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AD, Compliance Inquiries & Audits
Novartis 4.9
Remote bank examiner job
Band
Level 5 Novartis has an opportunity for an Associate Director, Compliance Inquiries & Audits, who will perform internal investigations and root cause analyses (RCA) of content generated by US Integrated Marketing, as part of the Compliance & Risk Operations team. This role is crucial for resolving deviations related to marketing content, communicating with stakeholders, and discreetly responding to audits and legal queries to ensure marketing compliance, confidentiality, integrity, and operational excellence.
The ideal location for this role is East Hanover, NJ but remote work may be possible (there may be some restrictions based on legal entity). Please note that this role would not provide relocation as a result. If associate is remote, all home office expenses and any travel/lodging to East Hanover, NJ for periodic live meetings will be at the employee's expense. This position will require 5-10% travel to various Novartis sites and external locations. The expectation of working hours and travel (domestic and/or international) will be defined by the hiring manager.
Job Description
Key Responsibilities:
Intake and triage of identified content risks, gaining insights into circumstances, mitigators, and break downs for appropriate resiliency strategies
Assessing and validating potential policy or process breakdowns through comprehensive fact gathering, including conducting informal interviews and thorough document reviews.
Determining the root cause of confirmed breakdowns and mapping corrective actions to address these root causes effectively.
Identifying proactive measures to prevent policy or process breakdowns from reoccurring.
Ensuring the implementation and follow-through of corrective and preventative actions through necessary follow-up, in partnership with AD, Remediation.
Maintaining detailed documentation relevant to potential compliance breakdowns and reporting findings comprehensively, operating with discretion and confidentiality.
Identifying appropriate metrics to attach to remediations and measuring the potential effectiveness of these remediations.
Assessing data over time to identify trends and opportunities for large-scale remediations and organizational priorities
Project management and process ownership, being agile to drive optimization aligned to organizational priorities
Essential Requirements:
Bachelor's degree in a relevant field (e.g., Business Administration, Risk Management, Compliance, Enforcement). Advanced degree preferred.
Minimum of 7 years of experience in a similar role within the pharmaceutical or highly regulated industry, with a strong background in compliance, risk management, and investigations
Advanced understanding of how pharmaceutical marketing organization operates and the relevant controls they use to manage risk, including content review and production processes
Strong analytical and deductive reasoning skills with strong written communication skills
Approachable communication style that respects others and balances firmness with empathy
Awareness of the various types of biases and how to ensure they are not introduced into work product
Skilled in influencing without direct authority and capable of effectively communicating with individuals at various levels of the company
Purpose-driven, high-integrity, clear, and compassionate business partner, positively impacting associate and organizational success
Novartis Compensation Summary: The salary for this position is expected to range between $132,300 and $245,700 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves.
EEO Statement:
The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential.
Accessibility and reasonable accommodations
The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an e-mail to ************************ call **************** and let us know the nature of your request and your contact information. Please include the job requisition number in your message.
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Salary Range
$132,300.00 - $245,700.00
Skills Desired
Agility, Cross-Functional Collaboration, Customer Engagement, Customer Experience, Customer Insights, Data Analytics, Data Strategy, Digital Marketing, Marketing Strategy, Media Campaigns, Product Marketing, Stakeholder Engagement, Stakeholder Management, Waterfall Model
$132.3k-245.7k yearly Auto-Apply 60d+ ago
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Member of Compliance, FIU & Fraud
Anchorage Digital
Remote bank examiner job
At Anchorage Digital, we are building the world's most advanced digital asset platform for institutions to participate in crypto. Anchorage Digital is a crypto platform that enables institutions to participate in digital assets through custody, staking, trading, governance, settlement, and the industry's leading security infrastructure. Home to Anchorage Digital Bank N.A., the first federally chartered crypto bank in the U.S., Anchorage Digital also serves institutions through Anchorage Digital Singapore, Porto by Anchorage Digital, and other offerings.
The company is funded by leading institutions including Andreessen Horowitz, GIC, Goldman Sachs, KKR, and Visa, with its Series D valuation over $3 billion. Founded in 2017 in San Francisco, California, Anchorage Digital has offices in New York, New York; Porto, Portugal; Singapore; and Sioux Falls, South Dakota. Learn more at anchorage.com, on X @Anchorage, and on LinkedIn.
As a Member of Compliance, Fraud, you will collaborate with leadership to advance Anchorage Digital's blockchain analytics and fraud investigation capabilities. This role entails collaboratively working with the FCC's fraud control tools, identifying and evaluating blockchain-based risks, and spearheading initiatives to enhance the organization's comprehension and utilization of blockchain technology and anti-fraud technology. The role also entails working with Digital Asset and Fiat Data.
This role merges technical expertise with strategic foresight to guarantee effective blockchain data management, Fiat activity, and the recognition of emerging trends and risks within the digital asset ecosystem. The role is essential to the Bank's defense against money laundering, terrorist financing and fraud, as well as the expansion of the Global FCC Model.Technical Skills:
Demonstrates expert advisory support across multiple teams, ensuring that the organization remains resilient against blockchain-based financial crimes and adheres to evolving regulatory requirements.
SAR form completion and filing expertise
Provides investigative/analytic support for complex, technical, and/or highly sensitive investigations and initiatives across the FCC functional teams.
Partners with the FCC functional teams to accurately apply attribution to entities behind cryptocurrency addresses and contracts in support of the FCC and serviced entities.
Develops and delivers training materials and sessions to internal teams to improve awareness and understanding of blockchain technology, compliance issues, and emerging risks.
Utilizes blockchain analytics tools to trace the flow of digital assets across multiple networks and identify bad actors.
Continuously monitors and conducts in-depth analysis of digital asset and Fiat data to uncover patterns, trends, and suspicious activities across blockchain networks and Banking partners.
Provides technical analysis for high-risk escalations to assess findings beyond initial flags and/or risk indicators.
Complexity and Impact of Work:
Capable of navigating challenges and exercising expert judgment in the selection of processes, techniques, and criteria for obtaining efficient results, working diligently in a fast paced environment where change in prioritization is fluent.
Provides expert advice and support to compliance, legal, and regulatory teams on investigations related to digital assets, Fiat, risk mitigation strategies, and the Digital Asset Support Framework.
Works with FCC leadership to boost operational efficiency and scale through strategic alignment, process improvements, technical integration, automation, knowledge transfer, training, risk mitigation, compliance, proactive insights, and adaptability.
Offers expert guidance and support the development, implementation, and enhancement of digital asset compliance programs and controls to align with international AML and CTF standards, ensuring compliance with evolving regulations concerning digital assets, DeFi, and VASPs, across global operations.
Assists in creating policies and procedures for monitoring and reporting suspicious digital asset activities, and assist the Financial Crime Compliance Teams in reviewing secondary market risk of Bank-issued stablecoins, internal attribution, and TRM Labs blockchain analytics alerts, as needed.
Assists in conducting QC work of L1 Analyst reviews.
Independently completes projects within the team with minimal supervision from leadership, including collaborating tasks among team members.
Consistently demonstrates on-time delivery and high quality work product. Where a deadline or commitment is at risk, escalates to manager to help manage priorities, if appropriate, and alerts affected stakeholders so "no surprises."
Organizational Knowledge:
Is aware of the strategy of Anchorage Digital to guarantee its successful implementation and is considered when defining the planning and goals of the team.
Has a deep understanding of Anchorage Digital's objectives and works with leadership to ensure regulatory compliance is being met.
Ensures that knowledge is shared amongst Anchorage Digital, and more specifically, the FCC Team, and does not position themselves or others as a single point of failure.
Serves as a representative of Anchorage Digital to provide Fiat technical knowledge and blockchain tracing expertise during training events/conferences, prospective client meetings/demonstrations, and client support/planning, as needed.
Communication and Influence:
Stays up-to-date with regulatory developments in the digital asset space and advise on the implications for the business, working closely with internal teams (e.g., Legal, Risk, Compliance, IT) to ensure blockchain or anti-fraud initiatives are aligned with business objectives, risk management, and regulatory compliance.
Engages with external partners (law enforcement, regulators, and blockchain analytics firms) to share insights and strengthen digital asset or fraud intelligence capabilities.
Collaborates with internal teams (e.g., security, and compliance) to coordinate rapid response to blockchain-related incidents, ensuring appropriate Financial Crime Compliance teams are notified and provided sufficient details, as needed.
Mentors and guides others within the FCC Team, helping to understand the strategic goals of the compliance department and how their work relates to the broader company.
Able to collaborate with leadership in a professional manner in order to convey insights, recommendations, conclusions and ideas on how to improve the FCC Team.
Consistently expresses clear, thoughtful, analytical and solutions-oriented communications, whether in high-impact slides/decks, written communications in slack or email, or verbal communications.
You may be a fit for this role if you have:
Blockchain tracing expertise-across multiple chains
Fiat fraud case expertise
Expertise in the unique aspects of different layer 1s, along with smart contracts, staking pools, etc.
Excellent writing and presentation skills
Experience reviewing transaction monitoring alerts and performing thorough case investigations
Although not a requirement, bonus points if:
Investigation certifications from either TRM Labs or Chainalysis or Elliptic
Experience using Sentilink or LexisNexis Threatmetrix
Previous experience with regulated digital asset or Financial Institution compliance
About Anchorage Digital: Who we are
The Anchorage Village, what we call our team, brings together the brightest minds from platform security, financial services, and distributed ledger technology to provide the building blocks that empower institutions to safely participate in the evolving digital asset ecosystem. As a diverse team of more than 600 members, we are united in one common goal: building the future of finance by providing the foundation upon which value moves safely in the new global economy.
Anchorage Digital is committed to being a welcoming and inclusive workplace for everyone, and we are intentional about making sure people feel respected, supported, and connected at work-regardless of who you are or where you come from. We value and celebrate our differences and we believe being open about who we are allows us to do the best work of our lives. Anchorage Digital is an Equal Opportunity Employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. Anchorage Digital considers qualified applicants regardless of criminal histories, consistent with other legal requirements. “Anchorage Digital” refers to services that are offered either through Anchorage Digital Bank National Association, an OCC-chartered national trust bank, or Anchorage Lending CA, LLC a finance lender licensed by the California Department of Financial Protection and Innovation, License No. 60DBO-11976, or Anchorage Digital Singapore Pte Ltd, a Singapore private limited company, all wholly-owned subsidiaries of Anchor Labs, Inc., a Delaware corporation.
Protecting your privacy rights is important to Anchorage Digital, and we work to maintain the trust and confidence of our clients when handling personal or financial information. Please see our privacy policy notices here.
$56k-84k yearly est. Auto-Apply 6d ago
Senior Triage Examiner
Insurance Company of The West
Remote bank examiner job
Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible.
Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here!
PURPOSE OF THE JOB
The purpose of this job is to manage new Workers' Compensation losses for the first 10 days of the life of the claim. This job takes necessary steps to assess and summarize new losses, prepare an action plan, set diaries, and reserve the file, all in preparation for assigning the file to an examiner for permanent handling.
ESSENTIAL DUTIES AND RESPONIBILITIES
Administers benefits to injured workers in accordance with statutory and case law as well as pertinent regulations for the first 10 days of the claim.
Represents the Workers' Compensation Department and ICW Group when interacting with injured workers.
Communicates with insureds to obtain information necessary for processing claims.
Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information.
Communicates claim activity and processing with the injured worker and insured.
Maintains professional client relationships.
Communicates effectively with other Company departments.
Creates reserves in a timely manner to ensure reserving activities are consistent with company standards and best practices guidelines.
Manages complex claims and approves payment of benefits within higher designated authority level.
Assesses claims fairly and equitably, acting in the best interest of all parties and providing benefits as prescribed by law.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
Prepares an action plan and set diaries, in preparation for assigning the file to an examiner for permanent handling.
Assists with special projects and development of more junior team members as needed.
SUPERVISORY RESPONSIBILITIES
This role does not have supervisory responsibilities but may mentor and/or train junior team members.
EDUCATION AND EXPERIENCE
High school diploma or general education degree (GED) required. Bachelor's degree from four-year college or university preferred. Minimum of 2-3 years of insurance or claims related experience, or equivalent combination of education and experience required. Minimum 1-2 years of workers' compensation claims experience required.
CERTIFICATES, LICENSES, REGISTRATIONS
California Only
: All examiners must receive certification that meets the minimum standards of training, experience, skill, and further education as required.
California Only:
California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional (WCCP) certifications preferred.
All other jurisdictions:
State Workers' Compensation License as required.
KNOWLEDGE AND SKILLS
Understanding of laws and jurisdictional restraints to manage injuries. Excellent verbal and written communication skills, time management and organizational skills. Requires a high level of attention to detail. Team oriented and a sense of urgency for execution. Able to resolve conflicts fairly and equitably. Problem solving and decision-making ability,
PHYSICAL REQUIREMENTS
Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear.
WORK ENVIRONMENT
This position operates in an office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment.
We are currently not offering employment sponsorship for this opportunity
#LI-ET1 #LI-Hybrid
The current range for this position is
$61,979.26 - $97,736.56
This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.
WHY JOIN ICW GROUP?
Challenging work and the ability to make a difference
You will have a voice and feel a sense of belonging
We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
Bonus potential for all positions
Paid Time Off
Paid holidays throughout the calendar year
Want to continue learning? We'll support you 100%
ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.
___________________
Job Category
Claims
$62k-97.7k yearly Auto-Apply 19d ago
Financial Examiner
Rsm 4.4
Remote bank examiner job
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You'll find an environment that inspires and empowers you to thrive both personally and professionally. There's no one like you and that's why there's nowhere like RSM.
The Financial Examiner will primarily perform financial examinations and regulatory consulting services for state insurance departments. This position has significant opportunity for advancement as well as personal and professional growth.
Responsibilities
(Responsibilities vary depending on seniority level)
Perform risk focused financial examinations to determine solvency and compliance to statutes on behalf of Risk & Regulatory Consulting LLC insurance clients.
Perform reviews of examination work papers and evaluate insurance company operations.
Ensure the integrity of the regulatory system.
Assist with the preparation of reports, exhibits, and other supporting schedules that detail a company's solvency, condition and compliance with laws and regulations, and recommend solutions to questionable financial conditions.
Responsible for timely submission of draft reports for review.
Recommend/document actions to ensure compliance with laws and regulations, or to protect solvency of the company.
Provide knowledge and guidance of insurance laws, rules, and regulations.
Review and analyze new, proposed, or revised laws, regulations, policies, and procedures in order to interpret their meaning and determine impact to the company.
Analyze financial operating statements, reports, and records relating to specific and overall operations of insurance companies; prepare and supervise writing of clear, complete, concise, and informative reports of financial conditions of insurance companies and health care organizations.
Consistently enhance knowledge of: principles, practices, techniques, and methods of accounting and auditing; insurance examination and regulation; insurance laws and Insurance Commissioner's rulings; and related Attorney General opinions and court decisions; insurance company practices; statistical sampling procedures; basic actuarial mathematics; principles and practice of effective supervision, insurance companies and health care organizations.
Qualifications
Bachelor's Degree in Accounting or Finance; MBA and/or professional certification/s preferred
Minimum 5+ years experience as an accountant, auditor or examiner with a state insurance department or a public accounting firm or as an accountant, internal or external auditor or examiner of insurance companies.
Insurance industry experience is a must.
Certified Financial Examiner (CFE) or CFE Candidate, CPA or CPA candidate, and/or Certified Internal Auditor (CIA) or CIA Candidate a plus
PC skills, including experience in using software for producing presentations, spreadsheets, and project planning (skilled in TeamMate, ACL/Access, and MS Excel, Word and Power Point)
Strong interpersonal, presentation, analytical and examination/audit skills
Excellent organizational skills and the ability to prioritize multiple tasks, projects and assignments using effective time management skills
Strong written and verbal communication skills are required
Dynamic/flexible demeanor with exceptional client service skills
Must be self-motivated, work well independently and possess a sense of urgency
Skilled in team building and team development
Work from home with flexibility to travel
Ability to demonstrate ethical and professional standards as outlined by the Firm
Risk & Regulatory Consulting, LLC (RRC) was formerly a business segment of RSM US LLP (formerly McGladrey) until 2012 when the separate legal entity was formed. RRC is a strategic business partner with RSM providing actuarial and insurance industry consulting services to RSM clients.
Risk & Regulatory Consulting, LLC (RRC) is a national, leading professional services firm dedicated to providing exceptional regulatory services to clients. With over 100 experienced insurance professionals located in 22 states, we believe RRC is uniquely positioned to serve state insurance departments. We offer services in the following regulatory areas: financial examinations, market conduct examinations, insolvency and receiverships, actuarial services and valuations, investment analysis, reinsurance expertise, market analysis and compliance, and special projects. We are a results oriented firm committed to success that builds long term relationships with our clients.
RRC is managed by seven partners and our practice includes full time professionals dedicated to our regulatory clients. We are focused on listening to your needs and designing customized examination, consulting, and training solutions that address your needs. We bring multiple service lines together to provide superior and seamless service to our clients. We are committed to training our customers and our team. We have developed various comprehensive in house training programs that have been tailored to meet the needs of our regulatory clients. We offer competitive pricing, outstanding experience, credentials and references. RRC is an active participant in the NAIC, SOFE, and IRES.
At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life's demands, while also maintaining your ability to serve clients. Learn more about our total rewards at **************************************************
All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law.
Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at ************ or send us an email at *****************.
RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate.
RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information.
At RSM, an employee's pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range.
Compensation Range: $67,000 - $126,500
Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.
$67k-126.5k yearly Auto-Apply 31d ago
BSA/AML/OFAC Compliance Auditor III
Pathward, N.A
Remote bank examiner job
We are a hybrid, remote-office company dedicated to growing our talent anywhere!
We have onsite locations in: Sioux Falls, SD, Scottsdale, AZ, Louisville, KY, Troy, MI, Franklin, TN, Easton, PA.
At Pathward, we take tremendous pride in our purpose to create financial inclusion for all™. We are a financial empowerment company that works with innovators to increase financial availability, choice, and opportunity for all. We strive to remove barriers that traditional institutions put in the way of financial access, and promote economic mobility by providing responsible, secure, high quality financial products.
We are a team of problem solvers and innovators who celebrate our differences and know that our unique perspectives make us stronger and well-positioned for success. We celebrate, and embrace, our team members through our *HUMBLE*HUNGRY*SMART approach, and we believe that we are strongest when we embrace the voices of our employees, customers, partners, and the communities we serve.
About the Role:
Independently plans and executes complex, risk‑based audits with a primary focus on BSA/AML, sanctions
(OFAC), and Partner Solutions (embedded finance/“BaaS”). The role applies deep financial‑crimes and partner‑oversight expertise to assess governance, risk management, and control effectiveness across Pathward's products, services, and third‑party ecosystems. Leveraging sound judgment, data‑driven analysis, and plain‑language storytelling, this position develops actionable insights, influences senior stakeholders, and drives continuous improvement, while adhering to the IIA Standards and Pathward's Internal Audit methodology, and expectations from regulatory bodies such as the OCC and FinCEN.
While the core emphasis is on financial‑crimes and partner‑banking risks, this position will also lead audits in adjacent domains (e.g., operations, payments and money movement, consumer compliance) as business needs dictate. The ideal candidate thrives in ambiguity, navigates complex business models and technology stacks, and communicates with clarity and empathy to build trust and deliver high‑quality outcomes. Experience engaging with regulatory bodies is highly valued.
What You Will Do:
Plan and lead end‑to‑end, risk‑based audits (planning, fieldwork, reporting, and follow‑up).
Set clear objectives/scope/criteria; identify key risks and controls; tailor procedures to business model and risk profile; deliver on time with high quality.
Evaluate BSA/AML program pillars, governance and oversight, risk assessments, internal controls, policies and standards, training, and monitoring/quality assurance.
Test financial‑crimes processes: CIP/KYC/CDD/EDD, customer risk rating, watchlist screening, transaction monitoring, investigations, SAR/CTR obligations, model validation and coverage, and recordkeeping across platforms and partners.
Assess sanctions (OFAC) compliance: governance, interdiction, alert handling, escalation, and intersections across payments and money‑movement rails.
Audit Partner Solutions (BaaS) and related third-party oversight including BSA/AML and OFAC compliance across the partner lifecycle: due diligence, onboarding, ongoing monitoring, change management, issue management, and termination.
Review BSA/AML and OFAC third-party risk classification, oversight practices, and compliance reporting for sufficiency, accuracy, and decision usefulness.
Use data analytics, where possible, to profile population risk, select samples, and detect anomalies across screening, monitoring, disputes, and partner portfolios.
Evaluate enterprise interdependencies affecting BSA/AML and OFAC by testing data from source to report, testing ownership and SLAs at handoffs, and identifying gaps so processes are reliable, well‑controlled, and decision‑useful.
Assess rules/models/scenarios and data pipelines: change control, documentation, performance monitoring/back‑testing, and data lineage/integrity supporting BSA/AML and OFAC.
Produce clear, evidence‑based findings with root‑cause analysis, business impact, and prioritized action plans; challenge management responses and validate remediation (including regulatory items) for sustained effectiveness.
Engage stakeholders constructively (business leaders, Compliance, Risk, Technology); present concise, executive‑ready narratives/visuals; escalate emerging risks promptly and tailor messaging to audiences (working groups, executives, committees).
Lead non‑financial‑crimes audits as needed (e.g., payments and money movement (ACH/wires/RTP)), consumer compliance, third‑party risk management, and model risk-applying the same risk‑based methodology and clear, audience-tailored reporting.
Coordinate co‑sourced providers, ensuring adherence to methodology, templates, workpaper quality, and delivery timelines.
Support annual risk assessment and audit planning with insights on regulatory themes, partner risks, product/technology changes, and data/controls maturity.
Exemplify ethics and judgment: integrity, objectivity, confidentiality, and sound judgment under uncertainty/complexity.
Demonstrate strong interpersonal effectiveness: active listening, constructive feedback, patience and perseverance, collaborative relationships, compassion and respect, customer focus, and disciplined planning to achieve audit goals.
Stay abreast of emerging issues involving internal audit, changes to federal and state banking laws, and evolving laws and regulations that could impact the organization, particularly with BSA/AML and sanctions, BaaS, third party risk, prepaid products and/or deposit products, consumer payment applications/wallets, and/or digital or electronic payments processing/processors.
Assist in the development of less-experienced staff through the review of audit work papers and timely feedback.
Other duties as assigned.
What You Will Need:
Bachelor's degree in a relevant field (e.g., Accounting, Finance, Business, or related displace), or equivalent education and work
Professional certifications such as: CAMS, CFE, CIA, CRMA, and/or CPA preferred. Additional credentials in BSA/AML, or sanctions compliance are a plus.
5+ years of relevant experience in internal audit, compliance, or risk within financial services.
Demonstrated strength in BSA/AML, sanctions, and partner/third‑party oversight.
Ability to pivot and lead audits in adjacent domains.
Proficiency with data‑centric testing and visualization techniques; strong written and verbal communication.
The responsibilities listed above are not all inclusive and may be changed at any time.
Salary range: $72,000 - $120,000
The salary range reflects the minimum and maximum target for a new hire in this role. Individual pay within the range will be determined by multiple factors which can include but are not limited to a candidate's experience, qualifications, skills, and location. Your recruiter can share more about the specific salary for your location during the hiring process. Ranges may be modified in the future.
This role is also eligible for an annual performance-based incentive opportunity. Pathward offers a comprehensive benefits package for eligible employees, including health insurance, 401(k) retirement benefits, life insurance, disability benefits, paid time off, and more.
#LI-Remote
Don't have everything listed under qualifications? If you're excited about this role but your
experiences don't match exactly to everything in the posting, we encourage you to apply
anyway. You may be just the right candidate for this or other Pathward roles. Pathward is
an equal employment opportunity employer and considers candidates for roles without regard
to their race, sex, national origin, ethnicity, age, disability or any other category protected by
law.
Who we are:
Our commitment to inclusion is woven into our DNA. We believe that we are strongest when we embrace the voices of our employees, customers, partners, and the communities we serve.
We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity, transgender status, pregnancy, national origin, age (age 40 and over), disability, genetic information, marital status, hair texture or hairstyle, ancestry, service in the uniformed services, protected veteran status, status as a victim of domestic violence or any other class protected by federal, state and local laws.
Please click here to learn more about our benefits and review information about our Privacy Policy, Affirmative Action Plan and other notices. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. For assistance completing an application, please contact a Pathward People & Culture Representative by emailing - ********************
Please click here to view Pathward's Applicant Privacy Notice.
Applications will be accepted for a minimum of 3 days after posting, and there is no predetermined date by which applications should be submitted.
Knowingly submitting false information will result in disqualification for consideration of future positions, termination of employment and forfeiture of other rights.
Candidate Scam Warning
We encourage you to be cautious of hiring scams that impersonate Pathward. Copy and paste the following URL into your browser to learn more: *********************************************************
$72k-120k yearly Auto-Apply 5d ago
Global Trade Compliance Auditor
Harman Becker Automotive Systems Inc. 4.8
Remote bank examiner job
A Career at HARMAN As a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you'll discover that at HARMAN you can grow, make a difference and be proud of the work you do every day.
Introduction: A Career at HARMAN Corporate
We're a global, multi-disciplinary team that's putting the innovative power of technology to work and transforming tomorrow. At HARMAN Corporate, you are integral to our company's award-winning success.
Enrich your managerial and organizational talents - from finance, quality, and supply chain to human resources, IT, sales, and strategy
Augment your comprehensive skillset with expert training across decision-making, change management, leadership, and business development
Obtain 360-degree support throughout your career life cycle, from early-stage to seasoned leader
About the Role
The Trade Compliance Auditor is responsible for auditing customs-related import and export compliance within the United States, Canada and EMEA regions.
This role serves to audit all compliance-related functions in the regions. This role reports to the Audit Manager, Trade Compliance. You will create and maintain trade compliance procedures and requirements to support the growth from an audit perspective.
What You Will Do
Responsible for executing against the auditing standards and performance criteria, managing audits.
Complete an initial risk assessment of the regional trade compliance operation.
Create both a line level audit review and more strategic “deep dive” audit plan.
Create a comprehensive audit plan that feeds into the Global Trade Compliance audit strategy.
Create regional KPIs based on audit results.
Work closely with the Trade Compliance Operations team to communicate findings and follow through until sufficient risk is mitigated.
Present regional audit results.
Audit to ensure proper customs valuation, classification, country of origin.
Planning, scheduling, coordinating, reviewing and reporting on compliance metrics within the trade compliance value chain.
Ensure that local risk management frameworks and processes are aligned with global ones and address risks.
Work closely within the audit team to ensure cohesiveness across all audit regions.
Monitor and audit of regional import and export processes and documentation to ensure compliance with trade laws.
Test processes for adherence to Harman's Trade Compliance Policy, manuals and internal procedures.
Prepare audit reports & gap analysis, proposed remediation measures and targeted training to foster continuous improvement across the trade compliance value chain.
Monitor to ensure Trade Compliance recordkeeping requirements are followed, including adherence to Standard Operating Procedures (SOP's).
Identify and integrate ‘best practices' standards for the organization based on global cooperation.
Build partnerships with third-party customs brokerage firms and trade compliance service providers.
What You Need to Be Successful
Bachelor's degree in Trade Compliance or related field.
Experience in auditing trade-related functions preferred.
7+ years of experience in Trade Compliance operations.
Global/multinational mindset and awareness.
Areas of Expertise: Customs compliance; export/import activities; documentation; HTS classification.
Experience with US, CA, and EMEA compliance operation
Bonus Points if You Have
Customs Broker License (LCB) or Certified Customs Specialist (CCS) credentials
Experience with Thomson Reuters OneSource or similar global trade management (GTM) software
Expertise with automotive parts and consumer electronics commodities is a plus
Multi-cultural awareness and ability to adjust communication accordingly.
What Makes You Eligible
Be willing to travel up to 10% domestic and international travel.
Be willing to work in an hybrid office environment and/or fully remote, with occasional trips into the office required.
What We Offer
Flexible work environment, allowing for full-time remote work globally for positions that can be performed outside a HARMAN or customer location
Access to employee discounts on world-class Harman and Samsung products (JBL, HARMAN Kardon, AKG, etc.)
Extensive training opportunities through our own HARMAN University
Competitive wellness benefits
Tuition reimbursement
“Be Brilliant” employee recognition and rewards program
An inclusive and diverse work environment that fosters and encourages professional and personal development
#LI-JS247
#LI-Remote
Salary Ranges:
$ 76,500 - $ 112,200
HARMAN is proud to be an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
$76.5k-112.2k yearly Auto-Apply 55d ago
Experienced ABL Field Examiner
LCG Advisors 4.2
Remote bank examiner job
Job DescriptionSalary:
LCG Advisors is looking for an Experienced ABL Field Examiner to work closely with our clients, including large money-center banks such as JP Morgan Chase, Bank of America, Goldman Sachs, and Regions Bank. Our client base includes private equity firms, financial intermediaries, family offices, and accredited investors. Finance jobs in Tampa with LCG offer a wide variety of benefits through a gratifying and rapidly evolving career.
Primary Responsibilities:
Conduct due diligence services, including audit engagements, portfolio reviews, and acquisition due diligence for a wide variety of clients
Perform on-site or remote engagements as contracted by a bank or lender for clients needing lines of credit ranging from under one million dollars or as much as one billion dollars
Conduct audits focused on the companys collateral typically accounts receivable and inventory - by understanding complex concepts or information
Input examination findings into excel templates and produce a comprehensive written report for lenders describing the results and listing findings or exceptions
Perform professional interaction with clients, including calls and meetings
Qualifications:
Strong analytical skills with a willingness to learn new things
Naturally inquisitive on all topics relating to transactions
Excellent verbal and written communication skills
Attention to detail
Ability to meet strict deadlines
Advanced proficiency in Microsoft Office Excel and Word, Monarch, or other data extraction programs
Flexibility for occasional travel
2-4 years of relevant work experience preferred
ABL experience is desired but not required
Competencies:
Verbal Skills: Communicates with a vast vocabulary in a variety of settings and can understand the sophisticated language
Numeric Ability: Proficient with basic numerical equations and is comfortable with complex calculations resulting in accurate and sophisticated conclusions
Fast-Paced: Very active and results-driven with the ability to juggle the demands of several tasks at once
Assertiveness: Enjoys influencing others but is still willing to follow directions from someone else when necessary
Sociability: Comfortable working alone, but willing to collaborate as part of a team when necessary
Decisiveness: Balances timeliness and deliberation but is comfortable making quick decisions when required
Independence: Autonomous yet can accept necessary guidance and instruction
Judgment: Balances objective information and instincts to make decisions
Education:
Bachelors Degree in Accounting or Finance; Masters preferred
Company Benefits:
Competitive Medical Benefits
401(k) plan with employer contributions
Unlimited Paid Time Off
Flexibility to work from home
Paid Family Care Leave
Annual Holiday Retreat
Professional Development
$55k-80k yearly est. 12d ago
Senior Compliance Coding Auditor (REMOTE)
Central Health 4.4
Remote bank examiner job
This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis.
Responsibilities
Essential Duties:
• Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements.
• Identify coding discrepancies and formulate suggestions for improvement.
• Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.
• Work with the Office of the CMO and provider leadership to identify and assist providers with coding.
• Report findings and recommendations to Compliance Officer or designee, management, and executive leadership.
• Provide continuing education to providers and ancillary staff on CDT, CPT, HCPCS, and ICD-10 coding.
• Support compliance policies with government (Medicare& Medicaid) and private payer regulations.
• Perform research as needed to ensure organizational compliance with all applicable coding and diagnostic guidelines.
• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
• Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, and Billing to assist in accuracy of reported services and with chart reviews, as requested.
• Work with the Purchasing department to order and distribute annual coding materials for all clinical sites and departments.
• Assist Director of Compliance with incidents and investigations involving coding and/or documentation.
• Work closely with all other Compliance personnel to provide coding/compliance support.
• Advise Compliance Officer or designee of government coding and billing guidelines and regulatory updates.
• Provide training to billing coding staff on coding compliance.
• Participate in special projects and performs other duties as assigned.
Knowledge/Skills/Abilities:
• Proficiency in correct application of CPT, CDT, HCPCS procedure, and ICD‐10‐CM diagnosis codes used for coding and billing for medical claims.
• Knowledge in correct application of SNOMED, SNODENT, and LOINC.
• Knowledge of medical terminology, disease processes, and pharmacology.
• Strong attention to detail and accuracy.
• Excellent verbal, written, and communication skills.
• Excellent organizational skills.
• Ability to multi‐task.
• Proficient in Microsoft Office Suite.
• Critical thinking/problem solving.
• Ability to provide data and recommend process improvement practices.
Qualifications
MINIMUM EDUCATION:
High school diploma or equivalent.
MINIMUM EXPERIENCE:
5 years of healthcare experience
4 years of procedural and diagnostic coding
REQUIRED CERTIFICATIONS/LICENSURE: UPON HIRE
AAPC Certified Professional Coder (CPC) certification
OR
Certified Coding Specialist (CCS) certification through American Health Information Management Association (AHIMA)
$62k-78k yearly est. Auto-Apply 60d+ ago
QCC Compliance Inspector Auditor-Remote
Iapmo 4.0
Remote bank examiner job
Quality Control Consultants (QCC), is looking for a field inspector primarily responsible for auditing building products at manufacturing facilities, and in the process of receiving an Evaluation Report or Listing or as part of the continuous compliance program, ensuring quality and standard compliance.
These inspections are unrelated to those completed at construction sites or for plumbing products or plumbing certifications.
A Compliance Auditor:
Schedules and conducts:
Periodic compliance audits/inspections primarily at manufacturing facilities or storage facilities where quality assurance programs are confirmed.
Product sampling
Inspection and sampling is completed at production facilities and warehouse locations in various areas of the country in accordance with QCC policies and procedures
Completes audit/inspection documentation
Provides customer support for clients
Must be able and willing to travel to manufacturing facility location throughout the US
Benefits
As a critical branch of The International Association of Plumbing and Mechanical Officials (IAPMO ) Construction Products Group, QCC values and employs individuals dedicated to our mission by offering:
A competitive salary and benefits package, such as no-cost health, dental, life, AD&D,
LTC 14 paid holidays
10 days per year of vacation
15 paid sick days per calendar year
401k and profit-sharing Childcare discounts. Plus, much more!
This position has the option to work remotely and is not limited to a California resident.
Experience, Knowledge, Skills, and Abilities:
High school diploma or equivalent
Minimum of 3-year relevant work experience in construction or field inspection required
Preference for work experience in quality assurance, product manufacturing, product testing/compliance, regulatory, building codes and standards, or related field.
Reading Comprehension/ Speaking/Writing:
Ability to read and interpret documents such as architectural and structural plans codes and standards, safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of the organization.
Travel Nationally/Internationally as needed to complete audits and attend conferences, meetings, and other functions.
Ability to speak effectively before groups of customers or employees of the organization.
Computer literacy sufficient to operate spreadsheet and word processing applications (i.e., Microsoft Excel, Microsoft Word).
Salary $83,300-$95,000
We do Consulting Differently
The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS is currently seeking a Healthcare Compliance Auditor at either the Consultant or Managing Consultant level.
HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. The work of a Healthcare Compliance Auditor will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid. Responsibilities include working with team to develop audit specifications, expert analysis of healthcare claims and supporting documentation, quality control, and development of client deliverables.
The work of a Consultant involves execution of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: billing and coding audits, compliance program review, quality control, development of client deliverables, and industry research. The work of a Managing Consultant involves both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: management of junior staff, quality control, development and presentation of client deliverables, and industry research.
This specific position will require knowledge of medical coding and compliance and potential candidates must have medical auditing expertise. Job title and compensation to be determined based on qualifications and experience.
Job Responsibilities:
Plan and perform medical record audits to determine coding accuracy and compliant claims submission;
Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance;
Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines;
Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement;
Serve as a subject matter expert on interpretation and application of coding and documentation guidelines;
Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas;
Stay current on coding guidelines.
Develop analyses using transactional data and/or financial data;
Generate client deliverables and make valuable contributions to expert reports;
Manage client relationships and communicate results and work product as appropriate;
Manage junior staff and delegate assignments as directed by more senior managers;
Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions;
Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting;
Prioritize assignments and responsibilities to meet goals and deadlines.
Qualifications:
An undergraduate degree (e.g., BS, BA);
Active coding certification from either AAPC or AHIMA is required;
Preference will be given to candidates that are certified in medical auditing;
2+ years of work experience with a focus on healthcare provider billing and coding; 5-7 years of experience is required for the Managing Consultant level position. Job title to be determined based on relevant qualifications and experience.
Preference will be given to candidates that are experienced with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs).
Comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation.
Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements.
Required skills include:
Demonstrated ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results.
Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools.
Commitment to producing high quality analysis and attention to detail.
Excellent time management, organizational skills, and ability to prioritize work and meet deadlines.
Keen interest in healthcare compliance and healthcare policy.
Exceptional verbal and written communication skills.
Desire to work within a team environment.
Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship.
Consultant Salary Range: $70,000 - $150,000
Managing Consultant Salary Range: $100,000 - $230,000
#ThinkBRG #LI-JQ1|#LI-REMOTE
About BRG
BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart-and gets you ahead.
At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe.
Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients' challenges. We get results because we know how to apply our thinking to your world.
At BRG, we don't just show you what's possible. We're built to help you make it happen.
BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.
$70k-91k yearly est. Auto-Apply 60d+ ago
Hospital Compliance Auditor
Aa067
Remote bank examiner job
Hospital Compliance Auditor - (10032671) Description Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago, and Phoenix. our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
The Hospital Compliance Auditor conducts audits systemwide to determine organizational integrity within the Hospital Compliance Program and reviews hospital and provider-based site practices and procedures to ensure they adhere to all relevant healthcare regulations and laws. Audits to evaluate systems, charge capture, and hospital billing including detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed.
The Hospital Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and federal and state regulations and guidelines, CMS and other third-party payor billing rules, and OIG compliance standards.
The Hospital Compliance Auditor serves as an institutional subject matter expert and authoritative resource on auditing and monitoring practices and interpretation and application of documentation and coding rules and regulations, and medical necessity of services delivered.
This position sits within the Healthcare Regulatory and Reimbursement Compliance vertical of the Ethics & Compliance program, is a member of the Hospital Compliance team, and reports to the System Manager, Hospital Compliance.
As a successful candidate, you will:
Implements and manages a comprehensive systemwide proactive annual audit plan for the Hospital Compliance Program with focus on high-risk areas.
Plans and performs hospital compliance related systems, revenue cycle, charge capture and claims audits, including accuracy and adequacy of documentation and coding related to hospital billing and/or medical necessity reviews.
Initiates and manages auditing and monitoring as needed in conjunction with investigations and inquiries and assists with corrective action plans.
Conducts analysis to identify inappropriate hospital billing and coding practices, identify and report compliance issues and concerns in addition to the claims and financial impact. Makes recommendations for corrective action.
Distills and summarizes complex audit findings into digestible education and action items for stakeholders. Prepares written reports of audit findings and recommendations and presents to appropriate stakeholders; evaluates the adequacy of management corrective action to improve deficiencies; maintains audit records.
Assists in validating accuracy of external audits, utilization management reporting, and other inquiries.
Assists departmental management with the development of tools, templates, and process improvement recommendations.
Assists in documentation and internal evaluation of Ethics & Compliance Program effectiveness consistent with professional standards.
Understands where regulatory guidance and hospital policies and procedures might intersect in terms of compliant billing and coding, provide customer feedback to guide their decision making.
In conjunction with department manager, provides education and feedback to stakeholders when audit deficiencies are identified.
Stays current with Medicare, Medicaid and other third party rules and regulations, CPT, ICD10 coding updates and enhances professional growth and development by participating in educational programs relating to such topics. Serves as a system resource to answer billing appropriateness questions and those arising from audits, including government audits.
Maintains knowledge of City of Hope Provider billing and collection systems, including knowledge of report writing capability, and works with Information Systems personnel to identify and request data needed for audits.
Qualifications Your qualifications should include: Bachelor's degree; 3 additional years of experience plus the minimum experience requirement may substitute for minimum education.Seven (7) years auditing and coding experience.Certified Coding Specialist (CCS) and/or AHIMA, AAPC or other equivalent recognized coding certification required City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits, please CLICK HERE. #LI-RA Primary Location: US-Nationwide-USA-Remote-US-RemoteJob: Compliance AdministrationWork Force Type: RemoteShift: DaysJob Posting: Nov 25, 2025Minimum Hourly Rate ($): 46.580100Maximum Hourly Rate ($): 74.528200
$53k-78k yearly est. Auto-Apply 20h ago
Experienced International Compliance Auditor (HITRUST/NATO)
Insight Assurance
Remote bank examiner job
Insight Assurance is a global audit firm on a mission to transform how organizations achieve cybersecurity and compliance. Founded by former Big 4 (EY) professionals, we deliver next-generation audit services across SOC 2, ISO 27001, PCI DSS (QSA), HITRUST, CMMC (C3PAO), and FedRAMP (3PAO) frameworks.
We're not your traditional audit firm - we're tech-enabled, leveraging compliance automation and advanced collaboration tools to make audits faster, smarter, and more impactful for our clients.
Recognized on the Inc. 5000 and Fast 50 lists, Insight Assurance is one of the fastest-growing global audit firms, with 170+ professionals supporting nearly 2,000 clients across the Americas, EMEA, and APAC.
JOB PURPOSE
We are seeking a highly skilled compliance auditor who has secured their CMMC Certified Professional (CCP) certification or would be able to secure their CCP within six months, to join our secure team which assesses client's ability to safeguard government data. The ideal candidate will have demonstrated experience leading compliance initiatives in regulated environments, ensuring adherence to complex regulatory frameworks, and knowledge of CMMC and NIST. Due to the legal requirement of this role, applicants must hold full or dual citizenship in the U.S., Australia, a NATO member country*(listed below), or South Korea, and be able to produce a valid passport. Strong analytical, communication, and collaboration skills are essential to successfully work within our cross-functional teams and with external clients. This is a unique opportunity to make a meaningful impact on data security while working in a dynamic, fast-paced, high-stakes environment.
DUTIES AND RESPONSIBILITIES
Assessment Planning: Develop a comprehensive assessment plan outlining the scope, objectives, and methodology for evaluating the organization's cybersecurity practices and controls.
Evaluate Compliance: Assess the organization's adherence to the HITRUST and CMMC frameworks by reviewing policies, procedures, and technical security controls to ensure they meet the required maturity level.
Data Collection: Gather and analyze relevant documentation, including system configurations, security policies, incident response plans, and training materials.
Conduct Interviews: Engage with key personnel within the organization to understand the implementation of cybersecurity practices and gauge their familiarity with security protocols.
Risk Assessment: Identify potential risks and vulnerabilities in the organization's cybersecurity posture, determining their potential impact on safeguarding governmental data.
Reporting Findings: Create detailed reports that document assessment findings, highlighting areas of compliance and non-compliance, along with recommendations for improvement.
Provide Guidance: Offer expert advice and best practices to help organizations enhance their cybersecurity measures and achieve compliance with HITRUST and CMMC requirements.
Follow-Up Assessments: Conduct follow-up assessments to verify that corrective actions have been implemented, and that the organization is on track to achieve or maintain compliance.
Continuous Learning: Stay updated on changes in the HITRUST and CMMC frameworks, cybersecurity threats, and mitigation strategies to provide the most relevant and effective assessments.
Client Interaction: Maintain clear communication with clients throughout the assessment process to ensure understanding and facilitate collaboration.
SPECIFIC DUTIES
Assist the Lead assessor in gathering and evaluating assessment evidence.
Evaluates the design and effectiveness of controls.
Identifies and communicates preliminary assessment findings for daily checkpoint meetings.
Foster stakeholder relationships through proactive communication with clients, colleagues and partners.
Proactively communicate with management regarding any potential issues.
SKILLS
Excellent oral and written communication skills.
Ability to work individually as well as collaboratively.
A high degree of motivation.
Fluency in English is required.
EDUCATION Bachelor's degree in accounting, business, cyber security, or management information systems.
EXPERIENCE
At least 3 years of experience performing IT audit engagements at a Big 4 or other audit/consulting firm. Experience using GRC and compliance automation tools (Vanta, Drata, SecureFrame) is a plus.
TRAINING AND CERTIFICATIONS
Candidates with an active or working towards RP, RPA, or CCP certification. The ideal client will already possess a CISA, CPA, or CISSP certification.
As part of this role, you will also be required to complete CMMC training within your first 6 months.
Once Tier 3 suitability has been achieved, participation with the CMMC service line will be expected.
A candidate on a path to secure a CMMC certification within six months must possess an approved Intermediate Certification, such as:
(ISC)2 CGRC/CAP
CompTIA CASP+
CompTIA Cloud+
CompTIA PenTest+
CompTIA Security+
GIAC GSEC
BENEFITS
Flexible Paid Time Off and paid Holidays
Quarterly Performance Bonuses
100% Remote
Competitive salary and benefits package.
Opportunities for professional growth and development.
Collaborative and innovative work environment.
Insight Assurance is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
*NATO Country Listing:
Australia
Barbados
Belgium
British Virgin Islands
Canada
Croatia
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Iceland
Italy
Latvia
Lithuania
Luxembourg
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
Slovakia
Slovenia
South Korea
Spain
Sweden
Turkey
US Virgin Islands
United Kingdom
United States
Privacy Notice CCPA:
Insight Assurance shares your personal data/information with Greenhouse recruiting because this is the tool we use for the recruitment process.
Insight Assurance does not sell personal data/information under any circumstances.
You may exercise your rights under personal data protection legislation by reaching out to us via: *********************** or submit a request via mail at 400 N Tampa St. 15th Floor Suite 129, Tampa, FL 33602
Privacy Notice GDPR:
This notice informs you about the categories of Personal Data/ Information and the Purpose and Scope of Processing Activities to be undertaken by Insight Assurance (we, us, our), under its job application and recruitment process.
We resort to Greenhouse.com as the platform that supports our recruitment process, and therefore your Personal Data/ Information will be Processed on this tool (hosted, shared with, cross-referenced, accessed by our team); we have in place contractual terms and the commitment of Greenhouse.com that ensures the Security and Confidentiality plus Purpose limitation with regards to the Processing of your Personal Data.
When you reply to one of your job postings, you voluntarily and freely submit your Personal Data to us; this, allied with the fact that the Processing by us (and over Greenhouse.com) of that Personal Data has the sole Purpose of validating your application and proceeding with the inherent scrutiny and decision, allows us to argue having Legitimate Interest as the applicable Legal Basis to undertake the Processing of your Personal Data under this scope.
We are a U.S. based company, hence some or all Personal Data pertaining to you will be hosted in the U.S.
The categories of Personal Data under Processing consist of:
Identification
Contact
Education and Professional
Interview performance
Evaluation
You may exercise several Rights as determined under applicable Personal Data Protection legislation, in short:
Right of Access
- meaning getting information about the Personal Data under Processing by us, except for the information you already know;
Right of Erasure
- you may ask for us to erase all Personal Data pertaining to you under Processing; this may imply you being excluded from the recruitment process, for without information we cannot proceed with it;
Right of Opposition or Restriction of Processing
- you may ask us to stop some Processing or restrict the Processing of some Personal Data, this may imply you being excluded from the recruitment process, at our sole discretion also for without information we cannot proceed with it;
Rectification
- you can rectify your Personal Data at anytime
$53k-78k yearly est. Auto-Apply 12d ago
Physician Coding Compliance Auditor
Cedars-Sinai 4.8
Remote bank examiner job
Align with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. We provide an outstanding benefit package that includes paid vacation, wellness initiatives and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.
What you be doing in this role:
The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges to ensure compliance with applicable documentation, coding, and billing requirements. Works closely with providers and staff to educate and train or provide audit results feedback through the use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with documentation, coding, and billing. This position is responsible for maintaining expert knowledge and understanding of coding and documentation guidelines. Collaboration with the Manager of Audit and Compliance and others where expertise in compliant coding and documentation is needed. In this role your duties will include:
Performs physician compliance audits and group audits by analyzing medical record documentation and coding services to ensure compliance with government and organizational policies and procedures.
Identifies areas of risk and/or non-compliance and provides recommendations for action - advances as needed.
Conducts education and training sessions with individual providers on audit finding results, regulatory requirements and provide actionable feedback for improvement.
Responsible for summarizing audits results and presenting to provider, operations leaders, other leadership.
Communicates feedback directly to providers.
Prepares necessary reports and communicates audit results to management and clinicians.
Prepares training and education materials acting as subject matter expert.
Tracks, records, and maintains audit/review activity in software or excel spreadsheets.
Provides regular and ad hoc reporting.
Assists with audit & compliance related special projects as requested.
Maintains a high level of competency related to medical record documentation, coding and compliance with government regulations by attending appropriate workshops and seminars.
Monitors Medicare and regulatory agencies rules for updates and changes and supports CSMN's core values and procedures.
Acts as a professional liaison for physician compliance related activities, in a professional and confidential manner.
Requirements:
High school diploma or GED required. Bachelor's degree preferred.
Certified Professional Coder certification required upon hire.
A minimum of 2 years of professional fee coding/auding required, preferably in an academic medical setting.
Why work here?
We take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.
$56k-73k yearly est. Auto-Apply 33d ago
Compliance Auditor Senior - Healthcare Legal and Regulatory (Eastern United States resident)
Geisinger Medical Center 4.7
Remote bank examiner job
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
Yes The Senior Compliance Auditor ensures the integrity and accuracy of facility and professional compliance audits, monitoring, and provides compliance education for facility and professional documentation, coding, and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and assists management with the onboarding process for new Compliance Auditors. This position requires the use of judgement and critical thinking skills to determine appropriate corrective actions for non-compliance and ensure corrective actions are fully implemented by the entity service line area.
Job Duties:
One of the following coding or auditing certifications are required (CCS, CPC, RHIA, RHIT or CPMA).
Performs scheduled facility and/or professional audits on the adequacy of medical record documentation to support coding (DRG, CPT, ICD 10) and billing as required by the Compliance work plan reflecting scheduled activities and target dates.
Performs audits resulting from unplanned investigations.
Q/A work products of peers and serve as a mentor for compliance staff.
Serves as primary lead for facility/professional billing compliance education, including auditing, trending, providing audit feedback to facility/professional coding staff and providers working in the hospital and office setting.
Coordinates the development and implementation of corrective action and improvement plans with critical attention to performing a root cause analysis.
Prepares responses to governmental audits, evaluate findings, and manage the appeals process.
Assess compliance risk areas across Geisinger entities and assist with creating the Compliance Department's work plan.
Performs research as needed to ensure organizational compliance with all applicable coding and diagnostic guidelines.
Provides compliance guidance to Geisinger staff and serve as an institutional resource for Geisinger leadership, management and medical staff with a focus on federal payor billing compliance.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
#LI-REMOTE
Position Details:
Education:
Associate's Degree-Related Field of Study (Required)
Experience:
Minimum of 7 years-Related work experience (Required)
Certification(s) and License(s):
Skills:
Communication, Critical Thinking, Medical Billing and Coding, Organizing, Problem Solving, Training and Education
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
EXCELLENCE: We treasure colleagues who humbly strive for excellence.
LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
SAFETY: We provide a safe environment for our patients and members and the Geisinger family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
$58k-76k yearly est. Auto-Apply 60d ago
Coding Compliance Auditor
Ensemble Health Partners 4.0
Remote bank examiner job
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
CAREER OPPORTUNITY OFFERING
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position starts at $57,400.00. Final compensation is based on experience
By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.
Work closely with the Compliance and Internal Audit Team to support the mission of the Ensemble Compliance Program through the planning, execution, and reporting of compliance coding audits to insure coding is consistent with all applicable coding guidelines.
Job Competencies:
Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.
Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It's “All for One and One for All”
Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.
Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.
Developing Trust - Gains others' confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.
Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.
Essential Job Functions:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
Continuously build and maintain a comprehensive understanding of coding guidelines, Coding Clinics, CPT Assistant, CCI edits, and appropriate coding references along with the ability to utilize these coding resources when conducting coding audits
Assist with the development and preparation of the annual risk assessment and work plan
Assist in the development and maintenance of a comprehensive coding audit program
Conduct coding compliance audits consistent with the compliance work plan and other special projects
Prepare detailed reports succinctly identifying audit scope, objectives, findings, and supporting authority for recommendations
Deliver educational feedback to coding staff regarding audit findings
Provide guidance to coding staff and management in identifying and resolving coding issues
Develop project plans and manage activities to achieve compliance-related business outcomes in partnership with other stakeholders
Other Knowledge, Skills and Abilities Required:
3+ years of similar experience
Required Certifications:
Candidates must have and keep current at least one of the following professional certifications or other approved job relevant certification:
CPC (Certified Professional Coder)
CHC (Certified Healthcare Compliance)
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
Education Level:
Bachelors degree or equivalent experience, Health Records Management/Medical Coding, preferred
LI-LS1
LI-REMOTE
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
$57.4k yearly Auto-Apply 31d ago
Gaming Compliance Auditor
Teleperformance USA 4.2
Remote bank examiner job
**Category :** **Compliance** **About TP** **TP is a global, digital business services company. We deliver the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways.**
**With more than 500,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment.**
**Benefits of working with TP include:**
+ **Paid Training**
+ **Competitive Wages**
+ **Full Benefits (Medical, Dental, Vision, 401k and more)**
+ **Paid Time Off**
+ **Employee wellness and engagement programs**
**TP and You**
**Through a balanced high-tech and high-touch approach blended with deep industry and geographic expertise, we make people's lives simpler, faster, and safer. We help companies adapt quickly to changing needs, and are inspired to deliver only the best in all that we do. You will become a key contributor in making that happen.**
**Did you know that our Chief Client Officer started her career at TP as an agent and advanced to the pinnacle of the company? At TP, the sky is the limit!**
**Purpose**
**Gaming Compliance Auditor, Online Gaming Ensures the implementation of short to medium term activities within the function in line with the country, regional or global strategy. It is a specialized role that ensures all platform operations strictly adhere to legal, regulatory, and ethical standards across multiple jurisdictions. This position involves direct leadership in risk management, while collaborating with licensing analysts to manage complex regulatory requirements and embedding customer experience (CX) principles into the operational framework.**
**This position is 100% work at home. While this position will be working from home, this candidate must be located within the US and be eligible to work in the US without sponsorship.**
**This position requires occasional travel to the** **_Lima, Peru_** **location up to 4x per year. This person must have an active passport.**
**Your Responsibilities**
**_Operational Leadership & Customer Experience (CX):_**
+ **CX-Driven Compliance:** **Lead the integration of customer experience best practices into compliance workflows. Ensure that regulatory requirements are implemented in a user-friendly manner that minimizes player friction points without compromising security or legal obligations.**
+ **Player Journey Optimization:** **Analyze the player journey through a compliance lens, identifying areas where regulatory checks can be streamlined to improve engagement and retention while remaining compliant.**
+ **Customer Support Collaboration:** **Work closely with the Customer Support management team to ensure all player interactions regarding compliance issues (account verification, self-exclusion, AML inquiries) are handled efficiently, transparently, and with a player-first mindset.**
+ **Training & Communication:** **Ensure customer-facing staff are trained on how to communicate regulatory requirements effectively and empathetically to players.**
**_Regulatory Oversight & Licensing Collaboration:_**
+ **Primary Regulatory Liaison:** **Serve as the main point of contact for external regulatory bodies, managing all direct inquiries and audits.**
+ **Licensing Collaboration:** **Collaborate closely with Gaming Licensing Analysts to facilitate the preparation, submission, and maintenance of all operator and key person license applications and renewals. Provide necessary data, documentation, and strategic input to support the analysts in their processes.**
+ **Regulatory Monitoring:** **Proactively monitor and interpret changes in online gaming laws and standards, updating internal policies and operational procedures accordingly.**
+ **Oversee and monitor Gaming Licensing Analysts' calls to ensure accuracy, compliance, and professionalism.**
+ **Serves as a coach and mentor on the area internally.**
+ **Develops policies, processes & standards that support the implementation of short to medium term tactical direction.**
**_Risk Management & Internal Controls:_**
+ **AML & Fraud Prevention:** **Oversee and enforce Anti-Money Laundering (AML) and financial compliance requirements. Coordinate with fraud and security teams to manage customer risk profiles and ensure proper reporting.**
+ **Internal Controls & Auditing:** **Develop, implement, and maintain rigorous internal controls and Standard Operating Procedures (SOPs) to meet regulatory standards. Coordinate and facilitate internal and external audits.**
+ **Responsible Gaming:** **Manage and monitor the platform's Responsible Gaming program, ensuring strict adherence to player protection measures.**
**Qualifications**
+ **Experience** **:**
+ **Expert with superior knowledge and experience within a specific area of expertise.**
+ **Proven experience (5 years) in a dedicated compliance, risk management, or legal role within the online gaming/iGaming industry is essential.**
+ **Demonstrated experience managing regulatory relationships and leading audit processes.**
+ **Contributes and recommends operational strategies and plans with direct impact on the organization.**
+ **Experience collaborating with licensing teams or analysts on submission processes.**
+ **Education** **: A bachelor's degree in a relevant field such as Business, Law, or a related discipline is typically required.**
+ **Core Skills** **:**
+ **Regulatory Expertise** **: Deep and comprehensive knowledge of online gaming laws, regulations, and reporting requirements across various jurisdictions.**
+ **Strategic Thinking** **: Ability to bridge the gap between compliance requirements and business operational goals, focusing on sustainable growth and customer loyalty.**
+ **Collaboration** **: Strong ability to work effectively with specialist teams, such as licensing analysts, IT, and customer support, to achieve common goals.**
+ **Communication & Empathy** **: Excellent communication skills for liaising with regulators, team members, and players.**
+ **Licensing & Certifications** **:**
+ **Ability to obtain and maintain a personal gaming license through relevant regulatory bodies.**
+ **Relevant compliance certifications are highly valued (e.g., Certified Anti-Money Laundering Specialist (CAMS))**
+ **Travel**
+ **Must be willing to commit to international travel within the Americas for regulatory meetings, audits, and compliance engagements.**
+ **Must hold a valid passport to facilitate international travel.**
**Soft Skills**
+ **Process Excellence**
+ **Collaboration**
+ **Communication**
+ **Emotional Intelligence**
+ **Open-Mindedness**
+ **Critical Thinking**
+ **Solution Orientation**
+ **Entrepreneurship**
+ **AI Proficiency**
+ **Data Literacy**
**Be Part of Our TP Family**
**It is our mission to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.**
**TP is an Equal Opportunity Employer**
$43k-56k yearly est. 19d ago
Compliance File Auditor
Ad West Realty 3.4
Remote bank examiner job
Job DescriptionDescription:
Compliance File Auditor
Remote - U.S. Based (Eligible States Only: Washington, Idaho, Colorado, Arizona, or Florida)
About Us
Ad-West Realty Services, Inc. is a professional, full-service property management company specializing in managing affordable housing apartment communities in the states of Washington, Oregon, Alaska and Nevada since 1986. We believe that all people deserve affordable, safe, and well cared for homes and strive to make positive differences in others' lives. To provide the highest quality of management (and enjoy doing so!), we find it essential to focus on fostering the respect we give all our communities: clients, colleagues, and residents.
Company Culture
Small, people-oriented company
Professional but casual, family atmosphere
We strive to provide excellent and integrity-backed service for our clients, residents, colleagues, and all others we work with
A community with a love for continuous improvement and innovation
What you will be doing
In this entry role, you'll play a pivotal part in maintaining the efficiency and effectiveness of our compliance operations, contributing to the overall success of the team.
Managing the Operations of Affordable Housing: Responsible for ensuring that properties follow various State and Federal funding programs. Programs include but are not limited to USDA Rural Development, LIHTC, HUD, and Commerce, while staying current with changes and updates.
Training: Provide feedback support for on-site Property Managers' denied certification packets while also identify areas of opportunity and growth
Integration: Create and assist with automated processes and reporting, including integration of new AI-driven initiatives to enhance compliance and operational performance.
Record Keeping: Digital storage of approved files and certification packets
Support for the Team: First point of contact for questions and answers for our on-site Property Managers while sharing their experience within team to identify and discuss goals and facilitate objectives
Collaborating with Compliance Team: working jointly together to obtain the goals and performance of the department while engaging across the various company departments to bring forth clear communication and synergy
Assistance in Special Projects: Provide direct support to the management team in executing special projects, demonstrating flexibility and a collaborative spirit in diverse tasks
What we look for
Leadership: Guide, coach, and inspire others toward achieving common goals, fostering collaboration, and driving positive change
Positive Attitude: Bringing a positive, can-do attitude to the workplace, consistently striving for excellence
Continuous Improvement: An ongoing commitment to personal and professional growth
Computer Literacy: Proficiency in Office 365, particularly Microsoft Word and Excel
Accurate Data Entry Skills: Exceptional attention to detail, ensuring accuracy?
Critical Thinking Skills: The ability to thoughtfully approach problems in a logical manner
Robust Problem-Solving Abilities: Adeptness in identifying issues and devising practical solutions
Multitasking: Ability to handle multiple tasks in a high-pressure environment while meeting deadlines
Effective Communication: Proficient in conveying information clearly in both written and verbal forms
Teamwork Value: Recognizing and embracing the importance of collaboration and team cohesion
Required Knowledge, Skills, & Abilities:
Proficiency in RealPage Software with emphasis on compliance and operational workflows.
Strong knowledge with Microsoft Platforms including Copilot, Planner, List, Forms, Loop, Outlook, Word, Excel, and other related tools
Familiarity with Notion, Smartsheet, ChatGPT, Motion, Taskade, ClickUp, Wrike, Asana, Timehero, or other similar AI task manager platforms.
At least 2 years + of experience in role within the property management industry
Benefits
Health insurance (Includes Medical Dental, Vision, Life, EAP, and FSA)
401k with company match
13 paid holidays
Paid time off
Fully -Remote work option
Job Type: Full-time
Starting Pay: starting at $25 per hour DOE
Requirements:
$25 hourly 29d ago
Trade Compliance Auditor
Express, Inc. 4.2
Bank examiner job in Columbus, OH
About PHOENIX PHOENIX Retail, LLC is a retail platform operating the Express and Bonobos brands worldwide. Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern, confident and effortless style whether dressing for work, everyday or special occasions. Bonobos is a menswear brand known for being pioneers of exceptional fit and a personalized, innovative retail model. Customers can experience our brands in over 400 Express retail and Express Factory Outlet stores, 50 Bonobos Guideshops, and online at *************** and ****************
About Express
Express is a multichannel apparel brand dedicated to creating confidence and inspiring self-expression. Since its launch in 1980, the brand has embraced a design philosophy rooted in modern, confident and effortless style. Whether dressing for work, everyday or special occasions, Express ensures you look and feel your best, wherever life takes you.
The Company operates over 400 retail and outlet stores in the United States and Puerto Rico, the express.com online store and the Express mobile app.
Responsibilities
The Trade Compliance Auditor/Data Analyst is a dual-function role that provides critical audit and analytical support to the trade compliance department. This role combines compliance auditing with data analytics to ensure data integrity across all trade systems and using analytics to drive compliance and identify cost recovery opportunities. This position conducts regular internal audits of customs entries, FTZ entries, HTS classification records and balances to verify accuracy and compliance. The analyst manages data reconciliation between the ERP/FTZ systems and leverages analytics to transform complex data into actionable insights, helping the company maintain compliance, optimize duty savings, and continuously improve processes. In addition, the analyst will assist in development of tools needed to track performance of supplier related auto-classification.
KEY RESPONSIBILITIES
* Perform comprehensive internal audits of customs entries, verifying the accuracy of HTS classification, declared value, country of origin, and partner government agency (PGA) data.• Conduct regular audits of FTZ inventory and transactions, reconciling physical and digital records to ensure adherence to CBP's Inventory Control and Recordkeeping System (ICRS) requirements.• Analyze inventory data, including balances, adjustments, and movements, to identify discrepancies, investigate root causes, and recommend corrective actions.• Develop, track, and report on key performance indicators (KPIs) for compliance and FTZ operations.• Utilize data analysis to proactively identify duty savings opportunities, such as duty drawback eligibility, free trade agreement (FTA) applicability, and inverted tariff benefits.• Automate compliance reporting where possible and support the Trade Compliance Manager in preparing all data-driven reports for management and CBP.• Serve as the data expert during internal and external audits, providing a clean and organized audit trail to demonstrate "reasonable care." • Collaborate with the Trade Compliance Senior Specialist to audit supplier performance on the auto-classification process, ensuring data is entered accurately and timely.• Develop and implement data tracking tools to monitor supplier compliance metrics (i.e. on-time submission), providing data-driven feedback to the internal team.• Assist in the development of audit procedures
* Support special projects as assigned
REQUIRED EXPERIENCE & QUALIFICATIONS
Education:
* Bachelor's degree in Business, Data Analytics, or a related field.
Experience:
* 3-5 years of experience in data analysis, inventory control, internal auditing, or trade compliance roles. 2+ years in trade compliance or supply chain preferred
Knowledge:
* Knowledge of FTZ systems preferred
* Proficient in systemic inventory reconciliation
* Strong understanding of U.S. Customs regulations and FTZ record-keeping and import processes
* Exposure to vendor management desired
* Experience in vendor performance tracking is a plus
* Experience with ACE (Automated Commercial Environment) data and reporting is preferred
* Proficiency in Excel and data analysis tools
* Knowledge of audit sampling techniques
* Understanding of internal controls
* Familiarity with compliance frameworks
CRITICAL SKILLS & ATTRIBUTES
Analytical Capabilities:
* Ability to manage large datasets• Advanced problem-solving and root cause analysis• Data Analysis and reporting skills • Variance detection and reconciliation• Process mapping and optimization• Vendor performance tracking and reporting
Technical Competencies:
* Advanced Excel including pivot tables and formulas
* Data visualization capabilities
* Documentation and workpaper skills
* Report writing and presentation
* Basic understanding of systems integration
Leadership Abilities:
* Ability to work independently and build processes from the ground up
* Change management capabilities
Communication:
* Ability to translate complex data into actionable insights for management
* Clear and concise documentation and reporting
* Ability to present findings effectively
* Diplomatic approach to sensitive issues
* Collaboration with multiple stakeholders
* Ability to explain technical concepts simply
Personal Attributes:
* Exceptional attention to detail
* Self-directed and proactive
* Strong organizational skills
* Continuous improvement mindset
* Ability to manage multiple priorities
Closing
If you would like to know more about the California Consumer Privacy Act click here.
An equal opportunity employer, PHOENIX does not discriminate in recruiting, hiring or any other terms and conditions of employment hiring on the basis of any federal, state, or locally protected characteristic. PHOENIX only hires individuals authorized for employment in the United States. PHOENIX is committed to providing reasonable accommodation to individuals with disabilities. If you need an accommodation to search and apply for a job position due to a disability, please call ************** and say 'Associate Relations' or send an e-mail to ****************************** and let us know the nature of your request and your contact information.
Notification to Agencies: Please note that PHOENIX does not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, PHOENIX will not consider or approve payment to any third-parties for hires made.
$38k-56k yearly est. Auto-Apply 26d ago
Compliance Auditor Prof Svcs - Remote
Cooper University Hospital 4.6
Remote bank examiner job
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
The auditor reviews professional fee billing, coding and documentation. Reviews to be performed are identified based on the then-current OIG Workplan and compliance risk analyses. Customers include employed providers, senior leadership, clinical and non-clinical staff of Cooper University Health Care.
Under the supervision of the Chief Compliance Officer, auditors are responsible for supporting the corporate compliance program, responsibilities include:
Performance of timely and effective compliance and operational reviews to assess coding, documentation and billing accuracy, identify compliance related risks, internal control weaknesses, revenue capture opportunities and assist in determining the root cause of any identified non-compliance with government rules and regulations, state laws and Cooper policies and procedures
Preparatory work for reviews/audits including developing a scope of work.
Reviewing available documentation.
Analyze/review audit data and prepare reports for review and presentation to management, providers and departments, making recommendations for improvement
Determine charge corrections and refunds resulting from compliance reviews and ensure they have been completed.
Post-review/audit education/training when applicable.
Performing follow-up reviews when necessary.
Ensuring appropriate work papers, either paper or electronic, are maintained in accordance with regulations/policy
Assist in the development of policies and procedures that establish standards for compliance, as well as preparation of other guidance documents and tools to assist Coper providers and staff in appropriate billing, coding and documentation.
Serve as liaison for questions, concerns, incidents and complaints regarding compliance matters, responding directly to the inquiry and/or consulting or interacting with other team members or departments. Inform Chief Compliance Officer of major findings; based on types of questions/concerns received, recommend remedial correction and prevention actions; identify education/awareness opportunities and guidance topics
Work with all levels within the organization to ensure that internal controls throughout the system provide for accurate, complete and compliance program and processes
Experience Required
3+ years' experience in an academic medical center preferred, with emphasis on provider compliance activities, including but not limited to: auditing, monitoring, investigation and training
Demonstrated knowledge and understanding of provider professional fee billing, coding and documentation practices in inpatient and outpatient settings.
Demonstrated expertise in medical terminology.
Demonstrated expertise in healthcare coding (CPT, ICD-9, ICD-10, APC, HCPCS).
Demonstrated knowledge and understanding of HIPAA rules and regulations affecting the management of confidential protected health information (PHI).
Demonstrated knowledge and understanding of federal and state statutes, laws, rules and regulations affecting billing, coding and documentation practices in support of healthcare services provided to beneficiaries of federally-funded healthcare programs and other third party payers.
Demonstrated knowledge and understanding of the essential elements of an effective compliance program
Working knowledge and understanding of:
- provider professional fee revenue cycle and reimbursement.
- electronic billing and medical record systems
- sampling technologies and statistical analyses
.Experience using personal computers required.
Experience using the following applications is desirable: Word, Excel, e-mail, and healthcare related billing systems.
Experience using MDAudit audit software and/or EPIC EMR desirable
Education Requirements
Current certification as a CPC or COC
License/Certification Requirements
Current CPC or COC
Valid driver's license and automobile insurance per company policy
Salary Min ($) USD $36.00 Salary Max ($) USD $59.00
$66k-90k yearly est. Auto-Apply 21d ago
Compliance Auditor - Physician Auditing
LMHS Careers
Bank examiner job in Newark, OH
Compliance Auditor
Corporate Compliance
Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.
When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission - dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.
Position Description
Under the general direction of the Vice President of Financial Services, this position provides overall compliance auditing and monitoring functions of the Licking Memorial Health Professionals physician practices. This position additionally serves as a liaison for regulatory and billing purposes with the LMHS Medical Staff, the physician corporation staff, Professional Billing and Health Information Staff.
Responsibilities
Primary focus on the compliance of the physician corporation coding and documentation practices.
Responsible for internal auditing and monitoring of procedure and diagnosis coding to assure consistency with federal and state law. Collaborates with other departments as needed.
Responsible for auditing charge capture process, coding and billing processes, and assisting in resolution of case or system failures.
Provide consultation in the application of process improvement principles as they relate to the results of the compliance audit functions and findings.
Provide expertise to departmental personnel and medical staff in the areas of coding, billing and compliance with applicable input from the Corporate Compliance staff.
Effectively work with multi-disciplinary groups, skilled at interacting with physicians, nurses, and other health care professionals.
Effectively analyze problems and develop well-reasoned solutions based on official resources, recognize and validate assumptions, collect information and draw meaningful inferences.
Effectively maintain confidentiality and a sense of credibility and reliability.
Requirements
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Bachelor prepared individual with significant coding and auditing skills.
A minimum of three to five years in health care setting with physician billing, coding and/or reimbursement responsibilities.
Work requires a comprehensive knowledge of coding (ICD-10-CM and CPT) and HCFA-1500 billing requirements for Medicare, Medicaid and third-party payers.
Use of personal computers, including application of Microsoft programs, especially Excel and Word.
Understands auditing and statistical principles and must be able to apply to daily work responsibilities.
Excellent communication skills at all levels of the organization including staff, management and medical staff.
Self-directed work habits, attention to detail, and ability to independently manage audit project schedules.
Not a remote position.
LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.
Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.