Compliance Professional

The TemPositions Group of Companies; New York (NY); Remote; USD 55,104 - 68,880; Full time

Job summary

A healthcare organization is seeking a Temporary Compliance Professional to provide operational support for Medicaid compliance. This remote full-time role requires over 5 years of payer-side Medicaid experience, focusing on audit preparation, documentation reviews, and regulatory reporting. Candidates must possess strong analytical skills and the ability to work independently. A flexible work schedule and competitive hourly compensation are offered, making this a great opportunity for experienced compliance professionals.

Qualifications

• Minimum 5+ years of experience in government Medicaid programs within a health plan (payer-side) environment.
• Strong knowledge of Medicaid regulatory requirements and health plan operations.
• Excellent analytical, organizational, and documentation skills.

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

Skills

Medicaid government program experience

Audit response support

Regulatory documentation management

Analytical skills

Independent work in remote settings

Strong communication skills

Job description

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
• 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.