California Licensed Medicaid Consultant

Job Summary

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

Key responsibilities:

• Coordinate and manage external regulatory audits, including document collection and quality reviews
• Conduct compliance investigations and develop compliance reports by analyzing data and summarizing key findings
• Assist in the implementation of compliance efforts and monitor regulatory changes to ensure adherence

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in developing compliance standards, policies, and procedures
• Strong analytical skills and project management experience
• Ability to collaborate with cross-functional teams and stakeholders