Medicaid Compliance Consultant IV

Job Summary

Supporting the Data and Reporting team, the full-time remote Medicaid Compliance Consultant IV will manage external regulatory audits, develop compliance reports, and coordinate compliance efforts with internal and external stakeholders.

Key responsibilities:

• Coordinate and manage external regulatory audits, ensuring documentation and quality reviews are completed
• Develop compliance reports by evaluating and summarizing compliance data, audit information, and potential risks
• 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 (6) years of experience in compliance, health care operations, audit, finance, or a related field
• Experience in conducting compliance investigations and managing compliance activities
• Proficiency in developing and analyzing compliance reports and documentation
• Ability to collaborate effectively with cross-functional teams and stakeholders