Maryland Licensed Medicaid Consultant
Job Summary
To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Consultant will manage compliance activities, collaborate with stakeholders, develop compliance reports, and conduct investigations while working remotely.
Key responsibilities
- Develop compliance reports by evaluating compliance data and summarizing audit information
- Conduct compliance investigations and provide input for corrective action plans based on findings
- Coordinate the implementation of compliance efforts by assessing current compliance states and identifying gaps
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, or a related field
- Experience in health plan compliance and operations preferred
- Project management experience and ability to work cross-functionally
- Master's degree or compliance certification is a plus
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