California Medicaid Compliance Consultant

Job Summary

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

Key responsibilities

• Coordinate and manage external regulatory audits, ensuring compliance with established regulations and standards
• Develop compliance reports by evaluating data and summarizing audit findings for management review
• Assist in the implementation of compliance efforts by identifying requirements and monitoring adherence to compliance standards

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, finance, or a related field
• Experience in project management and cross-department coordination
• Strong analytical skills with a focus on compliance management
• Ability to conduct compliance investigations and develop corrective action plans