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 risk assessments, and provide training for personnel, all while working remotely.

Key responsibilities:

• Develop compliance reports and conduct investigations to ensure adherence to Medicaid regulations
• Collaborate with internal and external stakeholders to implement compliance efforts and monitor performance metrics
• Assist in managing projects related to compliance and regulatory changes, ensuring all procedures are followed

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum six years of experience in compliance, health care operations, audit, or a related field
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Ability to work cross-functionally across departments and functions