Sr. Compliance Audit Analyst (Remote)

Posted 4 Days Ago
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Hiring Remotely in West Norriton, PA, USA
In-Office or Remote
Senior level
Healthtech • Database
The Role
Leads compliance audits across laboratory and regional operations, coordinating risk assessments, audit teams, meetings, reporting, remediation, and status updates. Performs specialized deep-dive audits, evaluates audit protocols, manages special projects, and supports cross-functional process improvement. Requires laboratory industry experience, compliance or billing knowledge, project management skills, and familiarity with CPT coding, test pricing, and reimbursement processes.
Summary Generated by Built In

Responsible for proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements for Quest Diagnostics lines of business. 

Responsibilities
  • Lead auditor responsibilities for assigned audits.  Responsible for coordinating all aspects of the audit process, including risk assessment discussions, communicating with the laboratory/region/function (including opening and closing meetings), directing the audit team through the audit, compiling the preliminary audit report, working with the laboratory/region/function to remediate all findings and reporting status updates by the end of each month. 
  • Audit specialist for assigned audit protocols.  Responsible for performing assigned audit protocols for all scheduled audits in a timely manner and working with the policy guardian(s) and functional owners to evaluate and update audit protocols on an ongoing basis. 
  • Deep-Dive Audits.  Responsible for the performance of specialized audits as needed. 
  • Project Management.  Responsible for the performance of special projects as needed.  
  • Process Improvement.  Responsible for working with cross-functional teams on process improvement initiatives as needed. 
Qualifications

Required Work Experience:  

  • A minimum of five years in the laboratory industry with a background in compliance, billing or medical technology
  • 3 years proven project management skills 

Knowledge:  

  • Working knowledge of Compliance Policies and impact of potential violations 
  • Knowledge of test pricing, CPT coding and reimbursement processes 

Skills:  

  • Proficiency in Access, Excel, Word and Outlook required 
  • Ability to work effectively both independently and within a team 
  • Excellent leadership abilities, integrity, trustworthiness, commitment, resilience, high energy and motivation

Education

  • Bachelor’s Degree B.S. Degree in business, accounting, or a related field, or equivalent combination of education and experience (Preferred)
  • High School Diploma or Equivalent (Required)
About the Team Quest Diagnostics honors our service members and encourages veterans to apply.
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

Skills Required

  • At least five years of experience in the laboratory industry, with a background in compliance, billing, or medical technology
  • Three years of proven project management experience
  • Working knowledge of compliance policies and the impact of potential violations
  • Knowledge of test pricing, CPT coding, and reimbursement processes
  • Proficiency in Microsoft Access, Excel, Word, and Outlook
  • Ability to work independently and collaboratively in a team
  • Bachelor's degree in business, accounting, or a related field, or equivalent education and experience
  • High school diploma or equivalent
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The Company
HQ: Secaucus, NJ
25,839 Employees
Year Founded: 1967

What We Do

Quest Diagnostics (NYSE: DGX) empowers people to take action to improve health outcomes. Derived from the world's largest database of clinical lab results, our diagnostic insights reveal new avenues to identify and treat disease, inspire healthy behaviors and improve health care management. Quest annually serves one in three adult Americans and half the physicians and hospitals in the United States, and our 47,000 employees understand that, in the right hands and with the right context, our diagnostic insights can inspire actions that transform lives. The company offers physicians the broadest test menu (3,000+ tests), is a pioneer in developing innovative new tests, is the leader in cancer diagnostics, provides anatomic pathology (AP) services, & interpretive consultation through its medical & scientific staff of about 900 M.D.s & Ph.D.s. The company reported 2020 revenues of $9.44 billion. Quest Diagnostics offers the most extensive clinical testing network in the U.S., with laboratories in most major metropolitan areas, & in Mexico, the UK & India. The company also operates four esoteric laboratories, 40 outpatient AP laboratories, & 160 smaller, rapid-response laboratories. Patients may have specimens collected in any of the company’s approximately 2,250 patient service centers. On a typical workday, testing is performed for about 550,000 patients. Quest Diagnostics empowers healthcare organizations & clinicians with state-of-the-art connectivity solutions. The company is the leading provider of pre-employment drugs-of-abuse screening for employers & risk assessment services for the life insurance industry. It is the world’s 2nd largest provider of clinical trials testing for new pharmaceuticals. More information is available at www.questdiagnostics.com. Language Assistance / Non-Discrimination Notice Asistencia de Idiomas / Aviso de no Discriminación 語言協助 / 不歧視通知 www.QuestDiagnostics.com/home/nondiscrimination

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