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20 часов назад

Compliance Professional 2 (Medicare/Medicaid)

65 000 - 88 600$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Compliance Professional 2 (Medicare/Medicaid): Supporting Payment Integrity compliance and financial recovery processes with an accent on regulatory monitoring, risk mitigation, and operational reporting. Focus on analyzing compliance data, coordinating corrective actions, and identifying automation opportunities across Medicare and Medicaid business areas.

Location: Fully remote; must be located within the contiguous United States. Occasional travel to hirify.global offices for training or meetings may be required.

Salary: $65,000–$88,600 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company serving Medicare and Medicaid members through hirify.global and CenterWell services.

What you will do

  • Support Medicare and Medicaid Payment Integrity compliance activities, primarily financial recovery processes.
  • Monitor operations against regulatory, contractual, and internal requirements; identify noncompliance and coordinate mitigation.
  • Perform compliance reviews, reporting, data and trend analysis, and maintain audit-ready documentation.
  • Act as a liaison between Compliance and CAPI business partners, supporting issue resolution and operational consistency.
  • Support corrective action planning, remediation, process improvement, and automation opportunities.
  • Manage assigned projects and deliverables while providing coverage for compliance monitoring and financial recovery operations.

Requirements

  • At least 2 years of experience in compliance or with Medicare and Medicaid federal regulations.
  • Payment Integrity experience.
  • Experience managing project-based work.
  • Intermediate proficiency in Microsoft Word and Excel.
  • Strong analytical, organizational, and communication skills.
  • Must live within the contiguous United States.
  • Ability to work Monday–Friday, 40 hours per week, generally starting between 6:00 a.m. and 9:00 a.m., depending on business needs.

Nice to have

  • Knowledge of hirify.global’s Payment Integrity Financial Recovery business teams and processes.
  • Experience creating and managing compliance monitoring and reporting dashboards.
  • Experience with advanced data manipulation and analysis.
  • Proficiency with pivot tables and related Excel reporting tools.

Culture & Benefits

  • Fully remote work with occasional office travel for training or meetings.
  • Dedicated, interruption-free workspace required to protect member PHI and HIPAA information.
  • Home internet must provide at least 25 Mbps download and 10 Mbps upload speeds.
  • Benefits include medical, dental and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
  • Employment offer requires entering an SSN into Workday to scan for duplicate profiles.

Hiring process

  • Applicants who pass the prescreen may be invited to complete a 10–15-minute on-demand HireVue assessment with predetermined questions.
  • The Compliance Professional 2 reports to the Manager, Compliance.
  • Application deadline: October 31, 2026.

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