Medicaid Regulatory and Compliance Specialist

Job Title: Medicaid Regulatory and Compliance Specialist

Location: Aurora, Colorado

Industry: Healthcare – Home Health & Home Care

Pay: $70,000 – $80,000 annually

About Our Client

Addison Group is working with a fast-growing and financially stable healthcare organization in the Aurora, CO area to hire a Medicaid Regulatory and Compliance Specialist. Our client is dedicated to transforming the home health and home care industry through innovation, quality, and compassion. They’re known for a collaborative culture, a strong leadership team, and a clear vision for long-term growth.

Job Description

This is a direct hire opportunity with a focus on regulatory compliance and Medicaid-related oversight. The ideal candidate will play a critical role in maintaining compliance across all levels of home care operations, collaborating directly with leadership, and supporting organizational goals through proactive risk identification and mitigation.

Key Responsibilities

• Design and lead the company’s compliance program to meet all state and federal healthcare regulations
• Conduct routine audits and assessments to ensure adherence to Medicaid and regulatory standards
• Identify compliance gaps and implement corrective action plans
• Act as liaison during inspections and manage documentation required for audits
• Train internal teams on compliance policies, processes, and updates
• Keep current with relevant laws, regulations, and best practices in home health care
• Analyze data and prepare reports for leadership on compliance performance and risk areas
• Partner with program directors to implement improvements based on findings from recent surveys
• Create and maintain clear documentation and compliance-focused presentations using Microsoft Office tools
  
  

Qualifications

• Bachelor’s degree in Healthcare Administration, Nursing, Business, or a related field (Master’s preferred)
• 5 years of experience in healthcare compliance, regulatory affairs, or Medicaid oversight
• Deep understanding of local, state, and federal home health care regulations
• Strong analytical and reporting skills; must be data-driven and solutions-oriented
• Excellent verbal and written communication skills; confident presenting findings to leadership
• Familiar with systems such as AccessCare, AXISCare, and ideally transitioning to Aloura
• Tech-savvy with proficiency in Microsoft Office, especially PowerPoint
  
  

Preferred Certifications (Not Required)

• Certified in Healthcare Compliance (CHC)
• Certified Professional in Healthcare Quality (CPHQ)
• Certified Nurse Manager (CNM)
  
  

Additional Details

• Schedule: Monday – Friday | 8:00 AM – 4:30 PM
• Onsite role | Free parking available
• Business casual dress code (jeans on Fridays!)
• Reports directly to the COO and CEO
• Candidate must be comfortable performing occasional site visits for compliance oversight
• Flu vaccine required due to home care field responsibilities
• COVID vaccine not required
  
  

Perks

• Health, dental, and vision insurance
• Retirement plan
• Paid time off and holidays
• Work-life balance with consistent scheduling
• Opportunity for professional growth in a mission-driven, innovative environment
  
  

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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