FreedomCare Logo

FreedomCare

Sr. Compliance Specialist

Posted 27 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in USA
26-30 Annually
Senior level
Remote
Hiring Remotely in USA
26-30 Annually
Senior level
Supports healthcare compliance by conducting internal and external audits, investigating fraud, waste, and abuse claims, reviewing legal and medical-record requests, managing conflict reporting, performing quality assurance reviews, and advising on escalated compliance concerns. The role requires knowledge of Medicaid regulations, exclusion screening, background checks, and preferably billing and coding, along with healthcare industry experience and strong judgment, organization, and attention to detail.
The summary above was generated by AI

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

  • Here For You (An attitude of service, empathy, and availability)
  • Own It (Drive and ownership)
  • Do the Right Thing (High integrity)
  • Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Sr Compliance Specialist for our Compliance team. 

Department & Position Overview: 

Our Compliance Team is looking for a Sr. Compliance Specialist who can support the compliance department in reviewing legal documents, conducting, and responding to internal/external audits, investigating Fraud, Waste & Abuse claims. The Compliance Specialist role will encompass a wide range of responsibilities that will aid the department in maintaining regulatory requirements.  

Every Day You Will

  • Conducting and responding to internal and external audits for all jurisdictions 
  • Assisting with conflict reporting and collaborating with our finance department to resolve conflicts
  • Subpoena of Medical records and general record requests  
  • Investigating fraud, waste & abuse claims
  • Making suggestions on next steps of FWA claims
  • Be a resource for escalated concerns for all active states
  • Quality assurance review  
  • All other compliance duties as assigned  

Ideal Candidate Will Possess:

  • Bachelor’s degree and a minimum of 3 years of experience in the healthcare industry or 
  • Associate degree and a minimum of 5 years experience in the healthcare industry
  • Extensive knowledge of Medicaid regulations 
  • Experience with Exclusion screening and background checks  
  • Extensive knowledge of Billing and Coding preferred  

Nice-to-Haves: 

  • Ability to exercise good judgment in using knowledge of best practices, regulations, and knowledge of business processes 
  • Ability to work with limited supervision on complex matters; self-starter and takes initiative 
  • Demonstrated ability to be detail-oriented and thorough 
  • Reliable and detail oriented.  
  • Adept at multi-tasking 
  • Prior experience with internal and external audits 

Why work at FreedomCare?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!

At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, citizenship or immigration status, or other applicable legally protected characteristics.

At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $25.00 and $28.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

Compensation Range
$26$30 USD

Similar Jobs

Yesterday
Remote or Hybrid
USA
100K-155K Annually
Senior level
100K-155K Annually
Senior level
Cloud • Computer Vision • Information Technology • Sales • Security • Cybersecurity
Leads internal and external compliance audits, assessments, attestations, and certifications across security, privacy, and enterprise frameworks. Develops system integrations and scalable automation to streamline audit and compliance programs. Communicates with internal and external stakeholders, evaluates risks, improves information security processes, and applies AI technologies to enhance workflows and decision-making.
Top Skills: Artificial IntelligenceBashCloud EnvironmentsPowershellPythonWorkflow Automation And Orchestration Tools
7 Days Ago
Remote
US
Senior level
Senior level
Healthtech • Information Technology • Consulting
Plans and conducts risk-informed compliance reviews for a federal health program. Evaluates evidence, interviews stakeholders, identifies control gaps and noncompliance, documents findings, maintains audit workpapers, coordinates corrective actions, and analyzes trends to recommend program improvements.
Top Skills: ExcelMicrosoft SharepointMicrosoft TeamsMicrosoft Word
28 Days Ago
Easy Apply
Remote
United States
Easy Apply
85K-115K Annually
Senior level
85K-115K Annually
Senior level
Healthtech • Insurance • Sales • Software
Lead Spark's downline agency monitoring program, risk-tiering methodology, and corrective action processes. Own carrier-facing and executive reporting, perform program-level trend analysis and root cause investigations, develop and manage CAPs/PIPs, and serve as a departmental SME and mentor on CMS Medicare marketing and agent oversight requirements.
Top Skills: Case Management SoftwareCompliance Workflow SoftwareGoogle Workspace

What you need to know about the Colorado Tech Scene

With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.

Key Facts About Colorado Tech

  • Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
  • Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
  • Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
  • Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account