Medicaid Compliance Consultant

Job Summary

To support the Data and Reporting team, the full-time remote Medicaid Compliance Consultant will manage coordination and audit management of external regulatory audits, develop compliance reports, and assist with compliance investigations and project management.

Key responsibilities:

• Coordinate and manage external regulatory audits, collaborating with various departments for document collection and quality reviews
• Develop compliance reports by evaluating compliance data and summarizing audit information for management
• Conduct compliance investigations, collecting and analyzing data to identify potential action steps and corrective actions

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, or a related field
• Experience in project management and cross-department coordination
• Knowledge of compliance management and regulatory changes
• Ability to develop and implement compliance standards and policies