Maryland Licensed Medicaid Consultant

Job Summary

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

Key responsibilities:

• Develop compliance reports and monitor performance against Medicaid compliance metrics
• Conduct compliance investigations and provide recommendations for corrective actions
• Coordinate the implementation of compliance efforts and ensure adherence to regulatory changes

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field
• Minimum six years of experience in compliance, health care operations, audit, finance, 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