Analyst,Corp Compliance
Core
Support compliance program activities and deliverables for a Medicaid managed care organization by maintaining regulatory reporting systems, developing compliant processes, and managing audit responses.
Role type
Compliance Analyst (Medicaid Managed Care)
Builds
Regulatory reporting systems, compliant business processes, and audit corrective action plans
Domain
Healthcare / Insurance / Regulatory Compliance
Deliverable
dashboards & analysis
Required skills
Regulatory compliance, Medicaid program requirements, risk management, audit support, contract management, regulatory reporting, system documentation, stakeholder communication
Preferred skills
Project management, audit experience, Medicaid managed care experience
Technologies
Archer, Microsoft products
Responsibilities
Maintain systems to track and submit regulatory deliverables to state Medicaid agencies; assist in developing compliant business operations and policies; develop compliance communications for state inquiries; support external audit reviews and corrective action plans; maintain contract libraries and risk tracking tools; monitor compliance levels across the business.
Seniority
Junior, individual contributor