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Compliance Advisor HIDE SNP

Corewell Health
United States, Michigan, Grand Rapids
Apr 25, 2025
Job Summary Works directly to support VP, State Markets and Director, Medicaid Operations along with the highly collaborative Medicaid Operations team, serving in a consulting and advisor role to develop policies, processes, and business practices to optimize administrative efficiencies and assure regulatory compliance with state and federal agencies. Demonstrates proficient understanding of business operations, Medicaid regulations, and initiatives including those requiring collaboration with both internal and external partners. Provides support in identifying opportunities to improve the cost effectiveness and administrative efficiency of Priority Health Medicaid Operations. Provides additional liaison support with the State of Michigan to ensure continuity and proactive awareness/involvement in Medicaid programmatic and regulatory changes. Exercises critical thinking to determine best approach to strategic assignments. Essential Functions Works with the VP, State Markets and Director, Medicaid Operations and leadership team across the organization to influence and coordinate new initiatives. Observes and works alongside the management team within Medicaid operations. Communicates, collaborates, networks with and acts as a consultant to key stakeholders in order to ensure continuity and coordination of services and appropriate utilization of resources. Coordinate projects or gather information across organization, working collaboratively and in a team environment to prepare a cohesive, broad view of topic. Manages timelines and budgets as appropriate for a project or program, as needed. Maintain a proficient understanding of Medicaid operations and regulations to provide support to leadership by participating in critical meetings Works independently and demonstrates excellent time management skills. Independently maintains accountability for completion of assigned projects. Qualifications Required Bachelor's Degree or equivalent Business, health care or related field 7 years of relevant experience Business function or other related experience and background #LI-CL #clinicalwest #CorewellHealthCareers How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Market Operations - Medicaid Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team. You may request assistance in completing the application process by calling 616.486.7447.