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Operations Compliance Analyst Jobs (NOW HIRING)

Afognak

Compliance Analyst

Anchorage, AK · On-site

$69K - $75K/yr

The Compliance Analyst supports the Company's legal and compliance efforts through coordination of ... The role also provides operational and administrative support to the Legal Department, including ...

Hanes Companies

Compliance Analyst

Conover, NC · On-site

Evaluate and enhance internal controls and operational processes to ensure alignment with L&P ... analysis, and compliance documentation. Qualifications: * Bachelor's degree in accounting, finance ...

Advisor Group

Compliance Analyst

Scottsdale, AZ · On-site

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks. This ...

Osaic

Compliance Analyst

Oakdale, MN · Hybrid

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks. This ...

Osaic

Compliance Analyst

Oakdale, MN · Hybrid

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks. This ...

Osaic

Compliance Analyst

Atlanta, GA · Hybrid

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks This ...

Osaic

Compliance Analyst

La Vista, NE · Hybrid

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks. This ...

Osaic

Compliance Analyst

Atlanta, GA · Hybrid

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks. This ...

Osaic

Compliance Analyst

Saint Petersburg, FL · Hybrid

$55K - $63K/yr

The Compliance Analyst plays a critical role in safeguarding the integrity of Osaic's financial services operations by monitoring advisor activity and identifying potential compliance risks. This ...

Argo Cyber Systems

Compliance Analyst

Arlington, VA · Hybrid

Compliance Analyst Location: Arlington, VA (On-Site) Citizenship: US only Clearance: Active TS/SCI ... We combine technical precision with operational agility-helping federal partners identify, contain ...

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Operations Compliance Analyst information

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How much do operations compliance analyst jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for operations compliance analyst in the United States is $35.03, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $39.42 per hour, depending on experience, location, and employer.

How does an Operations Compliance Analyst typically contribute to cross-departmental projects within an organization?

As an Operations Compliance Analyst, you will frequently collaborate with teams such as Legal, Risk Management, and Operations to ensure that business processes adhere to regulatory requirements and internal policies. Your role often involves reviewing workflows, identifying compliance gaps, and recommending process improvements, which requires clear communication and teamwork across departments. This cross-functional collaboration not only helps maintain company standards but also provides valuable exposure to various aspects of the business, supporting your professional growth and development.

What are the key skills and qualifications needed to thrive as an Operations Compliance Analyst, and why are they important?

To thrive as an Operations Compliance Analyst, you need a solid background in compliance regulations, risk management, and analytical problem-solving, typically supported by a bachelor's degree in business, finance, or a related field. Familiarity with compliance management systems, audit tools, and certifications like CAMS or CRCM are often required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for this role. These abilities are crucial to ensure regulatory adherence, minimize operational risks, and support efficient business processes.

What are Operations Compliance Analysts?

Operations Compliance Analysts are professionals responsible for ensuring that a company’s operations adhere to internal policies, industry regulations, and legal requirements. They monitor processes, conduct audits, and identify areas where compliance can be improved. Their work helps prevent legal or regulatory issues and supports efficient, ethical business practices. They often collaborate with other departments to implement corrective actions and maintain documentation for regulatory reviews.

What is the difference between Operations Compliance Analyst vs Compliance Specialist?

AspectOperations Compliance AnalystCompliance Specialist
Required CredentialsBachelor's in Business, Finance, or related field; certifications like CCEP or CAMSBachelor's in Law, Business, or related; certifications like CCEP or CAMS
Work EnvironmentCorporate offices, financial institutions, or regulated industriesCorporate, financial, or healthcare sectors
Employer & Industry UsageFinancial services, banking, healthcare, and manufacturingFinancial institutions, healthcare, and corporate compliance departments
Search & Comparison IntentYesYes

The Operations Compliance Analyst and Compliance Specialist roles share similar credentials and work environments, often within financial or healthcare industries. While both focus on ensuring adherence to regulations, the Operations Compliance Analyst typically emphasizes operational processes and risk mitigation, whereas the Compliance Specialist may focus more broadly on policy development and regulatory reporting.

What states have the most Operations Compliance Analyst jobs? States with the most job openings for Operations Compliance Analyst jobs include:
Operations Compliance Analyst jobs near you
Compliance Analyst

Compliance Analyst

Silicon Valley Medical Development

Los Gatos, CA • On-site

$104K - $114K/yr

Temporary

Posted 4 days ago

Job description

El Camino Health Medical Network is currently seeking a talented Compliance Analyst to join our growing healthcare team!
Pay: $104,000-$114,400 Annually (Exempt)
Location:Los Gatos, CA (Hybrid-Must be Local)
Summary:
The Compliance Analyst monitors and evaluates coding, billing, and documentation practices to ensure alignment with federal and state regulations, payer policies, and internal standards. The role supports risk mitigation, conducts investigations, and partners with clinical and operational teams to improve compliance across the medical network.
Essential Functions:
Regulatory Monitoring and Interpretation
  • Track and interpret regulatory changes affecting professional services, including CMS, OIG, AMA CPT, and commercial payer policies.
  • Assess the impact of new rules on coding, billing, and documentation workflows.
  • Develop guidance and compliance alerts to communicate regulatory updates to stakeholders.

Professional Coding and Billing Compliance Review
  • Conduct internal audits of CPT, HCPCS, and ICD'10'CM coding for professional services across multiple specialties.
  • Review E/M services for correct level selection, time'based coding, and medical decision'making alignment.
  • Evaluate modifier usage, medical necessity, and documentation sufficiency.
  • Identify trends in errors, denials, and potential compliance risks.

Investigations and Risk Mitigation
  • Support investigations related to billing irregularities, payer inquiries, and potential fraud, waste, or abuse.
  • Collaborate with legal, compliance, and revenue cycle teams to develop corrective action plans.
  • Assist in preparing responses to payer audits, including documentation requests and appeals.

Data Analysis and Reporting
  • Analyze coding and billing data to identify patterns, anomalies, and areas of risk.
  • Prepare compliance dashboards, audit summaries, and performance reports for leadership.
  • Monitor key indicators such as denial trends, coding accuracy rates, and audit outcomes.

Compliance Program Support
  • Develop and deliver training on professional fee compliance, COI, Stark, AKS, and general compliance expectations.
  • Maintain documentation of audits, investigations, and corrective actions in accordance with compliance program standards.
  • Support risk assessments, internal reviews, and external audits by providing data, analysis, and subject'matter expertise.
  • Contribute to policy development and updates related to billing, physician arrangements, and organizational compliance.
  • Partner with coders, providers, practice managers, and revenue cycle teams to resolve compliance issues.
  • Support development of policies and procedures related to coding, billing, and documentation compliance.

Minimum Requirements:
  • High School Diploma or equivalent. Bachelor's degree in Business, Healthcare Administration, or similar field preferred.
  • AAPC credentials such as CPC, CPMA, or CPCO.
  • Experience in compliance, auditing, or revenue cycle operations within a physician practice or health system.
  • Familiarity with federal regulations such as Medicare billing rules, OIG guidance, and state'specific requirements.
  • Strong analytical skills with the ability to interpret clinical documentation and billing data.
  • Excellent communication skills, especially in explaining complex regulatory concepts.

Other Knowledge, Skills, and Abilities:
  • Experience with multi'specialty professional coding audits.
  • Background in denial management, payer appeals, and compliance investigations.
  • Knowledge of risk adjustment, quality reporting, and reimbursement methodologies (e.g., RBRVS).
  • Experience developing compliance education or training materials.

The Compliance Analyst monitors and evaluates coding, billing, and documentation practices to ensure alignment with federal and state regulations, payer policies, and internal standards. The role supports risk mitigation, conducts investigations, and partners with clinical and operational teams to improve compliance across the medical network.
Essential Functions:
Regulatory Monitoring and Interpretation
  • Track and interpret regulatory changes affecting professional services, including CMS, OIG, AMA CPT, and commercial payer policies.
  • Assess the impact of new rules on coding, billing, and documentation workflows.
  • Develop guidance and compliance alerts to communicate regulatory updates to stakeholders.

Professional Coding and Billing Compliance Review
  • Conduct internal audits of CPT, HCPCS, and ICD'10'CM coding for professional services across multiple specialties.
  • Review E/M services for correct level selection, time'based coding, and medical decision'making alignment.
  • Evaluate modifier usage, medical necessity, and documentation sufficiency.
  • Identify trends in errors, denials, and potential compliance risks.
    Investigations and Risk Mitigation
  • Support investigations related to billing irregularities, payer inquiries, and potential fraud, waste, or abuse.
  • Collaborate with legal, compliance, and revenue cycle teams to develop corrective action plans.
  • Assist in preparing responses to payer audits, including documentation requests and appeals.
  • Data Analysis and Reporting
  • Analyze coding and billing data to identify patterns, anomalies, and areas of risk.
  • Prepare compliance dashboards, audit summaries, and performance reports for leadership.
  • Monitor key indicators such as denial trends, coding accuracy rates, and audit outcomes.
  • Compliance Program Support
  • Develop and deliver training on professional fee compliance, COI, Stark, AKS, and general compliance expectations.
  • Maintain documentation of audits, investigations, and corrective actions in accordance with compliance program standards.
  • Support risk assessments, internal reviews, and external audits by providing data, analysis, and subject'matter expertise.
  • Contribute to policy development and updates related to billing, physician arrangements, and organizational compliance.
  • Partner with coders, providers, practice managers, and revenue cycle teams to resolve compliance issues.
  • Support development of policies and procedures related to coding, billing, and documentation compliance.

Minimum Requirements:
  • High School Diploma or equivalent. Bachelor's degree in Business, Healthcare Administration, or similar field preferred.
  • AAPC credentials such as CPC, CPMA, or CPCO.
  • Experience in compliance, auditing, or revenue cycle operations within a physician practice or health system.
  • Familiarity with federal regulations such as Medicare billing rules, OIG guidance, and state'specific requirements.
  • Strong analytical skills with the ability to interpret clinical documentation and billing data.
  • Excellent communication skills, especially in explaining complex regulatory concepts.

Other Knowledge, Skills, and Abilities:
  • Experience with multi'specialty professional coding audits.
  • Background in denial management, payer appeals, and compliance investigations.
  • Knowledge of risk adjustment, quality reporting, and reimbursement methodologies (e.g., RBRVS).
  • Experience developing compliance education or training materials.

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