Compliance and Audit Specialist

At Curai, we believe that access to high-quality healthcare is a fundamental human right, not a privilege. Our mission is to radically transform healthcare delivery by harnessing the power of artificial intelligence and clinical expertise to make care more affordable, accessible, and effective for everyone.  Patients interact with advanced AI systems at every step of their care and follow-up. Licensed physicians review each case with the patient for the clinical decision in our integrated virtual clinic.We ground our approach in rigorous research, continuous learning, and a deep commitment to clinical integrity. We focus on making a real impact: improving health outcomes, expanding access to care, and setting new standards for what trustworthy, patient-centered healthcare is. Position SummaryThe Healthcare Compliance Analyst serves as a key individual contributor responsible for supporting and advancing the organization's compliance program. This role monitors adherence to federal, state, and local healthcare regulations, identifies areas of risk, conducts audits and investigations, and provides education to staff on compliance-related matters. The Compliance Analyst works collaboratively with clinical, operational, legal, product, and other teams to foster a culture of ethical conduct and regulatory compliance while ensuring the organization meets all applicable requirements, including those related to billing, coding, privacy, and patient safety Regulatory Monitoring & Risk Assessment
Monitor and interpret changes in healthcare laws, regulations, and guidance from agencies such as CMS, OIG, OCR, and state health departments, assessing the impact on virtual care operations.
Conduct periodic risk assessments to identify compliance vulnerabilities and recommend corrective actions.
Maintain current knowledge of fraud and abuse laws, including the Anti-Kickback Statute, Stark Law, and the False Claims Act, and advise operational teams on their implications.
Auditing & Monitoring
Plan and conduct internal compliance audits of clinical documentation, billing and coding practices, referral arrangements, and operational workflows in outpatient and clinic settings.Develop audit tools, work plans, and sampling methodologies appropriate to ambulatory care environments.
Analyze audit findings, prepare detailed reports with root-cause analyses, and track corrective action plans through resolution.
Monitor key compliance metrics and prepare periodic reports for compliance leadership.

Investigations & Issue Resolution
Receive, triage, and investigate compliance concerns, hotline reports, and potential violations.
Document investigation findings, maintain investigation files, and recommend appropriate remediation.
Assist with voluntary self-disclosures and refund processes when overpayments or compliance issues are identified.

Policy & Procedure Development
Draft, review, and update compliance policies, procedures, and standard operating procedures to reflect