Remote Medicaid Compliance & Regulatory Specialist

RxDiet

United States

Remote

USD 70,000 - 100,000

Full time

8 days ago

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Benefits offered by this job

Equity options
Medical, dental, and vision insurance
401K
Flexible PTO
Remote work environment
Home Office Stipend
Monthly Wifi Stipend
12 Weeks of medically tailored grocery

Job summary

RxDiet is seeking a Compliance and Regulatory Specialist for a fully remote, full-time role in the United States. You will act as the internal compass for Medicaid regulatory frameworks, managing credentialing, state registrations, and day-to-day compliance operations under the Chief of Staff.

Reporting to Compliance, you will draft policies, review vendor agreements, and liaise with state health departments and external counsel to support audits and new market expansions, translating complex

Qualifications

  • 3+ years of experience as a paralegal, compliance specialist, or regulatory coordinator with Medicaid focus.
  • Strong knowledge of Medicaid policy, CMS updates, and healthcare operations.
  • Experience with provider enrollment portals and MCO credentialing.
  • Bachelor’s degree and/or Paralegal Certificate.
  • Strong attention to detail and ability to work autonomously in a remote startup.

Responsibilities

  • Lead Medicaid credentialing/enrollment with state agencies and MCOs.
  • Ensure compliance with FWA and HIPAA; draft/update policies.
  • Manage state registrations, annual reports, and foreign qualifications.
  • Draft and organize vendor agreements and BAAs; manage payer contracts.
  • Coordinate with legal, health departments, operations, and executives for audits.

Skills

Medicaid policy
Healthcare compliance
Credentialing
State registrations
Regulatory affairs
Autonomy
Communication

Education

Bachelor’s degree or Paralegal Certificate

Job description

RxDiet is seeking a Compliance and Regulatory Specialist for a fully remote, full-time role in the United States. You will act as the internal compass for Medicaid regulatory frameworks, managing credentialing, state registrations, and day-to-day compliance operations under the Chief of Staff.

Reporting to Compliance, you will draft policies, review vendor agreements, and liaise with state health departments and external counsel to support audits and new market expansions, translating complex

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