Compliance and Regulatory Specialist

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Posted Sep 22, 2026

Remote · US Full Time

$70K – $100K/yr

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Overview

Full-time remote role in the Compliance department (United States).

Compensation: $70,000 - $100,000 / year.

This position serves as a Compliance and Regulatory Specialist, reporting directly to the Chief of Staff. The role supports internal Medicaid regulatory compliance by managing MCO credentialing, corporate state registrations, and day-to-day compliance operations.

Responsibilities

Medicaid Credentialing & Enrollment: Lead end-to-end provider enrollment and credentialing with state Medicaid agencies and Medicaid Managed Care Organizations (MCOs). Ensure documentation is accurate, submitted on time, and tracked through approval.
Healthcare Compliance & Policy: Enforce adherence to Medicaid regulatory requirements, including Fraud, Waste, and Abuse (FWA) protocols and HIPAA. Assist with drafting, updating, and auditing internal compliance policies aligned to shifting state rules.
State Registrations & Filings: Manage and maintain corporate state registrations, annual reports, and foreign qualifications across all states where the organization operates.
Document & Contract Management: Draft, review, and organize standard vendor agreements, Business Associate Agreements (BAAs), and non-disclosure agreements. Maintain a repository of payer contracts and ensure terms align with regulatory requirements.
Cross-Functional Support: Coordinate with external legal counsel, state health departments, operations, and the executive team to gather required information for Medicaid audits, legal inquiries, and new market expansions.
Medicaid Regulatory Affairs: Monitor, research, and interpret state and federal Medicaid regulations, CMS guidelines, and emerging policies. Convert complex regulatory text into clear, actionable guidance for leadership.

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Requirements

Experience: 3+ years of experience as a paralegal, compliance specialist, or regulatory coordinator, with a heavy emphasis on Medicaid policy and healthcare operations.
Medicaid Regulatory Knowledge: Ability to read, comprehend, and operationalize complex legal and regulatory text from state Medicaid provider manuals, CMS updates, and MCO contracts.
Credentialing Expertise: Strong understanding of state Medicaid provider enrollment portals, MCO credentialing processes, and platforms like CAQH.
Education: Bachelor’s degree and/or Paralegal Certificate.
Attention to Detail: Exceptional organizational skills, meticulous handling of bureaucratic state portals, strict deadline management, and maintenance of audit-ready files.
Autonomy: Ability to work independently in a remote, fast-paced environment; capable of taking complex state enrollment or regulatory research work from start to finish with minimal micromanagement.
Communication: Strong written and verbal communication skills, with the ability to distill dense regulatory jargon into plain English.