California Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team, the full-time remote California Medicaid Compliance 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 audit submissions
• Develop compliance reports by evaluating compliance data and summarizing audit information
• Conduct compliance investigations and assist in the implementation of compliance efforts based on regulatory changes

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, audit, or related fields
• Experience in project management and cross-department coordination
• Knowledge of compliance management and regulatory standards
• Strong analytical skills and ability to develop compliance standards and procedures