Medicaid Compliance Consultant

Job Summary

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

Key responsibilities:

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

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, regulatory, or related fields
• Experience in conducting compliance investigations and developing corrective action plans
• Strong analytical skills with a focus on compliance management and project management
• Ability to collaborate effectively with cross-functional teams and stakeholders