Medicaid Compliance Analyst

About the Role

The Medicaid Compliance Analyst promotes and enforces compliance with all Medicaid regulations in current states of practice. This individual will work cross-functionally and serve as a subject matter expert for all Medicaid contracts and agreements ensuring that Charlie Health can effectively deliver care to clients with Medicaid plans.

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Responsibilities

• Proactively monitoring Medicaid regulations for any new and/or amended requirements and submitting them for review for the Regulatory Change Management team.
• Developing a repository for all Medicaid regulations guidance and interpretation
• Performing gap analysis of new states where the business is beginning to establish Medicaid contracts and working with business units to address gaps.
• Communicating with and building rapport with state Medicaid departments.
• Partnering with the Growth Strategy and Commercial Strategy teams to build rapport with contracted Medicaid Health Plans and participating in Provider Forums and onboarding discussions.
• Participating in state Medicaid audits inspections and surveys; providing audit readiness assessments and guidance to impacted business units
• Instituting internal audit or monitoring activities for Medicaid related deficiencies
• Managing development of corrective action plans in response to deficiency notices received from state Medicaid plans
• Initiating and managing corrective action plans resulting from internal audits/monitoring activities.
• Other duties as assigned

Requirements

• Bachelors degree required
• 0-3 years of relevant work experience. Medicaid healthcare and/or behavioral health experience in work internship or education setting is highly preferred.
• Experience dealing with multiple internal and external customers.
• Excellent verbal and written communication.
• Outstanding organizational and time management skills; detail oriented
• Self-starter with a demonstrated history of taking ownership of projects and executing them with minimal supervision
• Outside the box thinker; excellent at problem solving strong critical thinking skills. Ability to see situations from multiple points of view.
• Familiarity with and willingness to use cloud-based communication softwareGoogle Suite Slack Zoom Salesforcein addition to EMR and survey software
• Strong interpersonal relationship-building and listening skills with a natural consultative style
• Ability to energize communicate and build rapport at all levels within an organization
• Strong project management skills with a demonstrable ability to corral and manage details in a fast-paced fluid environment
• Experience advising presenting to and persuading senior corporate personnel
• Able to work a hybrid schedule of 4 days/week in our NYC office and located within 45 minutes commuting distance of the office
• Work authorized in the United States and native or bilingual English proficiency

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time exempt employees. Read more about our benefits here.

Additional Information

The total target base compensation for this role will be between $75000 and $93000 per year at the commencement of addition to base compensation this role offers a target performance-based bonus. The target total cash compensation range including potential bonus will be between $79000 and $97000 per year. Please note pay will be determined on an individualized basis and will be impacted by location experience expertise internal pay equity and other relevant business considerations. Further cash compensation is only part of the total compensation package which depending on the position may include stock options and other Charlie Health-sponsored benefits. #LI-HYBRID