
Senior Compliance Review Specialist
Posted Aug 5

Posted Aug 5
This is a fully remote position, open to applicants in United States.
• Create and uphold a risk-informed compliance review framework, including review plans, procedures, evidence standards, templates, and checklists that align with governmental guidance.
• Execute reviews to confirm program participation, services or activities performed, supporting documentation, operational practices, and ongoing adherence to relevant requirements.
• Prepare and manage logs for information requests, receipt confirmations, evidence inventories, and follow-up communications.
• Evaluate the adequacy, reliability, and consistency of submitted records while identifying exceptions, control deficiencies, and potential noncompliance issues.
• Conduct interviews or virtual walkthroughs, as permitted, to gain insights into operational practices and validate documentary evidence.
• Record review scope, methodology, testing conducted, findings, supporting evidence, and suggested follow-up actions.
• Categorize findings based on severity and risk, and facilitate the escalation of significant issues to the Project Manager.
• Maintain comprehensive, organized, and review-ready audit workpapers with clear traceability between evidence, testing, and conclusions.
• Oversee corrective actions and validate closure documentation when requested.
• Analyze cross-cutting audit trends and propose program controls, applicant guidance, standard operating procedure updates, or targeted technical assistance.
• Bachelor’s degree in accounting, auditing, business administration, public administration, compliance, healthcare administration, or a related discipline.
• At least 5 years of experience in auditing, monitoring, internal control, investigative review, or regulatory compliance.
• Proven experience in planning audits, gathering evidence, conducting testing, and drafting clear findings and recommendations.
• Knowledge of audit principles, evidence adequacy, sampling techniques, workpaper documentation, and corrective-action tracking.
• Capability to manage sensitive information while maintaining objectivity and exercising professional skepticism, all within a service-oriented framework.
• Exceptional interviewing, analytical, writing, and stakeholder management skills.
• Proficiency in Microsoft Excel, Word, Teams, and SharePoint, or equivalent audit and document management tools.
• Legal authorization to work in the U.S.
• Professional certifications such as CIA, CGAP, CCEP, CFE, or equivalent are preferred.
• Experience in reviewing federal programs, healthcare initiatives, nonprofits, volunteer organizations, or community-service providers is preferred.
• Familiarity with Government Accountability Office auditing concepts, internal control frameworks, or federal grants and compliance monitoring is preferred.
• Experience in developing risk-based audit plans and data-driven sampling strategies is preferred.
• Experience supporting the VA or other federal health, benefits, or human services programs is preferred.
• Equal opportunity employer.
• Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are strongly encouraged to apply.
CVS Health
FreedomCare
Northrop Grumman
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