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, including document collection and quality reviews
• Develop and evaluate compliance reports, summarizing data and identifying potential risks
• Assist with project management and implementation of compliance efforts, ensuring adherence to regulatory changes

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in coordinating compliance activities and collaborating with internal and external stakeholders
• Strong analytical skills with the ability to evaluate compliance data and conduct investigations
• Knowledge of regulatory requirements and compliance standards relevant to health care