Maryland Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Compliance Consultant will advise regional staff on Medicaid regulations, develop compliance procedures, monitor performance metrics, and conduct training and risk assessments, all while working remotely.

Key responsibilities

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Coordinate implementation of compliance efforts and assist in managing cross-functional projects
• Monitor regulatory changes and assess compliance gaps, creating or revising policies and training as necessary

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, audit, or a related field
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent is preferred