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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.

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