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Federal Compliance Site Reviewer

Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025

Job Description:

A company is looking for a Departmental Analyst 12 - Federal Compliance Site Reviewer.
Key Responsibilities

Conduct annual site reviews for Pre-paid Inpatient Health Plans (PIHP) and related programs
Complete credentialing and clinical reviews of Medicaid beneficiary records and compile findings into reports
Analyze corrective action plans for compliance and evaluate the effectiveness of remediation efforts

Required Qualifications, Training, and Education

Possession of a bachelor's degree in any major
Three years of professional experience, including one year at the experienced (P11) level in state service
Experience may be substituted with relevant military service at or above the E-6 level
Knowledge of state and federal regulations related to Habilitation Supports Waiver and State Plan Amendment
Understanding of Michigan Mental Health Code and related laws applicable to Medicaid beneficiaries

Keywords: VirtualVocations, Costa Mesa , Federal Compliance Site Reviewer, Other , Vista, California

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