Maryland Licensed Medicaid Consultant

Job Summary

To enhance the Medicaid Compliance Program, the full-time Maryland Licensed Medicaid Consultant will maintain compliance with state regulations, conduct risk assessments, and provide training to staff while working remotely.

Key responsibilities

• Develop and implement compliance reports, ensuring adherence to Medicaid regulations and performance metrics
• Conduct compliance investigations and collaborate with stakeholders to create corrective action plans for identified issues
• Monitor regulatory changes and assess their impact on compliance efforts, revising policies and procedures as necessary

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, or related fields
• Experience in health plan compliance and operations preferred
• Demonstrated project management experience
• Ability to work cross-functionally across departments and functions