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About the Role
This full-time remote role involves managing Medicaid regulatory frameworks, MCO credentialing, corporate state registrations, and daily compliance operations, reporting directly to the Chief of Staff.
Responsibilities
- Lead the end-to-end provider enrollment and credentialing process with state Medicaid agencies and MCOs, ensuring accurate and timely documentation.
- Enforce adherence to Medicaid regulatory requirements, including FWA protocols and HIPAA.
- Assist in drafting, updating, and auditing internal compliance policies.
- Manage and maintain corporate state registrations, annual reports, and foreign qualifications.
- Draft, review, and organize standard vendor agreements, BAAs, and NDAs.
- Manage the repository of all payer contracts, ensuring terms align with regulatory requirements.
- Act as a liaison between external legal counsel, state health departments, operations, and the executive team.
- Monitor, research, and interpret state and federal Medicaid regulations, CMS guidelines, and emerging policies.
- Translate complex regulatory text into clear, actionable guidance for leadership.
Requirements
- 3+ years of experience as a paralegal, compliance specialist, or regulatory coordinator, with a heavy emphasis on Medicaid policy and healthcare operations.
- Proven ability to read, comprehend, and operationalize complex legal and regulatory text from state Medicaid provider manuals, CMS updates, and MCO contracts.
- Deep understanding of state Medicaid provider enrollment portals, MCO credentialing processes, and platforms like CAQH.
- Exceptional organizational skills and a meticulous approach to navigating bureaucratic state portals, managing strict deadlines, and maintaining audit-ready files.
- Proven ability to thrive in a remote, fast-paced startup environment.
- Self-starter capable of managing complex state enrollment or regulatory research projects from start to finish with minimal supervision.
- Strong written and verbal communication skills, with a talent for distilling dense regulatory jargon into plain English.
Skills
- Medicaid Regulatory Knowledge
- Credentialing Expertise
- Attention to Detail
- Autonomy
- Communication
Location
- United States
Work Type
- Full Time
- Remote
Experience Level
- 3+ years
Education Level
- Bachelor’s degree
- Paralegal Certificate
Salary/Compensations
- $70,000 - $100,000 / year
- OTE up to $200,000 per year
Benefits
- Competitive salary and equity options
- 100% company-covered medical, dental, and vision insurance
- 401K
- Flexible PTO
- Fully remote work environment
- Home Office Stipend
- Monthly Wifi Stipend
- 12 Weeks of medically tailored groceries for the whole family
- The opportunity to make a tangible impact at a mission-driven company
About the Company
- RxDiet operates at the forefront of the "food as medicine" movement.