New York Compliance Auditor

Job Summary

Supporting regulatory readiness, the full-time Compliance Auditor will conduct compliance audits, maintain workpapers, and draft reports while working in a hybrid environment from New York, New Jersey, or Connecticut.

Key responsibilities

• Plan and conduct compliance audits across operational areas and provider/FDR networks
• Define audit objectives, scope, risks, and testing procedures; perform sample testing
• Partner with stakeholders on root-cause analysis and track corrective action plans to completion

Required qualifications

• Bachelor's degree
• Minimum 2 years of related experience
• Knowledge of CMS and NY DOH Medicare/Medicaid regulations; familiarity with claims and care management processes
• Strong analytical, communication, and project management skills; proficiency in MS Office
• Willingness to pursue CIA and CHC certifications