Compliance Manager-Ohio Medicaid
Core
Manage foundational and strategic compliance responsibilities, overseeing regulatory audits, risk assessments, investigations, and corrective actions for Ohio Medicaid operations.
Role type
Senior Compliance Manager
Builds
Audit plans, gap analyses, and corrective action frameworks for Medicaid managed care
Domain
Healthcare / Regulatory Compliance
Deliverable
client delivery
Required skills
Regulatory audit management, risk assessment, complex investigations, contract interpretation, stakeholder interface, project planning
Preferred skills
Medicaid Managed Care experience, Ohio Department of Medicaid interaction, leadership/mentoring, MS/MBA/JD
Technologies
None stated
Responsibilities
Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; Conduct complex investigations, document findings, and ensure corrective actions are made; Maintain knowledge of laws, regulations, and company strategies to assess impact; Interface with external clients, regulators, vendors, suppliers, and internal stakeholders