Maryland Licensed Medicaid Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Consultant will manage compliance activities, develop reports, conduct investigations, and collaborate with stakeholders in a remote work environment.

Key responsibilities

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

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, or related fields
• Experience in health plan compliance and operations preferred
• Project management experience and ability to work cross-functionally
• Certification in Healthcare Compliance (CHC) or equivalent is a plus