and Fraud, Waste, and Abuse (FWA) referrals to determine if they warrant case opening.
  • Creating cases in the management system and extracting relevant claims data from Cognos.
  • Contacting members to verify and substantiate complaints.
  • Analyzing trends in referrals and case types.
  • Providing administrative support to the Special Investigations Unit (SIU) Manager and investigators.
Position Requirements:
  • Associate degree required (Bachelor's preferred)
  • 1+ year admin experience in healthcare/health insurance
  • Proficiency in Microsoft Office, especially Excel and PowerPoint
  • Data visualization skills
  • Ability to multitask across multiple systems
  • Strong organizational skills and attention to detail
  • High integrity

Preferred:

  • Experience with Care Radius and Cognos

GTA Questions:
  1. Have you worked for Henry Ford Health or HAP in the past? If so, please provide dates of employment and reason for leaving.
  2. What pay rate are you looking for? (Please provide a pay range or figure vs. "negotiable”)
  3. Are you currently working? If not, please provide your last date of employment.
  4. Why are you looking to leave (or why did you leave) your most recent employer?
  5. What is the best time to reach you?
    • Mornings
    • Afternoons
    • Evenings (after 5pm)
  6. Do you prefer call, text, or e-mail communications?
  7. For submittal purposes, please provide the day and month in which you were born (We do not need the year).
  8. For submittal purposes, please provide the last 4 digits of your SSN.
  9. Do you require a work visa sponsorship?

Please note that if you are a current GTA employee or have been placed by GTA at one of our clients, we will not be able to entertain moving you. However, we are hopeful that you may know someone else who is qualified and as such you would still be eligible for our generous referral bonus program detailed below.

REFERRAL BONUS PROGRAM:
If you are able to refer a person we do hire, we can offer up to $250 for contractors after they are on the job for 90 days and up to $500 for direct hires after they are on the job between 90 days to 180 days, depending on customer payment terms.

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