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, advise regional staff on Medicaid requirements, develop functional procedures, and conduct training while working remotely.

Key Responsibilities

• Develop and monitor compliance reports, ensuring adherence to Medicaid regulations and identifying potential risks
• Conduct compliance investigations and collaborate with stakeholders to implement corrective actions based on audit findings
• Coordinate compliance efforts by assessing current practices, identifying gaps, and revising policies and procedures as needed

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, or related fields
• Experience in health plan compliance and operations
• Project management experience
• Ability to work cross-functionally across departments