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, conduct risk assessments, and provide training remotely while collaborating with internal and external stakeholders.

Key responsibilities

• Develop compliance reports by evaluating compliance data and summarizing audit information
• Conduct compliance investigations, including data analysis and interviews, to identify corrective action steps
• Coordinate the implementation of compliance efforts by assessing current compliance states and creating or revising standards and policies

Required qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or 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
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent is preferred