Compliance Professional

Job Title: Temporary Compliance Professional – Medicaid (Remote)
Duration: 3+ Months
Compensation: $40 – $50/hour (depending on experience)
Location: Remote
Hours: Full-time, approximately 40 hours per week (flexible start time within standard business hours)

We are seeking an experienced interim Compliance Professional to support the Chief Compliance Officer of a healthcare insurance organization. This role requires 5+ years of Medicaid government program experience within a health plan (payer-side) environment.

This is a hands-on, operational compliance support role driven by increased oversight and regulatory scrutiny surrounding Medicaid programs. The team is currently managing a high volume of audit response, documentation review, reporting, and corrective action tracking activities. 

Position Overview

The selected candidate will provide direct support across Medicaid audit preparation, documentation validation, regulatory reporting, and corrective action tracking. The ideal candidate brings deep experience in true payer-side Medicaid compliance within a health plan environment. Provider-side compliance experience or limited consulting exposure alone will not meet the qualifications for this role.

Key Responsibilities

Support internal and external Medicaid audit preparation and response efforts

Perform documentation and enrollment compliance reviews

Assist with regulatory reporting tied to Medicaid programs

Conduct compliance monitoring and documentation validation

Track audit findings and corrective action plans (CAPs)

Support overall exam readiness and regulatory documentation management

Collaborate cross-functionally to ensure adherence to federal and state Medicaid requirements

Qualifications

Minimum 5+ years of experience in government Medicaid programs within a health plan (payer-side) environment (required)

Demonstrated experience supporting audit response, compliance monitoring, and corrective action tracking

Strong knowledge of Medicaid regulatory requirements and health plan operations

Experience managing regulatory documentation and exam readiness initiatives

Excellent analytical, organizational, and documentation skills

Ability to work independently in a remote environment

Strong written and verbal communication skills

We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.