Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals processes to ensure compliance with payer contracts.
Educate staff, update policies and workflows, and act as a liaison between payers and local market leadership during audits.
Operationalize regulatory communications from governing bodies and document process changes for upstream and downstream teams.
Dignity Health Management Services offers integrated management and business services to healthcare providers, focusing on managed care administrative and clinical services to contain costs and improve quality. It is part of CommonSpirit Health, a large health system with a mission-driven culture centered on community and patient care.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.
Serve as the primary compliance point of contact for strategic partnerships and clients.
Lead the compliance workstream for major brand migrations and become an expert on the Regulated Compliance product.
Monitor compliance processes, ensure accurate documentation, and deliver presentations on compliance matters.
impact.com is the world's leading commerce partnership marketing platform, helping brands manage partnerships with affiliates, influencers, and creators. With over 5,000 global brands relying on the platform, the company fosters a flexible, performance-driven culture.
Perform in-depth compliance audits to ensure adherence to local, state, and federal regulatory guidelines.
Identify potential compliance concerns and opportunities for documentation improvement.
Prepare and share detailed audit reports with physicians, advanced practice providers, and clinical leadership.
Baptist Health is a faith-based, not-for-profit health system in Northeast Florida, providing preventive and specialty care through 200+ locations and six hospitals. As the largest healthcare provider in the region, it fosters a welcoming workplace where every team member's voice is heard.
Oversee CMS and state audit readiness, live audit management, and corrective action plans.
Build internal monitoring, training, and reporting to foster a culture of compliance.
Collaborate with clinical and operations teams to integrate audit findings into improvements.
Habitat Health empowers older adults to experience more good days through the Program of All-Inclusive Care for the Elderly (PACE), delivering coordinated medical and social care in homes and communities. Supported by leading healthcare organizations and investors, the company is expanding its scalable model with a mission-driven culture focused on participant well-being.
Perform ongoing compliance testing and reporting on adherence to compliance program and federal/state regulatory requirements.
Collaborate cross-functionally with departments like Compliance, Legal, Risk, and Product while completing reviews.
Coordinate the execution of the compliance risk assessment and control inventory, including collecting and documenting results.
Affirm provides transparent, flexible payment solutions, allowing consumers to pay over time with no hidden fees. The company is a remote-first organization with diverse teams across legal, compliance, product, and engineering that collaborate to build trust in its ecosystem.
Review and verify credentialing documents, licenses, and background reports against client-specific standards.
Collaborate with onboarding teams to ensure files are accurate, complete, and ready for approval.
Monitor document trends and support continuous improvement to reduce errors and enhance efficiency.
This company provides healthcare staffing services with a focus on clinician credentialing and onboarding. While the company size is not specified, it fosters a collaborative, service-oriented culture emphasizing accuracy and compliance.
The company is hiring a Senior GRC and Compliance Manager to lead enterprise security compliance and governance programs through a partner platform. It provides a remote, team-oriented work environment with opportunities for professional growth and a comprehensive benefits package.
Collaborate with product managers on defining new product initiatives, providing candid feedback.
Offer an operator's viewpoint on background screening processes, highlighting manual effort and real costs.
Identify compliance and workflow constraints that design must respect.
Fama develops AI-powered background screening solutions, currently building their next-generation product line. The company fosters a flexible, inclusive culture with benefits like volunteer time off and paid parental leave.
Define Sprinto's Professional Services portfolio and build a scalable delivery function.
Lead audit delivery partnerships and ensure independence and quality standards.
Work closely with Product to convert customer and auditor feedback into product improvements.
Sprinto is an Autonomous Trust Platform that centralizes trust requirements across security frameworks, vendors, and customers. Backed by top-tier investors such as Accel, Elevation, and Blume Ventures, we have raised $31.8M in funding and are trusted by over 4,000 organizations across 75 countries.
Conduct compliance reviews, monitoring, and testing across regulatory obligations.
Review and investigate potential compliance issues, document findings, and escalate as needed.
Support vendor compliance, customer due diligence, and AI governance programs.
April is an embedded, year-round tax platform that brings real-time tax intelligence into the platforms people already use. The company's AI-powered engine and API-first infrastructure serve complex tax situations, with a culture emphasizing ownership, judgment, and professionalism.
Provide frontline support via phone, chat, and email while reviewing and processing sensitive documentation.
Validate document completeness, accuracy, and compliance, escalating issues when necessary.
Collaborate with Quality Assurance and Training teams to refine workflows and improve processes.
The partner company is a platform that ensures document accuracy and compliance for workers through frontline support. It operates in a fast-paced remote environment with a focus on quality and customer experience.
Own the compliance function as its sole occupant, reporting to the Head of Engineering and partnering with the Security Lead on policies, audits, and evidence.
Manage the Q&A library, customer security reviews, audit calendar, and third-party risk to keep Duvo reviewable for buyers and auditors.
Deliver precise, evidenced answers that stand up to hostile reviewers and keep the trust center and subprocessor list current.
Duvo builds an AI operations platform for large enterprises, enabling customers to create AI agents that automate business-critical processes across systems like SAP, spreadsheets, and supplier portals. The company is growing fast and values velocity, direct feedback, autonomy, and heavy use of AI tools.
Oversee and audit continuous identity and location verification across the remote employee lifecycle.
Manage compliance with Sentinel Vision monitoring, Yubikey tokens, and Webex admin console.
Lead incident response, exception management, and client notification for identity discrepancies.
Sutherland is a global digital transformation company specializing in AI, automation, cloud engineering, and advanced analytics. They work with iconic brands worldwide and have created over 200 unique inventions.
Evaluate business processes and internal controls to identify financial risks, control gaps, and improvement opportunities.
Partner with cross-functional stakeholders to assess risks and develop control strategies and remediation plans.
Support internal and external audit activities and respond to compliance-related requests.
Del Oro Consulting is a national consulting solutions provider with 20+ years of experience delivering consulting and staffing services to leading technology organizations in the US. They are an equal opportunity employer focused on providing quality consulting and staffing solutions.
Own end-to-end import entry audits, review CBP documentation, and drive corrective actions.
Manage Post Summary Corrections, validate duties, and partner with Finance to recover overpayments.
Analyze import data to identify compliance risks and build dashboards and automation.
Spreetail helps brands accelerate e-commerce growth by managing logistics, fulfillment, and marketplace operations at scale. It is one of the fastest-growing ecommerce companies, with a flexible work culture that values results and community impact.