Maryland Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Compliance Consultant will conduct compliance activities, develop reports, and coordinate training while working remotely and collaborating with internal and external stakeholders.

Key responsibilities

• Conduct compliance investigations and document compliance activities in collaboration with stakeholders
• Develop compliance reports by evaluating data and summarizing potential risks and remedies
• Coordinate the implementation of compliance efforts, assessing current compliance states and identifying gaps

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six (6) years of experience in compliance, health care operations, audit, finance, or related fields
• Experience in health plan compliance and operations preferred
• Project management experience and ability to work cross-functionally across departments
• Master's degree or Certified in Healthcare Compliance (CHC) is a plus