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 education and training for personnel while working remotely.

Key responsibilities:

• Develop compliance reports and conduct compliance investigations to ensure adherence to Medicaid regulations
• Collaborate with internal and external stakeholders to implement compliance efforts and monitor regulatory changes
• Conduct annual risk assessments and provide training on compliance issues to regional staff

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum of six years of experience in compliance, health care operations, audit, or related fields
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent compliance certification is preferred