Medicaid Compliance Consultant IV

Job Summary

Supporting the Data and Reporting team, the full-time remote Medicaid Compliance Consultant IV will manage coordination and audit activities for external regulatory audits, develop compliance reports, and assist with compliance investigations while collaborating with various departments.

Key responsibilities:

• Coordinate and manage external regulatory audits, including document collection and quality reviews
• Develop compliance reports by evaluating compliance data and summarizing audit information
• Conduct compliance investigations and provide input for corrective action plans based on findings

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum of six years of experience in compliance, health care operations, audit, or a related field
• Experience in project management and cross-department coordination
• Proven ability to analyze regulatory changes and assess compliance impacts
• Strong analytical skills with a focus on compliance management