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, monitor performance metrics, and conduct training and education for personnel, all while working remotely.

Key responsibilities:

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Coordinate implementation of compliance efforts and monitor ongoing adherence to established standards
• Collaborate with internal and external stakeholders to provide insights and recommendations for compliance initiatives

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, finance, 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