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Regulatory Compliance Auditor

2 months ago

New York, New York, United States MJHS Full time
Job Overview:
The Compliance Auditor plays a crucial role in ensuring adherence to regulatory standards within the healthcare sector. This position is vital for maintaining the integrity of health plan operations and ensuring compliance with Medicare and Medicaid regulations.

Position Details:
Job ID: 13399
Location: New York, NY
Employment Type: Regular Full-Time
Work Environment: Office-based
Compensation: $77, $92,519.21 per year

About MJHS:
MJHS is dedicated to expanding healthcare services to meet the evolving needs of our patients and members. Our Medicare and Medicaid managed care plans exemplify our commitment to providing high-quality care that promotes independence and well-being.

Why Choose MJHS?
At MJHS, we offer a comprehensive benefits package that includes:
  • Tuition Reimbursement for all staff
  • Generous paid time off
  • Affordable medical, dental, and vision coverage for employees and their families
  • Two retirement plans: 403(b) and Employer Paid Pension
  • Flexible spending options
  • Additional benefits
Our organization qualifies for the Federal Government's Paid Student Loan Forgiveness Program (PSLF).

Key Responsibilities:
The Compliance Auditor will:
  • Work independently on assigned projects under the guidance of the Compliance Officer.
  • Conduct audits and monitoring activities across various health plan operations.
  • Ensure compliance with governmental regulations and internal policies.
  • Develop and implement audit plans, corrective action plans, and impact reports.
  • Interact with management and regulatory agencies to facilitate compliance.

Qualifications:
  • Bachelor's Degree required.
  • Minimum of three years of auditing experience.
  • Experience in compliance and healthcare, particularly with Medicare and Medicaid, is preferred.
  • Familiarity with regulatory audits (CMS, DOH, DFS) is advantageous.
  • Strong analytical skills and proficiency in Excel.
  • Excellent verbal and written communication skills.