Maryland Licensed Medicaid Compliance Consultant
Job Summary
To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Compliance Consultant will collaborate with regional staff to advise on Medicaid requirements, develop compliance procedures, monitor performance metrics, and conduct training and audits in a remote work environment.
Key responsibilities:
- Develop compliance reports and conduct compliance investigations to ensure adherence to Medicaid regulations
- Coordinate the implementation of compliance efforts and assess current compliance states to identify gaps
- Support management of projects by collaborating with stakeholders and assisting in the development of project plans
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 related fields
- Experience in health plan compliance and operations
- Project management experience
- Certification in Healthcare Compliance (CHC) or equivalent is preferred
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