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, develop compliance reports, and assist with compliance investigations and project management.

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, collecting and analyzing data, and providing input for corrective action plans

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six (6) 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
• Analytical skills with the ability to evaluate and summarize complex data