Manager - Medicaid Provider Compliance

Provides enterprise leadership for Medicaid provider compliance, audit management, and regulatory oversight activities. Leads the development and execution of compliance strategies that support contractual, regulatory, and business objectives. Serves as a recognized subject matter expert for provider compliance and audit readiness. Partners across business areas to influence strategic decisions and manage emerging compliance risks. Establishes and maintains compliance monitoring frameworks and key performance indicators. Drives continuous improvement efforts through process redesign and automation opportunities. Builds and maintains strong working relationships with regulators, auditors, and leadership. Presents audit outcomes, compliance risks, trends, and recommendations to senior leadership. Requirements 7+ years of healthcare compliance, audit, or provider operations experience Proven ability to lead complex projects and compliance initiatives Experience managing audits, CAPs, and regulatory responses Strong analytical, risk assessment, and problem-solving skills Knowledge of Medicaid regulations and provider compliance requirements Excellent communication and stakeholder influence skills Ability to drive results across teams and manage competing priorities Advanced Excel and data analysis proficiency Core Competencies Demonstrates extensive expertise in Medicaid provider compliance, audit management, and regulatory oversight, with a strong focus on developing compliance strategies and managing audits. Proven ability to lead complex projects, drive results, and influence stakeholders across business areas. Highest-signal resume keywords Healthcare Compliance Experience Audit Management Medicaid Regulations Knowledge Advanced Excel Proficiency Analytical and Problem-Solving Skills ATS Optimization Keywords Hard Skills Compliance Strategy Development Audit Readiness Risk Assessment Process Redesign Data Analysis Soft Skills Excellent Communication Stakeholder Influence Relationship Building Project Leadership Industry Keywords Regulatory Oversight Compliance Monitoring Frameworks Key Performance Indicators Continuous Improvement Contractual Objectives #J-18808-Ljbffr Jobtailor