Maryland Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Compliance Consultant will manage compliance activities, develop reports, conduct investigations, and collaborate with stakeholders while working remotely.

Key responsibilities

• Develop compliance reports by evaluating data, summarizing audit information, and reporting key performance indicators to management
• Conduct compliance investigations by analyzing data, interviewing stakeholders, and creating corrective action plans for identified issues
• Coordinate the implementation of compliance efforts by assessing current compliance states, identifying gaps, and revising policies and procedures as necessary

Required qualifications

• Bachelor's degree in Health Care Administration, Law, Public Health, Business, or a 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
• Proficiency in project management and cross-department coordination
• Master's degree or compliance certification (e.g., CHC) is a plus