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 education and training for personnel, all while working remotely.

Key responsibilities

• Develop compliance reports by evaluating compliance data and reporting on key performance indicators
• Conduct compliance investigations by analyzing data, interviewing stakeholders, and creating corrective action plans
• Coordinate the implementation of compliance efforts by assessing current compliance states 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 six (6) years of experience in compliance, health care operations, audit, or related fields
• Experience in health plan compliance and operations preferred
• Demonstrated project management experience
• Ability to work cross-functionally across departments and functions