
Compliance Specialist
Pride Health, New York, NY, United States
Job location
New York, NY 11355 -Hybrid
Pay $28-$32 /hr
Contract 2 Months, Possible Extension
Education
1–3 years of administrative support experience in compliance and/or health plan operations.
Experience working in a regulated industry (healthcare, insurance, government).
Familiarity with medical terminology or claim billing concepts is a plus.
Ability to manage multiple tasks, track deadlines, and maintain organized documentation.
Experience working with confidential or sensitive information is preferred.
Strong proficiency with Microsoft Office tools.
Skills
Proficient skills in Microsoft products, including Excel, Word, Outlook, PowerPoint, Vizio, and SharePoint.
Knowledge of managed care regulations and health insurance laws
Excellent oral, written skills, and organization skills.
Proficiency in Microsoft Work mail merge functions for large-volume correspondence.
Duties
Provide administrative support including scheduling, document preparation, and communication follow-ups
Assist with data collection from internal departments and external stakeholders
Support audit preparation and maintain organized documentation
Process mail merges for Service Verification mailings
Coordinate mailing activities, prepare/send request letters, and distribute mail
Maintain and update compliance trackers with accurate information
Track investigatory activities, monitor case timelines, and send reminders
Assist with preparing data for committee presentations
Input and maintain Medicare compliance activities records
Support compliance work plan activities, including outbound calls and document compilation
Monitor exclusion screening dashboard and manage user access
Perform other assigned administrative duties
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.
#J-18808-Ljbffr
Pay $28-$32 /hr
Contract 2 Months, Possible Extension
Education
1–3 years of administrative support experience in compliance and/or health plan operations.
Experience working in a regulated industry (healthcare, insurance, government).
Familiarity with medical terminology or claim billing concepts is a plus.
Ability to manage multiple tasks, track deadlines, and maintain organized documentation.
Experience working with confidential or sensitive information is preferred.
Strong proficiency with Microsoft Office tools.
Skills
Proficient skills in Microsoft products, including Excel, Word, Outlook, PowerPoint, Vizio, and SharePoint.
Knowledge of managed care regulations and health insurance laws
Excellent oral, written skills, and organization skills.
Proficiency in Microsoft Work mail merge functions for large-volume correspondence.
Duties
Provide administrative support including scheduling, document preparation, and communication follow-ups
Assist with data collection from internal departments and external stakeholders
Support audit preparation and maintain organized documentation
Process mail merges for Service Verification mailings
Coordinate mailing activities, prepare/send request letters, and distribute mail
Maintain and update compliance trackers with accurate information
Track investigatory activities, monitor case timelines, and send reminders
Assist with preparing data for committee presentations
Input and maintain Medicare compliance activities records
Support compliance work plan activities, including outbound calls and document compilation
Monitor exclusion screening dashboard and manage user access
Perform other assigned administrative duties
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.
#J-18808-Ljbffr