Primarily responsible for performing compliance reporting reviews and audits to ensure compliance with federal and state regulations, NCQA, URAC and client contractual requirements.
Assist with data collection, analysis and reporting for process improvement efforts.
Plan, coordinate, and conduct compliance reporting audits at the direction of the Manager, Compliance Programs, the Chief Compliance Officer and the Quality, Security and Compliance Committee.
Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health has a supportive, growth-oriented environment and diverse, inclusive teams.
Assist in the ongoing development, implementation, and maintenance of the Company’s compliance program.
Develop policies and procedures that provide appropriate guidance and instruction to Company employees.
Lead the development and delivery of compliance training programs for employees at all levels.
Orca Bio is a late-stage biotechnology company redefining the transplant process by developing next-generation cell therapies. They aim to provide significantly better survival rates with dramatically fewer risks. They have a start-up culture of camaraderie and leadership by example.
Conduct detailed investigations of suspicious losses.
Lead in-depth interviews of participants and witnesses.
Work with outside experts to determine facts.
Liberty Mutual Insurance is a leading insurance carrier. They value hard work and integrity in a workplace prioritizing inclusivity, comprehensive benefits, flexibility, and professional development.
Execution of the risk-based branch exam program in FINRA-registered and non-registered Private Client Group branches across the country.
Clear communication of all exam findings to branch management, exam managers and compliance leadership.
Ensure risks and adverse trends are identified and escalated.
Raymond James is a diversified financial services company providing wealth management, capital markets, asset management, banking and other services to individuals, corporations and municipalities. They have locations and subsidiaries across the United States, Canada, the United Kingdom and Germany.
Maintaining a strong understanding of the laws OLPS enforces.
Training and supervising OLPS investigators in handling high volume investigative caseloads.
Supervising investigators in cases that are complex and/or broad in scope, in collaboration with OLPS data scientists and attorneys.
The NYC Department of Consumer and Worker Protection (DCWP) is the nation’s leading municipal enforcement agency charged with delivering economic justice. They leverage their authority to bring New Yorkers real economic relief and protect them from predatory, deceptive, and unfair practices that violate their rights as consumers and workers. DCWP licenses more than 45,000 businesses and provides services to ensure New York City is a fairer, more affordable place to live.
Serve as primary onboarding liaison and support resource.
Conduct session audits and provide structured clinical coaching.
Evaluate facilitator competency using standardized rubric.
Charlie Health connects the world to life-saving behavioral health treatment, delivering personalized, virtual care. As a rapidly growing organization, it focuses on people with complex needs, expanding access to meaningful care and driving better outcomes from the comfort of home.
Own the full premium audit lifecycle for WC and GL lines of business, ensuring adherence to regulatory requirements.
Lead, coach, and develop a high-performing organization of managers and QA staff.
Enhance the audit customer journey to reduce friction, improve clarity, and increase audit completion rates.
ERGO NEXT's mission is to help entrepreneurs thrive by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. They have helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage.
Take ownership of the review caseload, producing reports to a high standard and tracking recommendations through to closure.
Keep the assurance schedule on track, ensuring each customer receives the right level of scrutiny.
Build genuine, trusted relationships with DCs and internal stakeholders, becoming a credible point of contact.
Griffin is a fully regulated UK bank that powers the accounts and payments offerings of product-led fintechs and platforms. They've been remote-first since 2017 and have created a high-trust, high-autonomy environment so their people can focus on delivering real value for customers.
Detect and investigate suspicious claims, underwriting activity, and policy irregularities.
Lead major investigations into organized fraud schemes, partnering with legal teams and law enforcement.
Produce clear, compelling reports to support internal decisions and potential legal action.
West Bend believes that our associates are our greatest asset. They hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships and committed to fostering a welcoming culture, offering opportunities for meaningful work and professional growth.
Collaborate closely with the Merchant Risk team to identify, assess, and mitigate compliance risks associated with merchant and platform partners.
Review and approve financial services marketing materials to ensure they comply with regulations and industry standards.
Work cross-functionally with departments such as Compliance, Legal, Risk, and Revenue to complete reviews and address compliance issues and their root causes.
Affirm is reinventing credit to make it more honest and friendly, giving consumers the flexibility to buy now and pay later without any hidden fees or compounding interest. They are a remote-first company, with a dedicated group of professionals committed to helping Affirm scale, innovate, and provide outstanding products.
Dig into data and piece together what's going on to investigate suspicious betting patterns.
Unravel complex user behaviors, such as multi-accounting schemes and bonus abuse.
Identify risk and build clear, evidence-backed cases with internal tools and admin systems.
Novig is building America's #1 sports prediction market. Our mission is to financialize and democratize sports trading - taking a closed system run by casinos and turning it into a fair, efficient, two-sided market where the power sits with users.
Diligently investigate and resolve complex, high-impact fraud cases from internal teams and carrier partners, applying strong analytical judgment.
Conduct advanced data analysis using tools like Looker, SQL, and Datadog to identify fraud patterns, quantify risk, and support data-driven decisions.
Lead escalations, make final decisions with business impact, and partner with account owners to clearly communicate findings and support resolution.
Aircall provides a cloud-based phone system and call center software for modern businesses. It is a technology company working to improve customer communication and support operations.
Conduct investigative research and vetting on individuals and organizations to identify reputational, operational, or legal risks.
Synthesize findings into clear vetting memoranda using analytical judgment and established methodologies.
Independently manage research assignments from intake to completion, ensuring timely delivery and accurate database records.
The Obama Foundation is a nonprofit organization focused on inspiring and empowering people to change their world through community engagement and global programs. It fosters a collaborative, inclusive, and accountable culture built on values like courage, empathy, and resilience.
Author, maintain and implement study-specific Clinical Quality Audit Plan(s) for assigned clinical program(s).
Immunovant, Inc. is a clinical-stage immunology company dedicated to enabling normal lives for people with autoimmune diseases. As a trailblazer in anti-FcRn technology, they are developing innovative, targeted therapies to meet the complex and variable needs of people with autoimmune diseases.
Support investigations into violations of DCWP’s licensing and consumer protection laws and rules.
Interview consumers, businesses, landlords and witnesses by telephone and in-person.
Write comprehensive investigation reports identifying the results of research and analysis.
The NYC Department of Consumer and Worker Protection (DCWP) delivers economic justice. With over 45,000 businesses licensed, they ensure fair competition and provide services like free tax preparation and financial counseling to make NYC a fairer, more affordable place.
Responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards.
Verifies that all required documentation, provider signatures, and charges are present and appropriately supported.
Plays a key part in supporting quality assurance and regulatory compliance within the anesthesia department and assists with other auditor duties.
Shriners Children’s respects, supports, and values each other. They provide excellence in patient care, embracing multi-disciplinary education, and research with global impact. They were named the 2025 best mid-sized employer by Forbes, fostering a learning environment that values evidenced based practice, experience, innovation, and critical thinking.
Assist in preparation and review of policies, procedures, and agreements.
Research diverse topics; review internal operations and practices to ensure compliance.
Collaborate with teams across marketing, cybersecurity, IT, product, finance, and business functions.
Topstep is an engaging company that exists in both remote and hybrid environments. They foster a culture of collaboration by keeping cameras on during meetings and maintaining a robust Slack environment for communication.
Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.
They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.
Manage high volumes of inquiries via Intercom, providing clear, professional communication while seeking process improvements.
Review and investigate sign-up, login, transaction fraud triggers, and user content to detect suspicious activity and ensure platform compliance.
Process data deletion requests and research complex chargeback disputes to mitigate financial risk and maintain community safety.
Peerspace is an online marketplace for venue rentals for meetings, productions, and events, offering access to inspiring spaces globally. The company is remote-first with global team members, values inclusion, and maintains a healthy, supportive culture that encourages excitement and contribution.
Manage transaction workflows end-to-end, including document compliance, commission processing, and agent support.
Serve as a key partner to agents, guiding them through systems, processes, and requirements while ensuring accuracy and timeliness.
Proactively identify issues and drive solutions with a strong understanding of compliance, financial accuracy, and internal systems.
SERHANT. is the most followed real estate brand globally, redefining the traditional brokerage model through media, content, and innovation. Powered by a full-service in-house film studio and amplification platform, they position properties—and agents—in front of more people.