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 training while working remotely.

Key responsibilities:

• Maintain and enhance the Medicaid Compliance Program by advising staff on regulatory requirements and developing compliance reports
• Conduct compliance investigations and risk assessments, providing recommendations for corrective actions based on audit findings
• Coordinate the implementation of compliance efforts and monitor adherence to regulatory changes and standards

Required qualifications:

• Bachelor's degree in Health Care Administration, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, audit, or a related field
• Experience in health plan compliance and operations
• Project management experience
• Ability to work cross-functionally across departments and functions