Manager – Medicaid Provider Compliance
Job in
Stamford, Fairfield County, Connecticut, 06925, USA
Listed on 2026-08-16
Listing for:
Jobtailor
Full Time
position Listed on 2026-08-16
Job specializations:
-
Business
Regulatory Compliance Specialist, Risk Manager/Analyst, Financial Compliance
Job Description & How to Apply Below
- Provides enterprise leadership for Medicaid provider compliance, audit management, and regulatory oversight activities.
- Leads the development and execution of compliance strategies that support contractual, regulatory, and business objectives.
- Serves as a recognized subject matter expert for provider compliance and audit readiness.
- Partners across business areas to influence strategic decisions and manage emerging compliance risks.
- Establishes and maintains compliance monitoring frameworks and key performance indicators.
- Drives continuous improvement efforts through process redesign and automation opportunities.
- Builds and maintains strong working relationships with regulators, auditors, and leadership.
- Presents audit outcomes, compliance risks, trends, and recommendations to senior leadership.
- 7+ years of healthcare compliance, audit, or provider operations experience
- Proven ability to lead complex projects and compliance initiatives
- Experience managing audits, CAPs, and regulatory responses
- Strong analytical, risk assessment, and problem-solving skills
- Knowledge of Medicaid regulations and provider compliance requirements
- Excellent communication and stakeholder influence skills
- Ability to drive results across teams and manage competing priorities
- Advanced Excel and data analysis proficiency
Demonstrates extensive expertise in Medicaid provider compliance, audit management, and regulatory oversight, with a strong focus on developing compliance strategies and managing audits. Proven ability to lead complex projects, drive results, and influence stakeholders across business areas.
Highest-signal resume keywords- Healthcare Compliance Experience
- Audit Management
- Medicaid Regulations Knowledge
- Advanced Excel Proficiency
- Analytical and Problem-Solving Skills
- Compliance Strategy Development
- Audit Readiness
- Risk Assessment
- Process Redesign
- Data Analysis
- Excellent Communication
- Stakeholder Influence
- Relationship Building
- Project Leadership
- Regulatory Oversight
- Compliance Monitoring Frameworks
- Key Performance Indicators
- Continuous Improvement
- Contractual Objectives
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