California Licensed Compliance Consultant

Job Summary

Supporting the Data and Reporting team within Medicaid Health Plan Compliance, the full-time remote Medicaid Compliance Data and Reporting Consultant IV will manage external regulatory audits, develop compliance reports, and assist with compliance investigations while collaborating with various departments.

Key responsibilities:

• Coordinate and manage external regulatory audits, ensuring compliance with established regulations and standards
• Develop and summarize compliance reports, providing insights on compliance data and potential risks
• Assist with project management related to compliance initiatives, collaborating with stakeholders to ensure successful implementation

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, regulatory or public policy development, or related fields
• Experience in conducting compliance investigations and developing compliance reports
• Knowledge of regulatory compliance and ability to monitor regulatory changes
• Proficiency in project management and cross-department coordination