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 functional procedures, and conduct training while working remotely.

Key responsibilities:

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Coordinate the implementation of compliance efforts and monitor performance against compliance metrics
• Provide subject matter expertise and support for regional program audit activities and corrective action development

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 regulatory development
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent is desirable