Medicaid Compliance Officer
Horizon Healthcare Services•Newark, NJ
•Onsite
About The Position
Accountable for the oversight, implementation, and execution of the Medicaid regulatory compliance program.
Requirements
- HSD or GED required
Nice To Haves
- Bachelor's degree preferred or relevant experience in lieu of a degree
Responsibilities
- Owns Medicaid compliance program design, monitoring, audit readiness, issue management, and remediation.
- Leads compliance risk assessments and audit planning.
- Oversees intake, investigation, and resolution of potential non-compliance.
- Partners with Legal, Government Affairs, and business leaders on regulatory interpretation.
- Reports material compliance risks to senior leadership and the Chief Compliance Officer.
- Leads and develops compliance staff.
- Primary regulatory contact for Medicaid matters with regulatory agencies specifically DOBI, DMAHS, and Medicaid Fraud Division (MFD ) and Office of Inspector General (OIG) and other related agencies.
- Coordinates state and federal regulatory and legislative activity impacting Medicaid.
- Oversees responses to regulator and legislative complaints.
- Supports internal teams on Medicaid regulatory requirements
Benefits
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
