Behavioral Health Compliance Senior Consultant (Compliance Consultant Senior)
Core
Senior consultant supporting compliance activities across behavioral health operations through regulatory research, audit coordination, issue management, and compliance monitoring.
Role type
Senior IC compliance consultant (healthcare)
Builds
Compliance adherence to federal/state regulations, contractual obligations, and accreditation standards for behavioral health operations
Domain
Healthcare / Behavioral Health / Regulatory Compliance
Deliverable
client delivery
Required skills
Regulatory research, audit coordination, issue management, root cause analysis, risk mitigation, stakeholder collaboration, federal/state regulation interpretation
Preferred skills
Behavioral health operations experience, Medicare/Medicaid knowledge, NCQA/CMS regulatory knowledge, ServiceNow proficiency, Healthcare Compliance (CHC) certification
Technologies
ServiceNow, Microsoft Office (Word, Excel, PowerPoint, Teams)
Responsibilities
Research and interpret federal/state regulations and accreditation standards; coordinate compliance audits and reviews; manage compliance issues and corrective action plans; support audit readiness efforts; collaborate with business stakeholders to identify compliance requirements and facilitate remediation
Seniority
Senior, hands-on IC