Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team, the full-time remote Medicaid Compliance Consultant will coordinate and manage external regulatory audits, develop compliance reports, and assist with compliance investigations while collaborating with various departments.

Key responsibilities:

• Coordinate and manage external regulatory audits, ensuring compliance with established regulations and standards
• Develop compliance reports by evaluating and summarizing compliance data, audit information, and potential risks
• Assist with compliance investigations by collecting and analyzing data, conducting interviews, and providing input for corrective action plans

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, or public policy development
• Experience in compliance management and cross-department coordination
• Strong analytical skills and project management experience
• Ability to monitor regulatory changes and assess their impacts on compliance efforts