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, coordinate compliance activities, and develop compliance reports while collaborating with various departments.

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
• Conduct compliance investigations and assist in the management of cross-functional projects related to compliance efforts

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 coordinating projects and collaborating with internal and external stakeholders
• Knowledge of regulatory compliance and ability to monitor regulatory changes
• Strong analytical skills and experience in compliance management