Sr. Compliance Audit Analyst (Remote)
Quest Diagnostics
Summary
Responsible for proactively monitoring compliance with all applicable federal and state laws, regulations, policy directives and ethical requirements for Quest Diagnostics lines of business.
Job description
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)
Requirements
- A minimum of five years in the laboratory industry with a background in compliance, billing or medical technology
- 3 years proven project management skills
- Working knowledge of Compliance Policies and impact of potential violations
- Knowledge of test pricing, CPT coding and reimbursement processes
- 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
- High School Diploma or Equivalent (Required)
- Bachelor’s Degree B.S. Degree in business, accounting, or a related field, or equivalent combination of education and experience (Preferred)
Company overview
Quest Diagnostics is a leading provider of diagnostic information services, operating one of the largest clinical laboratory networks in the United States. Founded in 1967 and headquartered in Secaucus, New Jersey, the company offers a comprehensive range of diagnostic testing services including routine blood tests, genetic testing, molecular diagnostics, and anatomic pathology. Quest serves approximately one-third of American adults and physicians annually through its network of approximately 2,250 patient service centers and extensive outreach operations. The company processes over 500,000 test requests daily, providing critical data that helps healthcare providers make informed decisions about patient care. Quest Diagnostics has been at the forefront of diagnostic innovation, developing advanced testing capabilities for cancer, cardiovascular disease, infectious diseases, and neurological disorders. The company plays a vital role in public health through its participation in disease surveillance and population health management initiatives.