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, and conduct training for regional staff while working remotely.

Key responsibilities:

• Develop and monitor compliance reports and metrics, ensuring adherence to Medicaid regulations
• Conduct compliance investigations and provide recommendations for corrective actions based on findings
• Collaborate with internal and external stakeholders to implement compliance initiatives and address regulatory changes

Required qualifications:

• Bachelor's degree in Health Care Administration, Law, Public Health, Business, or a related field
• Minimum of six years of experience in compliance, health care operations, or a related field
• Experience in health plan compliance and operations preferred
• Project management experience is a plus
• Certification in Healthcare Compliance (CHC) or equivalent is advantageous