Compliance and Program Integrity Coordinator (HCA/MAD #9273)

$22.62 - $33.93 Hourly

$47,050 - $70,575 Annually

This position is a Pay Band C5

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.

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.

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.

• 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.

The Ideal Candidate has/is:

• Analytical, detail oriented, and organized, with strong research and communication skills;
• Experience managing multiple compliance and program integrity tasks with minimal supervision;
• Ability to identify risks, and document findings clearly;
• Ability to collaborate effectively with internal staff, leadership, federal partners, and external stakeholders while maintaining confidentiality and professionalism;
• Experience with compliance monitoring, regulatory analysis, audits, CMS reporting, or Medicaid program operations.

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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.