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 requirements, develop compliance procedures, monitor performance metrics, and conduct training and risk assessments while working remotely.

Key responsibilities

• Develop compliance reports and conduct investigations, summarizing data and identifying potential risks
• Coordinate the implementation of compliance efforts, assessing current compliance states and creating necessary policies and training
• Collaborate with internal and external stakeholders to ensure adherence to regulatory standards and support strategic compliance initiatives

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six 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
• Certification in Healthcare Compliance (CHC) or equivalent compliance certification is a plus