Maryland Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Compliance Consultant will maintain compliance standards, conduct investigations, develop reports, and collaborate with internal and external stakeholders, working remotely within authorized states.

Key responsibilities:

• Develop compliance reports by evaluating data and summarizing key compliance drivers and performance indicators
• Conduct compliance investigations, analyzing data and providing recommendations for corrective actions
• Coordinate the implementation of compliance efforts, identifying requirements and monitoring adherence to standards

Required qualifications:

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