Compliance Auditor

What will your job look like?The Compliance Auditor will be responsible for facilitating Client audits and supporting internal compliance operations. The Compliance Auditor may be responsible for fielding questions throughout Client audits, representing MTM in a professional and positive manner and interpret contract requirements as it relates to MTM’s operational procedures, compliance with state and federal regulations and contract compliance. The Compliance Auditor will oversee policies and procedures, provide needed support during the URAC accreditation process, and manage other projects, as required.Location: Hybrid/Remote if located within 40 miles of an MTM office.What you’ll do:Plan and implement effective audit processes for both internal and external auditsFacilitate remote and on-site external auditsInterpret contract requirements and communicate expectations to needed internal stakeholdersSupport in the development and utilization of internal controls to ensure continuous complianceHelp implement risk management strategies for the organization(s)Utilize the selected tracking method to record audit investigations, documentation, results, and recommendationsCompile quarterly, and upon request, summaries of audit investigations, findings, and resolutionsContinuously promote process improvement and process integrity throughout the organization(s) while partnering with other departments to develop practical solutionsAssist and guide process owners in the assessment of processes for improvement and standardization opportunities, while minimizing rework, reducing cost, and improving quality outputAssist with the creation, review, and update of MTM policies and procedures to ensure thorough and pertinent documentation; oversee MTM (and affiliates) policies, procedures, manuals, and processes to ensure contractual compliance and process efficiencyAct as a liaison between MTM and/or affiliates and external auditorsReport compliance concerns to the Compliance Officer, Director of Compliance and Audit and other executive staff as indicatedPrepare for external audits by completing audit tools, compiling supporting documentation for audit sample, and referencing policies, procedures, and contracts to validate complianceConduct monitoring, reporting, and follow-up on all Corrective Action PlansApply policies/procedures and client contract obligations to designated auditsCreate relevant workflows, audit tools, and tracking mechanisms as assignedProvide any needed support to ensure ongoing compliance with URAC standardsAssist in developing audit reports and presenting findings and recommendations to leadership, as neededAs needed, conduct quality improvement projects for the Quality Improvement ProgramAssist with the development and execution of compliance program activities and projects as assignedWhat you’ll need:Experience, Education & Certifications:High School Diploma or G.E.D.Bachelor’s Degree or equivalent experience in complianceAt least 2 years’ experience in an Auditor/Compliance roleExperience working with MCO contracts or other state clients, monitoring contract and regulatory complianceSkills:Must possess the ability to assess potential problems and make sound judgments around issues that may have an adverse effect on the businessDetail-oriented, thorough, and a systematic/methodical approach to projectsStrong project managementAbility to present complex information in a simple and compelling mannerAbility to multi-task, set priorities and meet deadlinesProficient in Microsoft applications (Word, Excel, Outlook, PowerPoint, SharePoint)Strong people management skillsHigh level of emotional intelligenceExcellent interpersonal skillsAbility to work well under pressureAbility to work independently and also collaboratively with others to achieve defined goalsExcellent written and oral communication skillsOutstanding analytical and organizational skillsAbility to maintain high level of confidentialityRegular attendance is requiredAbility to identify areas of improvement and provide recommendationsEven better if you have...Previous experience in Medicaid or state public assistance programs preferredExperience working for a managed care organization or healthcare provider preferredWhat’s in it for you:Health and Life Insurance PlansDental and Vision Plans401(k) with a company matchPaid Time Off and Holiday PayMaternity/Paternity LeaveCasual Dress EnvironmentTuition ReimbursementMTM Perks Discount ProgramLeadership Mentoring OpportunitiesSalary Min: $47,920Salary Max: $71,880This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss this with us as you move through the selection process.Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTM’s People & Culture.#MTM #J-18808-Ljbffr

Created: 2025-09-17