Senior Compliance Professional
Core
Lead auditing and monitoring initiatives to ensure regulatory compliance across Medicaid business operations and external partnerships.
Role type
Senior Compliance Professional (Healthcare/Medicaid)
Builds
Internal controls and regulatory governance for Medicaid business operations
Domain
Healthcare / Medicaid / Regulatory Compliance
Deliverable
dashboards & analysis
Required skills
Regulatory law interpretation, audit methodology, risk assessment, corrective action planning, internal controls, stakeholder communication, process improvement
Preferred skills
JD or MBA, health plan compliance experience, external audit support, compliance metrics development
Technologies
None stated
Responsibilities
Develop and implement audit methodologies and monitoring strategies; Conduct comprehensive auditing and monitoring activities; Identify compliance gaps and recommend corrective actions; Present audit findings to business partners and senior leaders; Oversee development and implementation of corrective action plans; Review business documents and operational records for regulatory adherence
Seniority
Senior, hands-on IC
