Medicaid Compliance Specialist

Job Summary

To ensure full compliance with regulatory requirements, the remote Lead Compliance Specialist for Medicaid will partner with functional departments and vendors, conduct regulatory research, and provide guidance on business process improvements while managing compliance-related projects.

Key responsibilities

• Conduct regulatory research and provide guidance on compliance inquiries
• Communicate with business leadership regarding regulatory compliance initiatives and support external audits
• Monitor and audit assigned business areas to ensure understanding and implementation of regulatory requirements

Required qualifications

• Bachelor's degree (Required)
• 5 - 8+ years' work experience in regulatory healthcare operations compliance (Required)
• Thorough knowledge of State and/or Federal programs operations and regulations (Required)
• Proficiency in Microsoft Office Suite (Required)
• Advanced degree (MPH, MHA, JD, and/or MBA) and/or professional certification (Preferred)