Medicaid Compliance Consultant

Job Summary

Supporting the Data and Reporting team, the full-time remote Medicaid Compliance Consultant will manage external regulatory audits, develop compliance reports, and collaborate with various departments to ensure adherence to compliance standards.

Key responsibilities:

• Coordinate and manage external regulatory audits, including document collection and audit submissions
• Develop compliance reports by evaluating compliance data and summarizing audit findings
• 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 a related field
• Minimum six years of experience in compliance, health care operations, audit, finance, or a related field
• Experience in conducting compliance investigations and developing corrective action plans
• Strong analytical skills and experience in compliance management
• Ability to collaborate effectively with cross-functional teams and stakeholders