Maryland Licensed Medicaid Compliance Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Compliance Consultant will develop compliance procedures, monitor performance against compliance metrics, conduct risk assessments, and provide training to staff, all while working remotely.

Key responsibilities

• Develop and implement compliance reports and procedures in accordance with Medicaid regulations
• Conduct compliance investigations and collaborate with stakeholders to address audit findings and corrective actions
• Monitor regulatory changes and assess their impact on compliance efforts and organizational practices

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, or a related field
• Experience in health plan compliance and operations
• Demonstrated project management experience
• Ability to work cross-functionally across departments and functions