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California Licensed Compliance Consultant

Job is Expired
Location: Remote
Compensation: Piece Work
Reviewed: Tue, Aug 11, 2026

Job Summary

Supporting Health Plan Risk Adjustment operations, the full-time California Licensed Compliance Consultant will manage government audit readiness, compliance oversight, and internal quality assurance reviews while working remotely.

Key responsibilities
  • Conduct compliance activities and investigations by collaborating with stakeholders and analyzing data to ensure adherence to regulations
  • Develop compliance reports and audit result summaries, providing insights on key compliance drivers and potential risks
  • Assist in the implementation of compliance efforts by identifying requirements, assessing current compliance states, and creating necessary policies and training
Required qualifications
  • Minimum four (4) years of medical coding experience
  • Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field, along with six (6) years of relevant experience
  • Certification as a Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder

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