Medicaid Compliance Officer

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role: - Accountable for the oversight, implementation, and execution of the Medicaid regulatory compliance program. What You'll Do: - Owns Medicaid compliance program design, monitoring, audit readiness, issue management, and remediation. - Leads compliance risk assessments and audit planning. - Oversees intake, investigation, and resolution of potential non-compliance. - Partners with Legal, Government Affairs, and business leaders on regulatory interpretation. - Reports material compliance risks to senior leadership and the Chief...