Senior Compliance Oversight Specialist (Healthcare)

Location: Remote from anywhere in the Continental United States

Salary: $70,100.00–$126,200.00 per year

Company

hirify.global connects people with healthcare and supports government-sponsored health care programs through health plans, subsidiaries, shared services, brokers, and third-party partners.

What you will do

• Conduct audits, monitoring, and oversight activities assessing compliance with contractual, regulatory, and government-sponsored health care program requirements.
• Prepare formal reports documenting audit findings and recommendations, and direct compliance issues to appropriate channels.
• Review corrective action plans, track issues through remediation and closure, monitor probationary periods and disciplinary actions, and provide follow-up.
• Educate brokers, business units, and third parties on compliance findings, policies, procedures, and program requirements.
• Support the development and maintenance of monitoring and auditing tools, including work plans and initiatives covering claims, credentialing, network management, and customer service.
• Assess new and amended health care program contracts and requirements, identify compliance risks, and advise on claims and payments, credentialing, network management, and financial solvency.

Requirements

• Bachelor's degree in Healthcare, Audit, Business, or a related field, or equivalent experience.
• Alternatively, a High School diploma/GED and 5+ years of related experience.
• Experience or capability in auditing, compliance monitoring, issue management, corrective action tracking, and regulatory compliance analysis.
• Ability to collaborate with business owners, brokers, distribution partners, subsidiaries, and third parties or subcontractors.
• Ability to communicate compliance requirements and assess risks related to government-sponsored health care programs.

Nice to have

• CHC — Certified Healthcare Compliance certification.
• Certified Internal Auditor (CIA) certification.

Culture & Benefits

• Full-time remote work from anywhere in the Continental United States.
• Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
• Flexible work approach with remote, hybrid, field, or office schedules across the broader organization.
• Equal opportunity employment and consideration under applicable fair-chance laws.