Job Overview
Location
Remote
Job Type
Full-time
Category
HR & Recruiting
Date Posted
April 16, 2026
Full Job Description
đź“‹ Description
- • The Compliance Analyst II role supports CareSource’s Compliance Program by ensuring effectiveness in identifying, preventing, detecting, and correcting noncompliance, particularly in high-risk areas related to government healthcare programs.
- • Day-to-day responsibilities include analyzing regulatory requirements, supporting policy and procedure development, conducting data analysis for audit and monitoring, preparing reports for leadership, investigating compliance issues, managing corrective action plans, and maintaining documentation using compliance tools.
- • The role involves collaboration with internal business owners, compliance leadership, and external regulators to interpret regulations, ensure adherence to contractual and business requirements, and represent CareSource during state regulator meetings and audits.
- • The position offers opportunities to deepen expertise in healthcare compliance, regulatory analysis, risk identification, and corrective action management while developing advanced skills in data analysis, project management, and stakeholder communication within a matrixed environment.
🎯 Requirements
- • Bachelor’s degree in business or related field, or equivalent relevant work experience
- • Minimum of three (3) years of compliance and/or regulatory experience, including at least one (1) year in Government Program products
- • Strong familiarity with government-funded healthcare programs (Medicaid, Marketplace, Medicare) and compliance standards for First Tier, Downstream, and Related (FDR) entities
- • Proven ability to conduct research and analysis of Federal, State, and industry regulatory and enforcement actions
- • Advanced proficiency in Microsoft Word, Excel, and PowerPoint
- • Demonstrated critical thinking, problem-solving, and decision-making skills
- • Professional communication skills for diverse audiences including leadership, legal counsel, and regulators
🏖️ Benefits
- • Competitive salary range of $72,200.00 to $115,500.00
- • Potential for performance-based bonus tied to company and individual results
- • Comprehensive total rewards package focused on employee well-being
- • Opportunity to work remotely
- • Professional development in healthcare compliance and regulatory affairs
- • Exposure to audit processes, corrective action management, and cross-functional collaboration
Skills & Technologies
About CareSource Management Group Company
CareSource is a nonprofit, multi-state managed care organization headquartered in Dayton, Ohio. Founded in 1989, it administers Medicaid, Medicare Advantage, and Marketplace health plans serving over two million members in Ohio, Kentucky, Indiana, West Virginia, and Georgia. The company focuses on improving health outcomes for low-income and vulnerable populations through integrated care management, behavioral health services, and social determinants programs.
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