California Licensed Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team within Medicaid Health Plan Compliance, the full-time California Licensed Medicaid Compliance Consultant will manage external regulatory audits, coordinate compliance activities, and develop compliance reports while working remotely.

Key responsibilities

• Conduct compliance activities by collaborating with stakeholders and applying established regulations
• Develop compliance reports by evaluating and summarizing compliance data and audit information
• Assist in managing projects related to compliance efforts, including coordinating stakeholder contacts and project plans

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, or a directly related field
• Experience in conducting compliance investigations and developing corrective action plans
• Strong analytical skills and experience with compliance management
• Ability to monitor regulatory changes and assess their impacts on compliance efforts