California Compliance Analyst

Job Summary

Working remotely, the full-time California Compliance Analyst will coordinate compliance matters, conduct risk assessments, and maintain audit programs while ensuring adherence to federal and state regulations in the health care sector.

Key responsibilities:

• Support the development and renewal of state contracts, including writing revisions and submitting to the state
• Conduct risk assessments and recommend mitigation plans for compliance-related exposures
• Maintain the compliance audit program and coordinate internal and external audits to identify gaps and implement corrective action plans

Required qualifications:

• Bachelor's Degree and at least three years of experience analyzing State and Federal laws and regulations
• In-depth knowledge of federal and state regulations, including the False Claims Act as it relates to health care compliance
• Experience with managed care health plan functions and contracting regulations
• Strong analytical skills and proficiency in data analysis tools and techniques
• Ability to communicate complex information effectively to diverse stakeholders