California Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team, the full-time California Medicaid Compliance Consultant will manage coordination and audit management of external regulatory audits, collaborate with various departments for document collection, and assist with compliance reporting and investigations in a remote work environment.

Key responsibilities:

• Coordinate and manage external regulatory audits, ensuring compliance with established regulations and standards
• Develop and evaluate compliance reports, summarizing audit information 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 a related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, or related fields
• Experience with regulatory compliance and monitoring regulatory changes
• Strong project management skills, including coordinating stakeholder contacts and managing project schedules
• Ability to collaborate cross-functionally and influence stakeholders effectively