Sr. Compliance Specialist

📋 Description

• Review legal documents and respond to audits across jurisdictions.
• Investigate Fraud, Waste & Abuse claims and assist with conflict reporting.
• Support regulatory compliance and record requests; collaborate with finance as needed.
• Perform audits and ensure adherence to Medicaid and related regulations.
• Contribute to process improvements and escalate complex matters with limited supervision.

🎯 Requirements

• Bachelor’s degree (or equivalent) with healthcare experience; extensive knowledge of Medicaid
• Experience with exclusion screening and background checks.
• Strong analytical, detail-oriented, and multi-tasking abilities; self-starter.
• Ability to work with limited supervision on complex matters; prioritize tasks effectively.
• Demonstrated judgment in applying best practices and regulatory knowledge.

🎁 Benefits

• Competitive compensation, medical benefits, and retirement plans.
• Wellness programs and ongoing learning opportunities.
• Transparent pay ranges and a supportive, inclusive work environment.