California Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team, the full-time California Medicaid Compliance Consultant will manage external regulatory audits, develop compliance reports, and coordinate compliance efforts, all while working remotely.

Key responsibilities:

• Coordinate and manage external regulatory audits, collaborating with various departments for document collection and quality reviews
• Develop compliance reports by evaluating compliance data and summarizing audit information for management
• Conduct compliance investigations and assist in the implementation of compliance efforts by identifying requirements and monitoring adherence

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in project management and cross-department coordination
• Knowledge of compliance management and regulatory standards
• Ability to analyze data and communicate findings effectively