MEDICAID COMPLIANCE ANALYST

Why Charlie Health?

Young people across the nation are grappling with a mental health crisis characterized by escalating rates of depression, anxiety, trauma, substance use disorders, and suicide. Individuals who seek support are met by geographical and financial barriers, driving increased urgency for a new approach to behavioral health treatment.

At Charlie Health, our mission is to connect the world to life-saving mental health treatment. Our treatment programs combine curated peer groups, individual therapy, and family therapy into personalized, evidence-based treatment plans to provide long-term healing from home. By prioritizing connections among young people with shared mental health experiences and goals, Charlie Health fosters sustainable healing and achieves industry-leading clinical outcomes, with over 90% of our clients seeing improvement in their most severe mental health symptoms.

Every member of the Charlie Health team is fueled by an unwavering passion for our mission. If you share this commitment, we invite you to join us in making a tangible impact on the mental health landscape.

About the Role

The Medicaid Compliance Analyst promotes and enforces compliance with all Medicaid regulations in current states of practice. Together with the Chief Compliance Officer, this individual will 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.

Our team is comprised 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. We are looking for a candidate who is inspired by our mission and excited by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way.

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 or equivalent in experience
* 1-3 years of relevant work experience, with at least 1 year of experience in a healthcare administration environment. Medicaid and/or behavioral health experience highly desirable
* Experience dealing with multiple internal and external customers
* Excellent verbal and written communication
* Detail oriented
* Proactive self-starter and natural multitasker
* Outside the box thinker; excellent at problem solving, strong critical thinking skills. Ability to see situations from multiple points of view
* Microsoft Office proficiency
* Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce
* 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 75 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 cash compensation for this role will be between $77,000 and $110,000 per year at the commencement of employment. However, pay will be determined on an individualized basis and will be impacted by location and number of years of experience. 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
* We care personally about every single person in the Charlie Health ecosystem: our clients, providers, and team members alike.
* Inspire hope
* We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
* Congruence
* Stay curious
* We ask why five times before we're satisfied with the answer. We don't stick to the status quo; we challenge our assumptions and remain humble.
* Heed the evidence
* Above all, we're results-oriented. When we find data that calls our original plan into question, we modify or pivot.
* Commitment
* Act with urgency
* We work as swiftly as possible. The mental health crisis is relentless, and so are we.
* Don't give up
* Our clients don't give up and neither do we. Persistence is our superpower.

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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