Medicaid Compliance Lead: Program & Audit Expert

Kaiser Permanente; Renton (WA); On-site; USD 130,000 - 170,000; Full time

Job summary

Kaiser Permanente is seeking a Compliance Consultant IV to maintain and enhance the Medicaid Compliance Program across KPMAS and advise regional staff on Medicaid requirements. The role focuses on developing compliant procedures, monitoring metrics, conducting risk assessments, and supporting audit activities with cross-functional teams.

The ideal candidate will lead investigations, prepare compliance reports, coordinate with stakeholders, and educate personnel on evolving regulatory changes to

Qualifications

• Bachelor’s degree in health care administration or related field.
• Minimum six years in compliance, health care operations, audit, or regulatory work.
• Equivalent work experience may substitute for the degree.

Responsibilities

• Conduct and coordinate company compliance activities with stakeholders.
• Develop compliance reports and monitor key performance metrics.
• Investigate compliance matters and coordinate corrective actions.
• Educate staff on regulatory changes and compliance requirements.

Education

Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field

Job description

Kaiser Permanente is seeking a Compliance Consultant IV to maintain and enhance the Medicaid Compliance Program across KPMAS and advise regional staff on Medicaid requirements. The role focuses on developing compliant procedures, monitoring metrics, conducting risk assessments, and supporting audit activities with cross-functional teams.

The ideal candidate will lead investigations, prepare compliance reports, coordinate with stakeholders, and educate personnel on evolving regulatory changes to