Medicaid Compliance Jobs

Experienced compliance leader needed to manage Medicaid state reporting, training, and cross-functional compliance activities for Humana Healthy Horizons in a remote capacity.

Inclusive & Diverse

Growth & Learning

Mission Driven

Diversity of Opinions

Lead enterprise-wide compliance strategy and risk mitigation at Included Health as a senior subject matter expert in healthcare regulatory and privacy matters.

WelbeHealth is hiring a Senior Director, Eligibility Excellence to lead and scale eligibility operations and policy execution across our national footprint to ensure timely access, compliance, and revenue integrity.

Pacific Health Group seeks a detail-oriented Healthcare Advocate to manage contracts, coordinate grants, and strengthen community partnerships in a hybrid San Diego-based role.

Humana is hiring a Medicaid Market Development Advisor to lead Medicaid product implementation, contract compliance, performance monitoring, and cross-functional program oversight for assigned health plans.

Evernorth seeks a Product Management Advisor to own regulated-market capabilities, ensure CMS compliance, lead enhancements, and serve as the SME for internal and client stakeholders.

Prime Healthcare is hiring a Manager of Revenue Integrity Compliance to lead CDM and price-transparency compliance efforts across the system and collaborate with clinical, IT, and revenue cycle teams.

Humana is hiring a Contract Tools, Education, Processes Lead to manage and improve Medicare and Medicaid provider contract templates, ensuring compliance and streamlined provider contracting.

Peraton's SafeGuard Services is hiring a remote Medicaid Fraud Auditor to conduct compliance audits, analyze healthcare claims data, and make findings and recovery recommendations for Medicaid program integrity.

Serve as a Governmental Auditor 2 with the Oregon Health Authority to conduct Medicaid compliance audits, identify fraud/waste/abuse, and support program integrity efforts across diverse provider types.

Damar is hiring a Revenue Cycle Manager to oversee billing, collections, and compliance for its Indianapolis main campus, driving accurate and timely revenue operations.