Senior Manager, Medicaid Compliance – Provider Data Services

Responsibilities

• Lead end-to-end audit readiness and execution for internal and external audits
• Establish and maintain centralized tracking of audit activity
• Drive development, tracking, and validation of corrective action plans
• Serve as a subject matter expert on Medicaid regulatory requirements
• Leverage data analysis to identify trends and emerging risks
• Build partnerships across Compliance, Credentialing, Network, and Operations

Requirements

• 7+ years of experience in provider data, healthcare compliance, or related operations
• 3+ years proven success leading audits and compliance initiatives with measurable outcomes
• Strong knowledge of healthcare regulatory requirements, risks, and internal control frameworks
• Exceptional communication skills
• Demonstrated ability to operate effectively in a fast-paced, evolving environment while maintaining quality and compliance standards.