California Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team, the full-time California Medicaid Compliance Consultant will manage external regulatory audits, coordinate compliance activities, and develop compliance reports in a remote work environment.

Key responsibilities:

• Coordinate and manage external regulatory audits, collaborating with various departments for document collection and audit submissions
• Develop compliance reports by evaluating compliance data and summarizing audit information for management review
• Conduct compliance investigations by analyzing data, conducting interviews, and creating corrective action plans for identified issues

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six (6) years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in coordinating cross-departmental projects and compliance efforts
• Knowledge of regulatory compliance standards and audit management processes
• Ability to analyze complex data and develop strategic compliance initiatives