Business Compliance Consultant (Remote) at Jobgether – United States

Business Compliance Consultant (Remote)

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Business Compliance Consultant (Remote). In this role, you will be crucial in ensuring compliance within the healthcare industry, working alongside various departments to oversee contract reviews and compliance measures. Your expertise will help maintain adherence to state and federal regulations, ultimately impacting the quality of healthcare services provided. By coordinating state fair hearings and audits, you will play an instrumental role in identifying issues and driving improvements within the processes. This position also allows for flexibility in your working environment, supporting a healthy work-life balance.Accountabilities

• Conduct the review of and make changes to product-specific contracts and amendments
• Stay up to date on state and federal health care laws, including managed care industry regulations
• Perform legal research and prepare memoranda regarding legislative or regulatory changes
• Coordinate waste and abuse efforts with the Corporate Team
• Represent our partner at State Fair Hearings and track outcomes
• Identify issues with questionable billing providers and escalate trends as required
• Prepare for compliance audits and ensure proper documentation
• Complete required compliance training
• Participate in implementing regulatory changes across departments
• Support development of identification processes and escalation tools
• Collaborate with Business Units to ensure efficient process handoffs
• Support programs related to privacy, security, and compliance

Requirements

• BA degree in Business Administration, Finance or related field
• Five to ten years of experience in progressively responsible roles
• Prior experience in a compliance-related role is highly desirable
• 7+ years of combined contract drafting and legal research experience
• Knowledge of health care industry regulations and laws
• Advanced knowledge of Indiana Medicaid insurance and applicable regulations preferred

Benefits

• Competitive pay range of $87,700.00 - $157,800.00 per year
• Comprehensive benefits package including health insurance and 401K
• Tuition reimbursement and paid time off plus holidays
• Flexible work schedules including remote and hybrid options
• Potential for additional forms of incentives based on individual performance

Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1