Medicaid Compliance Specialist

• Process Medicaid billing using Brightree software, including cash applications, denials, adjudications, and write-offs
• Conduct internal and external Medicaid audits to ensure accuracy, compliance, and optimized reimbursement
• Develop and maintain systems for tracking administrative reviews, compliance metrics, and corrective action plans
• Ensure adherence to state contracts, Medicaid regulations, and accreditation standards
• Support standardized program practices and organizational compliance initiatives
• Prepare performance and compliance reports for leadership
• Lead or assist in special projects related to compliance, budgeting, and staffing as needed

• Experience in Medicaid billing and compliance is required
• Proficiency in Brightree software strongly preferred
• Solid knowledge of Medicaid adjudications, denials, write-offs, and cash applications
• Strong organizational skills and the ability to evaluate compliance processes
• Experience in healthcare, social services, or human services programs preferred

Experience in healthcare, social services, or human services programs preferred

• medical, vision, dental, and life and disability insurance
• company 401(k) plan