Compliance and Reporting Specialist

This is a fully remote position, open to applicants in Florida, +5 more states.

📋 Description

• Develop, implement, and execute compliance auditing, monitoring, and reporting initiatives.

• Create and maintain quality and compliance reports along with dashboards.

• Review and assess deliverables and data reports to ensure timely submissions and analyze performance trends.

• Conduct and oversee audits, risk assessments, and documentation processes.

• Identify, investigate, and resolve compliance-related issues.

• Formulate corrective action plans to prevent future risks.

• Act as the primary resource for compliance activities, including training and awareness initiatives.

• Design, implement, and enhance regulatory documentation and processes.

• Research new markets and conduct primary source verification to establish licensure requirements.

• Manage ongoing licensure maintenance.

• Support vendor activities, including pre- and annual delegate oversight as well as continuous vendor oversight and partnership initiatives.

• Keep management informed about compliance, contract deliverables, and related operations.

• Perform additional duties as assigned.

• Adhere to all policies and standards.

⛳️ Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship, either now or in the future.

• Bachelor’s degree in health care administration, compliance, or a related field, or equivalent experience.

• 2-4 years of experience in compliance, regulatory matters, or related fields.

• Knowledge of risk assessment requirements, auditing and reporting procedures, action plans, and compliance training.

• Familiarity with state and regulatory reporting, auditing and monitoring, risk assessment, action plans, and compliance training.

• Outstanding attention to detail and organizational skills.

• Capability to manage recurring deadlines across multiple reports.

• Strong written and verbal communication skills.

• Ability to follow up assertively and professionally with report owners and approvers.

• Proficiency in Microsoft Office, SharePoint, and Archer or similar GRC tools.

• Experience in Medicaid managed care or NC reporting is preferred.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off along with holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Additional incentives may be included in total compensation.

• Equal opportunity employer dedicated to diversity.