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 internal and external stakeholders.

Key responsibilities:

• Coordinate and manage external regulatory audits, ensuring compliance with established regulations and standards
• Develop and summarize compliance reports, evaluating audit information and potential risks
• Assist in compliance investigations by collecting and analyzing data and providing recommendations for corrective actions

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, healthcare operations, audit, finance, or related fields
• Experience in conducting compliance investigations and developing compliance reports
• Knowledge of regulatory compliance and the ability to monitor regulatory changes
• Strong project management skills and experience in cross-department coordination