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 assist with compliance investigations while working remotely.

Key responsibilities

• Coordinate and manage external regulatory audits, including document collection and audit submissions
• Develop compliance reports by evaluating compliance data and summarizing key findings for management
• Conduct compliance investigations and assist in the implementation of compliance efforts by identifying requirements and assessing current compliance status

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, or a related field
• Experience in project management and cross-department coordination
• Knowledge of compliance management and regulatory standards
• Ability to analyze and summarize complex compliance data