Healthcare Compliance Auditor (Healthcare Insurance Plan), Temp Contract
Northwell HealthFlexStaff is seeking a Compliance Auditor to work for one of our external clients, a non-profit organization that provides home healthcare services to the elderly, disabled and chronically ill in the New York metropolitan area.
This is a temporary 13-weeks contract with possibility to become permanent.
Schedule: Monday - Friday 8:30am-5:30pm, (1 hour lunch)
In this role you will be responsible for responsible for performing internal and external auditing functions for the Compliance Department.
Requirements:
- Bachelor’s degree in health care administration, political science, social science or related field required.
Experience with PACE, Part D, LHCSA and Article 28 requirements
Minimum of three (3) years Healthcare Audit background preferably in a Health Insurance Plan
Understanding of Medicare and Medicaid programs is strongly preferred.
Responsibilities include, but not limited to:
Support enterprise-wide risk assessments and the annual compliance audit plan
Develop and perform risk-based audits to assess regulatory, contractual, and governmental compliance
Document findings, identify root causes, and present results with supporting evidence
Partner with leadership on corrective action plans and track remediation efforts
Maintain knowledge of applicable laws and regulations while providing guidance to stakeholders
Conduct site visits across NYC, Westchester, and Long Island
Utilize AI-assisted tools to support audits, reporting, and workflow efficiency
Perform additional compliance-related duties as assigned
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).