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 on regulatory requirements while working remotely.

Key responsibilities

• Develop compliance reports and evaluate compliance data, audit information, and potential risks
• Conduct compliance investigations by analyzing data and providing input for corrective action plans
• Coordinate the implementation of compliance efforts and monitor adherence to compliance standards

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, finance, or related fields
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Master's degree or compliance certification is advantageous