Government Programs Compliance Consultant

Health Care Service Corporation

Responsibilities include evaluating government programs regulations, assessing compliance risks, and collaborating with stakeholders for mitigation strategies. This includes oversight of operational compliance for HCSC.

Posted 7/29/2026full-timeAlbuquerque • Illinois, New Mexico, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $61,500 - $136,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in regulatory compliance and risk management within healthcare programs, particularly Medicare and Medicaid, while effectively communicating findings and collaborating with various stakeholders to ensure operational compliance.

Highest-signal resume keywords

Regulatory ComplianceRisk ManagementMedicare And Medicaid KnowledgeCritical ThinkingCommunication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Risk AssessmentMitigation StrategiesOperational ComplianceReport DocumentationData Analysis

Soft Skills

Organizational SkillsAnalytical SkillsDecision-Making SkillsRelationship Building

Tools & Technologies

WorkdayMicrosoft WordMicrosoft PowerPointMicrosoft Excel

Industry Keywords

Government ProgramsHealthcare ComplianceMedicaid ContractsMedicare AdvantagePart D Regulations

About the role

Key responsibilities & impact

This position is responsible for supporting evaluation of government programs (Medicare and Medicaid) regulations, guidance and contracts, assessing the risk that those items present with respect to HCSC government contracts.
Supporting the compliance department oversight of the business' operational compliance with the requirements through multiple mechanisms such as review of reports, attendance at operational meetings, and targeted monitoring of areas of concern.
Assisting in identification of risks and issues of noncompliance, development of strategies to mitigate and remediation of those risks and issues and work with compliance and business personnel, all levels of HCSC management and governmental agencies in order to implement controls and processes and report on results.
Validate that business remediation activities successfully addressed agreed-upon root causes, deliverables and remediation steps.
Document results and communicate findings to the business.
Create summary reports for management on issues and risks of non-compliance.

Requirements

What you’ll need

Bachelor’s degree and 3 years experience in health plans, regulatory compliance or risk management OR 6 years’ experience in health plans, regulatory compliance or risk management.
Ability to communicate with and build relationships with internal business units and/or various external government agencies.
Critical thinking, risk assessment and mitigation.
Excellent verbal and written communication skills.
Ability to work with minimal supervision.
Organizational, analytical and decision-making skills.
PC proficiency to include Workday, Word, PowerPoint and Excel.
Preferred Requirements: Government Programs Healthcare Compliance experience. Equivalent experience will be considered. Knowledge of Medicaid contracts and regulations, Medicare Advantage, Part D or other regulatory experience.

Benefits

Comp & perks

Health insurance
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement