Medicaid Compliance Analyst

Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you.

About the Role

The Medicaid Compliance Analyst promotes and enforces compliance with all Medicaid regulations in current states of practice. This individual will work cross-functionally and serve as a subject matter expert for all Medicaid contracts and agreements, ensuring that Charlie Health can effectively deliver care to clients with Medicaid plans.

We’re a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you’re inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today.

Responsibilities

• Proactively monitoring Medicaid regulations for any new and/or amended requirements and submitting them for review for the Regulatory Change Management team.

• Developing a repository for all Medicaid regulations, guidance, and interpretation

• Performing gap analysis of new states where the business is beginning to establish Medicaid contracts and working with business units to address gaps.

• Communicating with and building rapport with state Medicaid departments.

• Partnering with the Growth Strategy and Commercial Strategy teams to build rapport with contracted Medicaid Health Plans and participating in Provider Forums and onboarding discussions.

• Participating in state Medicaid audits, inspections, and surveys; providing audit readiness assessments and guidance to impacted business units

• Instituting internal audit or monitoring activities for Medicaid related deficiencies

• Managing development of corrective action plans in response to deficiency notices received from state Medicaid plans

• Initiating and managing corrective action plans resulting from internal audits/monitoring activities.

• Other duties as assigned

Requirements

• Bachelor's degree required

• 0-3 years of relevant work experience. Medicaid, healthcare, and/or behavioral health experience in work, internship, or education setting is highly preferred.

• Experience dealing with multiple internal and external customers.

• Excellent verbal and written communication.

• Outstanding organizational and time management skills; detail oriented

• Self-starter with a demonstrated history of taking ownership of projects and executing them with minimal supervision

• Outside the box thinker; excellent at problem solving, strong critical thinking skills. Ability to see situations from multiple points of view.

• Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Salesforce–in addition to EMR and survey software

• Strong interpersonal, relationship-building and listening skills, with a natural, consultative style

• Ability to energize, communicate, and build rapport at all levels within an organization

• Strong project management skills, with a demonstrable ability to corral and manage details in a fast-paced, fluid environment

• Experience advising, presenting to, and persuading senior corporate personnel

• Able to work a hybrid schedule of 4 days/week in our NYC office and located within 45 minutes' commuting distance of the office

• Work authorized in the United States and native or bilingual English proficiency

Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

The total target base compensation for this role will be between $75,000 and $93,000 per year at the commencement of employment. In addition to base compensation, this role offers a target performance-based bonus. The target total cash compensation range, including potential bonus, will be between $79,000 and $97,000 per year. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. #LI-HYBRID

Our Values

• Connection: Care deeply & inspire hope.

• Congruence: Stay curious & heed the evidence.

• Commitment: Act with urgency & don’t give up.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

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