What are the responsibilities and job description for the Compliance and Program Integrity Coordinator (HCA/MAD #9273) position at State of New Mexico?
Posting Details
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Compliance and Program Integrity Coordinator will:
Assist in the development, implementation, and continuous refinement of division-wide compliance and program integrity processes and infrastructure;
Support proactive identification of compliance risks and contribute to the development of corrective action plans;
Conduct research and analysis related to federal and state Medicaid compliance requirements;
Support Centers for Medicare and Medicaid Services (CMS) related reporting, document preparation, and audit response activities;
Assist in cross-divisional coordination, including tracking regulatory changes and facilitating follow-up with internal and external partners;
Prepare compliance-related reports, documentation, tracking tools, forms, and templates to support program accountability and transparency;
Support projects aligned with agency strategic priorities, including the development and communication of compliance related initiatives.
How does it get done?
The Compliance and Program Integrity Coordinator is responsible for:
Conducting research and analysis of federal regulations, CMS guidance, compliance standards, and internal policies;
Supporting development and monitoring of corrective action plans across Medical Assistance Division (MAD) units;
Preparing high-quality compliance reports, tracking matrices, dashboards, and other documentation;
Coordinating with internal teams, federal partners, and external stakeholders to gather information and support compliance reviews and program integrity efforts;
Assisting with organizing CMS submissions, audit materials, and follow-up documentation;
Providing guidance, technical assistance, and information coordination across MAD units to support compliance and program integrity activities;
Maintaining organized systems for tracking regulatory updates, compliance risks, and corrective action progress.
Who are the customers?
Compliance and Special Projects Officer;
Medical Assistance Division (MAD) leadership, program managers, and unit staff;
Health Care Authority (HCA) and Office of the Secretary (OOS)
Federal oversight entities, state oversight partners, and external stakeholder organizations.
Ideal Candidate
Compliance and Special Projects Officer;
Medical Assistance Division (MAD) leadership, program managers, and unit staff;
Health Care Authority (HCA) and Office of the Secretary (OOS)
Federal oversight entities, state oversight partners, and external stakeholder organizations.
Minimum Qualification
High school diploma or equivalent and six (6) months experience with a public assistance program, medical, healthcare, educational, and/or state facility working with policies and procedures, conducting analysis/research, and/or providing or requesting information from the general public. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) months may substitute for the required experience.
Employment Requirements
Must possess and maintain a valid driver's license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed primarily in an office setting with extensive use of a personal computer, telephone, virtual meeting platforms, and multiple electronic case-management and data systems. The position requires prolonged periods of sitting, reviewing detailed records, and managing confidential or sensitive information. Occasional in-state or out-of-state travel may be required for meetings, training, or conferences.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Interviews are anticipated to be conducted within two weeks of closing date.
This job posting may be used to fill multiple vacancies.
The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire.
Our Vision
Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.
Our Mission
We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Our Goals
Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
Build the best team in state government by supporting employees continuous growth and wellness.
Why does the job exist?
The Compliance and Program Integrity Coordinator will:
Assist in the development, implementation, and continuous refinement of division-wide compliance and program integrity processes and infrastructure;
Support proactive identification of compliance risks and contribute to the development of corrective action plans;
Conduct research and analysis related to federal and state Medicaid compliance requirements;
Support Centers for Medicare and Medicaid Services (CMS) related reporting, document preparation, and audit response activities;
Assist in cross-divisional coordination, including tracking regulatory changes and facilitating follow-up with internal and external partners;
Prepare compliance-related reports, documentation, tracking tools, forms, and templates to support program accountability and transparency;
Support projects aligned with agency strategic priorities, including the development and communication of compliance related initiatives.
How does it get done?
The Compliance and Program Integrity Coordinator is responsible for:
Conducting research and analysis of federal regulations, CMS guidance, compliance standards, and internal policies;
Supporting development and monitoring of corrective action plans across Medical Assistance Division (MAD) units;
Preparing high-quality compliance reports, tracking matrices, dashboards, and other documentation;
Coordinating with internal teams, federal partners, and external stakeholders to gather information and support compliance reviews and program integrity efforts;
Assisting with organizing CMS submissions, audit materials, and follow-up documentation;
Providing guidance, technical assistance, and information coordination across MAD units to support compliance and program integrity activities;
Maintaining organized systems for tracking regulatory updates, compliance risks, and corrective action progress.
Who are the customers?
Compliance and Special Projects Officer;
Medical Assistance Division (MAD) leadership, program managers, and unit staff;
Health Care Authority (HCA) and Office of the Secretary (OOS)
Federal oversight entities, state oversight partners, and external stakeholder organizations.
Ideal Candidate
Compliance and Special Projects Officer;
Medical Assistance Division (MAD) leadership, program managers, and unit staff;
Health Care Authority (HCA) and Office of the Secretary (OOS)
Federal oversight entities, state oversight partners, and external stakeholder organizations.
Minimum Qualification
High school diploma or equivalent and six (6) months experience with a public assistance program, medical, healthcare, educational, and/or state facility working with policies and procedures, conducting analysis/research, and/or providing or requesting information from the general public. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) months may substitute for the required experience.
Employment Requirements
Must possess and maintain a valid driver's license.
Must obtain a Defensive driving certification.
Working Conditions
Work is performed primarily in an office setting with extensive use of a personal computer, telephone, virtual meeting platforms, and multiple electronic case-management and data systems. The position requires prolonged periods of sitting, reviewing detailed records, and managing confidential or sensitive information. Occasional in-state or out-of-state travel may be required for meetings, training, or conferences.
Supplemental Information
Do you know what Total Compensation is? Click here
Agency Contact Information: Jolene Jaffa, (505) 690-9920. Email
For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
Bargaining Unit Position
This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.
Benefits:
Health Insurance, Vacation & Paid Time Off, Retirement PlanSalary : $23 - $34