Compliance Director - Medicaid
Core
Directing foundational and strategic compliance responsibilities, leading complex investigations, and managing audit planning and execution for Medicaid operations.
Role type
Director-level compliance leader
Builds
Strategic compliance plans, audit evidence, corrective action plans, and risk mitigation strategies
Domain
Healthcare / Medicaid Managed Care / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Regulatory compliance, audit management, risk assessment, process mapping, corrective action planning, strategic planning, investigation leadership
Preferred skills
Medicaid Managed Care experience, Ohio Department of Medicaid interaction, Medicaid contract interpretation, MS/MBA/JD, professional designation
Technologies
None stated
Responsibilities
Direct projects, initiatives, regulatory audits, and risk assessments; lead compliance monitoring and process gap identification; develop and implement annual compliance plans; manage complex investigations and findings
Seniority
Director, strategic leadership & team management
