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 while working remotely.

Key responsibilities

• Coordinate and manage external regulatory audits, collaborating with various departments for document collection and quality reviews
• Conduct compliance investigations and develop compliance reports by analyzing data and summarizing key findings for management
• Assist in the implementation of compliance efforts by identifying requirements, assessing current compliance status, and creating or revising 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, regulatory development, or a related field
• Experience in project management and cross-department coordination
• Strong analytical skills and knowledge of compliance management
• Ability to develop and present compliance reports to stakeholders