Compliance Consultant

Role: Compliance ConsultantLocation: Martinez, CA (Hybrid)Duration: 6+ MonthsOverview: We are seeking a detail-oriented and proactive Compliance Consultant to support regulatory compliance activities for Medi-Cal and Commercial lines of business. The ideal candidate will have strong experience working with DHCS (Department of Health Care Services) and DMHC (Department of Managed Health Care) regulations, ensuring adherence to regulatory requirements, managing filings, and coordinating audits and reporting activities.Key Responsibilities:Manage regulatory filings and support regular/ad hoc reporting for Medi-Cal and Commercial lines of businessLead and coordinate DHCS/DMHC regulatory notice compliance and implementation , including conducting Operational Gap Analysis (OGA)Interpret and communicate regulatory guidance , ensuring timely dissemination across stakeholdersMaintain and manage regulatory trackers for requirements, communications, and deliverablesDevelop and update regulatory report inventory to ensure completeness and audit readinessParticipate in DHCS/DMHC regulatory calls, meetings, and webinars to stay aligned with evolving compliance requirementsFacilitate Regulatory Notice Workgroups , driving collaboration across cross-functional teamsCoordinate and oversee regulatory filings submission ensuring accuracy and timelinessSupport audit coordination , including preparation, documentation, and response management for DHCS/DMHC auditsRequired Qualifications:Proven experience in healthcare regulatory compliance , preferably within Medi-Cal or Commercial health plansStrong knowledge of DHCS and DMHC regulations and reporting requirementsExperience with regulatory filings, audits, and compliance reportingAbility to perform gap analysis and implement corrective action plansExcellent project management and organizational skillsStrong communication and stakeholder management abilitiesExperience maintaining compliance trackers, documentation, and reporting inventoriesPreferred Qualifications:Prior experience working with California healthcare regulatory bodiesFamiliarity with compliance tools, reporting systems, and audit frameworksExperience facilitating cross-functional workgroups or governance meetingsKey Skills:Regulatory Compliance (DHCS / DMHC)Healthcare Compliance (Medi-Cal & Commercial)Regulatory Reporting & FilingsAudit Coordination & SupportOperational Gap Analysis (OGA)Stakeholder Communication & CoordinationDocumentation & Tracker Management