Maryland Licensed Medicaid Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Consultant will advise regional staff on regulatory requirements, develop compliance procedures, monitor performance metrics, and conduct training and risk assessments, all while working remotely.

Key responsibilities:

• Develop and implement compliance reports and initiatives in collaboration with internal and external stakeholders
• Conduct compliance investigations and provide recommendations for corrective action plans based on findings
• Monitor regulatory changes and assess their impacts on compliance efforts, ensuring adherence to standards

Required qualifications:

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, audit, finance, or a related field
• Experience in health plan compliance and operations is preferred
• Project management experience and ability to work cross-functionally across departments
• Certification in Healthcare Compliance (CHC) or equivalent is a plus