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 audit coordination, compliance reporting, and collaboration with stakeholders in a remote capacity.

Key responsibilities:

• Coordinate and manage external regulatory audits, ensuring compliance with established regulations and standards
• Develop and evaluate compliance reports, summarizing data and potential risks for management review
• Conduct compliance investigations, analyzing data and providing recommendations for corrective action plans

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, regulatory, or related fields
• Experience in coordinating cross-departmental projects and compliance efforts
• Strong analytical skills and experience in compliance management
• Ability to monitor and analyze regulatory changes and their impacts on compliance